Managed Pharmaceutical Care 101 - Understanding the marketplace and how to form strategic partnerships with Managed Care Organizations
- Duration: 60 Min
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
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
More Trainings by Expert
Drugs, Quality, and Satisfaction - Quality Improvement Initiatives by Managed Care Organizations
Refund Policy
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