Managed Pharmaceutical Care 101 - Understanding the marketplace and how to form strategic partnerships with Managed Care Organizations

Instructor: Alan Bayham
Product ID: 700303
Training Level: Basic to Intermediate
  • Duration: 60 Min

recorded version

1x Person - Unlimited viewing for 6 Months
(For multiple locations contact Customer Care)
Recorded Link and Ref. material will be available in My CO Section

Training CD

One CD is for usage in one location only.
(For multiple locations contact Customer Care)
CD and Ref. material will be shipped within 15 business days

Customer Care

Fax: +1-650-565-8542


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In this Pharmaceutical training understanding the marketplace and how to form strategic partnerships with Managed Care Organizations.

Health Care is increasing becoming more "managed". Once the realm of large employer groups, now even state and federal agencies (Medicare and Medicaid) are mandating managed health care. Understanding the marketplace and how to form strategic partnerships with Managed Care Organizations are vital to the success of any company competing in today’s health care environment.

Areas Covered in the seminar:

  • Introduction to the Managed Healthcare Enviroment
  • Overview of Managed Care Organizations (MCO)
  • Follow the Money: From Premium to MCO to Health Care Provider
  • Delegations/Carve-Outs
  • Pharmacy Benefit Designs
  • Opportunites for Strategic Partnerships

Who Will Benefit:

  • Sellers or Vendors to Managed Care Organizations
  • Sales
  • Marketing
  • Product Managers
  • Training Directors for Pharmaceutical Companies
  • Medical Equipment Manufacturers
  • Or anyone else selling in the Managed Care Marketplace

Instructor Profile:

Mr. Bayham, has over 30 years of pharmacy management experience in hospital, institutional, retail, pharmaceutical industry and managed care settings. He has directed various aspects of managed care, including Pharmacy Services, Member Services Call Center, Member Education, and Appeals and Grievances. He developed policies and procedures necessary to meet governmental agencies regulations and accreditation standards. His departments were vital components in the effort to provide quality health care, improve member and provider satisfaction, and control rising health care costs - ranking higher than the regional and national averages by the Medicare Consumer Assessment of Health Plan Survey (CAHPS) and contributing greatly to being ranked in the 90th percentile of all Medicare-Advantage Health Plans nationwide. As the Medicare QIO Part D Quality Assurance Consultant, Mr. Bayham is responsible for reducing inappropriate prescribing in elderly Medicare beneficiaries in Louisiana

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