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Webinar Details

  • Pub Code: C2P29-11WEB
  • Speakers
    • Atheer Kaddis, Pharm.D.
    • William Sullivan

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Payer Strategies to Manage High-Cost Specialty Drugs Expected to Hit the Market Soon

August 29, 2012 Webinar - Listen On-Demand or Get a CD!

Over the next 12 months, numerous specialty drugs are expected to hit the U.S. marketplace in multiple therapeutic conditions. While certain ones will merely add to already-crowded classes, several should fill gaps in care that are sorely needed. Some will have relatively inexpensive price tags of about $30,000 per member per year … but others are likely to top $100,000. And with additional developments in the specialty space — such as the emergence of oral therapies in classes with previously only infusible treatments and the growing use of genetic testing — managing these drugs will become even more complicated. How are these therapies expected to impact health plans and employers? What steps can you take to lessen their impact on your organization’s bottom line?

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The On-Demand recording will be available immediately upon purchase* as a link within a PDF file of the accompanying written materials. CDs and printed materials are shipped via USPS.

Sponsored by Atlantic Information Services, Inc., publisher of Specialty Pharmacy News, Drug Benefit News and Health Plan Week

With literally hundreds of drugs in the specialty pipeline, payers need to make sure their management strategies are evolving to fit emerging trends, which can offer both challenges and opportunities. Among these: biosimilar drugs; targeted therapies with diagnostic tests that identify appropriate candidates for treatment; channel management, especially with orphan and ultra-orphan drugs; clinical pathways in not only oncology but also rheumatoid arthritis and multiple sclerosis; and routes of administration, with classes that traditionally have had infusible therapies, which fall under the medical benefit, now seeing oral options that are managed under the pharmacy benefit.

Hear two industry experts discuss which specialty drugs are expected to enter the U.S. marketplace soon and how they can be managed effectively within the evolving specialty pharmacy space. You’ll get valuable perspectives on:

  • Which of the new therapies should command most of your attention, and why?
  • How will these therapies impact the bottom lines of health insurers and employers? What steps can be taken to mitigate the impact?
  • Which therapeutic conditions are likely to see new products? How are those classes managed now, and how might that change?
  • How do the newer therapies compare with existing treatments in terms of their clinical efficacy and price?
  • As combination therapies (where two or more products are used as a treatment regimen) become more popular — and more costly — how can payers manage these drugs and their patient populations?
  • How will the impending emergence of biosimilars impact the specialty drug pipeline?
  • How can health plans take advantage of opportunities in the use and emergence of genetic testing, oral specialty drugs, orphan and ultra-orphan therapies, and clinical pathways?

Speakers

ATHEER KADDIS, Pharm.D., is senior vice president sales and marketing with Diplomat Specialty Pharmacy. His responsibilities include business development, manufacturer contracting, sales, managed markets, and specialty infusion. Dr. Kaddis began his career as a staff pharmacist at William Beaumont Hospital in Troy, Mich., and continued his hospital pharmacy experience as a clinical oncology specialist at Grace Hospital in Detroit; he also worked in the community pharmacy setting. Dr. Kaddis joined Blue Cross Blue Shield of Michigan in 1997 as clinical program manager dedicated to the Ford Motor Company account and also had drug information responsibilities. He joined Merck-Medco (later Medco Health Solutions, Inc.) in 2000 as associate director in clinical account management and then returned to the Michigan Blues plan as director of pharmacy services, clinical, with responsibilities including formulary development, clinical program development, utilization management programs, specialty pharmacy programs and pay-for-performance programs. Dr. Kaddis received his Doctor of Pharmacy degree from Wayne State University in 1994. He is a member of the Academy of Managed Care Pharmacy and Michigan Pharmacists Association.

WILLIAM SULLIVAN is the principal consultant for and founder of Specialty Pharmacy Solutions LLC. For more than 30 years he has held executive positions in health care and pharmacy risk management, particularly for patients with chronic illness. As a recognized leader in the specialty pharmacy marketplace, Mr. Sullivan provides practical solutions for controlling high-cost injectables, infusibles and emerging biotech products. In 2002 he founded Specialty Pharmacy Solutions to provide expert consultative services to clients in the specialty pharmacy niche. Examples of major engagements include the development of multiple therapy-specific treatment management programs; the creation of sales, contracting and clinical delivery programs for more than 30 specialty pharmacies, including the largest joint venture between a national PBM and a publicly traded specialty pharmacy; RFP development /specialty pharmacy vendor selection /contracting /program implementation for major health plans; long-term strategic planning to build pharmacy valuation; due diligence on multiple specialty pharmacy acquisitions of all sizes; and competitive intelligence and managed care strategies for pharma companies. Mr. Sullivan’s pharmacy, sales, business development and operations expertise help his clients develop sound strategies, contain costs and profitably expand their markets. His prior experience in the specialty sector includes senior leadership roles at Priority Healthcare (now Express Scripts/CuraScript) and Adesso Specialty, as well as senior-level product management and sales leadership positions at Blue Cross Blue Shield of Massachusetts and Pilgrim Health Care (now Harvard-Pilgrim). Mr. Sullivan received his MBA in Healthcare Administration from Boston University. He is a member of the Academy of Managed Care Pharmacy and serves on the editorial board for Specialty Pharmacy News.

Moderator: Angela Maas, managing editor of AIS's Specialty Pharmacy News

Designed Especially For

Pharmacy, clinical services and medical directors; strategic planners; product development, contracting and marketing executives; and financial and operations executives at

  • Health plans
  • Specialty pharmacies
  • PBMs and pharmacy benefit administrators
  • Pharmaceutical manufacturers
  • Employers
  • Group-purchasing organizations
  • Physician groups
  • Infusion suites
  • Consulting firms
  • Disease management companies
  • Third-party administrators

Shipping Information

CDs (and accompanying written materials) are shipped via UPS. Please give us your street address when you order (UPS does not deliver to PO boxes). You should receive your order within two weeks.* Shipping and handling cost is $12.

The On-Demand Recording will be delivered as a link within a PDF file of the accompanying written materials. Shipping will NOT be charged for this item.

  • If you order the On-Demand Recording before the conference date (by itself or in combination with the live Webinar), you will be sent an e-mail with the PDF file attached once the recording is available.*
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*On-Demand recordings will be available within a week of the conference and CDs will be available within two weeks.

Written Materials

Listeners will also receive practical written information to supplement information covered by the Webinar speakers. A copyright release in the Printed Materials will permit you to make photocopies for each person listening to the Webinar and/or the On-Demand Recording.

Payer Strategies to Manage High-Cost Specialty Drugs Expected to Hit the Market Soon

Place your order through our secure shopping cart

$329.00
$329.00

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