Specialty Management: Keeping Up with Runaway Innovation

(EDU-S4) A Full View: Highlights from the Specialty Drug Site of Service Landscape

Thursday, October 13, 2022

9:45 AM – 11:00 AM ET

Location: Potomac D

ACPE UAN:0233-0000-22-042-L04-P | Contact Hours: 1.25 | Activity Type: Knowledge-based

Faculty(s)

Mariam Alboustani, RPh

Director, Specialty Clinical Solutions
Magellan Rx
Grosse Pointe, MI
Kimberly Dombrook-Lavender, PharmD, BCPS

Director, Pharmacy Services
Medica
Minnetonka, MN

Moderator(s)

JK

Jenice Ko, MPH

Research Analyst
Harvard Pilgrim Health Care Institute
Boston, Massachusetts

The impact of spend for the administration of medical benefit drugs is proving to be highly dependent on the site of service (SOS). This is presenting a growing challenge for payers, as well as an opportunity to assess different management strategies that would target SOS cost variability.

In this session, faculty will review medical pharmacy and specialty drug strategy focusing on the site of service management. Faculty will go over SOS programs implemented through partnership with health care plans. This includes an overview of the SOS program’s successes as well as challenges. Additionally, this session will highlight the legislative landscape specific to this topic, to best inform future approaches and decisions.

Learning Objectives:

At the completion of this activity, participants should be able to:

Summarize the specialty and medical drug spend and cost variability per SOS.
Discuss challenges and successes of different SOS management strategies.
Describe the legislative landscape and the possible effects on SOS management strategies.