Statement of Conflicts of Interest

Size: px
Start display at page:

Download "Statement of Conflicts of Interest"

Transcription

1 10 th Annual 340B Coalition Winter Conference Expansion of Pharmacy Services Through the 340B Program Binita Patel, PharmD, MS Director of Ambulatory/Retail Services Froedtert & Medical College of Wisconsin (F&MCW) February 7, 2014 Statement of Conflicts of Interest Binita Patel has no actual or potential conflict of interest in relation to this presentation Today s Goals Describe briefly the intent of the 340B program Describe how F&MCW have expanded services to its patients due to the program 1

2 CE Question Does the 340B program provide disproportionate share hospitals the ability to expand services due to their ability to save dollars on outpatient drugs? True or False? A Patient Story A patient with takayasu arteritis was receiving infliximab, which had been written off at a cost of $20,000/month for the past 5 years. Our prior authorization team worked with the attending physician to identify literature to support use of infliximab for this indication. An application was sent to Medicare, which then began covering patients for use of infliximab in takayasu arteritis Patient was a member of a support group, where she informed other patients with takayasu arteritis of this new coverage Froedtert Hospital 550 bed academic medical center 24,000 annual admissions >140,000 patient days Disproportionate share hospital 17.25% (FY2011) Affiliated with Medical College of Wisconsin Only Level I trauma center in Southeastern Wisconsin Major referral center: 40 specialties and subspecialties >220 Pharmacy FTE s Administration, Pharmacists, Technicians, EPIC team 2

3 Affiliation with the Medical College of Wisconsin Froedtert Hospital is the major teaching affiliate of the Medical College of Wisconsin (the Medical College ) A majority of Froedtert Hospital s medical staff is comprised of Medical College faculty members (816 faculty) 330 full time equivalent residents at Froedtert Hospital 413 medical students Close working affiliation between the two organizations Froedtert Hospital and the Medical College jointly operate and own a network of clinical sites for primary care and outpatient clinical initiatives How do we support the intent of the 340 B program? Froedtert Hospital s community benefit framework is to improve the quality of life in the communities we serve through health care programs and services that are measureable, accessible and culturally appropriate; recognizing the greatest impact is in Milwaukee s underserved, urban population. The Setting: U.S Census: Milwaukee is #4 in poverty among the nation s cities In Milwaukee County, 30% are on Medicaid and 15% are uninsured Our Investments in 2011: $34 million uncompensated care $41 million in government shortfalls Over 10,000 patient accounts adjusted for charity care $400,000 annual support to FQHC s and a $2 million pledge for capital support Over $58 million in health professions education, including college and high school scholarships/internships for underrepresented students Froedtert Hospital 340B Timeline 3

4 Enhanced Patient Access Through Outpatient Pharmacies Expansion 92 nd Street Pharmacy (1999) Monday Friday: 730am 7pm Sat, Sun, Holiday: 10am 5pm Specialty Clinics Pharmacy (1995) Monday Friday: 830am 6pm Cancer Center Outpatient Pharmacy (2008) Monday Friday: 9am 5pm Mail Order Medication Management (2011) Monday Friday: 9am 5pm Community Benefit from Pharmacy Service Expansion Prior authorization assistance Medication assistance program support Charity Care Medication Management Home Delivery Diabetes Smart Start Program Medication Collection Program Sharps Collection Program Medication Repository Discharge Program (implemented 9/2011) Ambulatory Care pharmacists Blood pressure cuffs (Newly Transplanted Patients) Prior Authorization Services Our specialty pharmacy team acquires prior authorizations for specialty medications infused, administered, or dispensed at any location across the health system Our goal is to provide a seamless process for patients to receive the medications they need in a timely manner 4

5 Medication Assistance Program Support Our team also applies for medication and/or co pay assistance on behalf of patients who are uninsured or cannot afford the high copays for their specialty medication Furthermore, team works synergistically with social work, case management and financial counselors to discuss various options for acquiring and paying for needed medications Froedtert Drug Repository Program Operated in accordance with the State of Wisconsin Department of Health Services Drug Repository Program Receives approved medications and re dispenses these medications to patients who are uninsured or underinsured for a nominal, state approved $15 co pay By the Numbers Over $1,000,000 in co pay assistance was afforded to our patients Our team has provided over $750,000 in free medications to our patients through enrollment in pharmaceutical industry free drug programs Drug repository has dispensed almost $300,000 of medication since opening in April 2012 Another $1,100,000 of free medication was acquired for patients in our Day Hospital and Infusion Clinic 5

6 Medication Management Mail Order Service Targets patients with complex medication therapy regimens Transplant HIV Cancer Diabetes Enrollment is free and includes the following services: Medication review in an integrated care setting Patient counseling Home medication delivery Assistance with insurance coverage problems Medication Management Mail Order Service Improved patient outcomes in the renal transplant population in an integrated care setting Pharmacist Managed Hepatitis C Clinic Pharmacist integrated within the GI/hepatology clinic patient care team Provides in depth new start patient education on hepatitis C medication therapy Offers to enroll patients in medication management mail order service and access to specialty pharmacy services Follows up with patients to promote understanding and adherence and mitigate adverse effects 6

7 Pharmacist Managed Hepatitis C Clinic Increased percentage of patients reaching completion of therapy Pharmacist Managed Hepatitis C Clinic Increased percentage of patients reaching sustained virological response (SVR) CE Question Does the 340B program provide disproportionate share hospitals the ability to expand services due to their ability to saving dollars on outpatient drugs? True or False? 7

8 CE Answer True Additional Questions? Binita Patel, PharmD, MS Director of Ambulatory/Retail Pharmacy Froedtert & Medical College of Wisconsin 9200 West Wisconsin Avenue Milwaukee, WI

Advanced Pharmacy Technician Practice Model Case Study

Advanced Pharmacy Technician Practice Model Case Study Advanced Pharmacy Technician Practice Model Case Study Froedtert Hospital, Milwaukee, Wisconsin Discharge Pharmacy Technician Lindsey Clark, Pharm.D. PGY2 Health-System Pharmacy Administration Resident

More information

Specialty Pharmacy? Disclosure. Objectives Technician

Specialty Pharmacy? Disclosure. Objectives Technician Disclosure What s so SPECIAL about? I have no actual or potential conflict of interest in relation to this program/presentation. Michael DeCoske, PharmD, BCPS Associate Chief Pharmacy Officer Duke University

More information

Multiple sclerosis and health insurance: How to choose a plan that is right for you

Multiple sclerosis and health insurance: How to choose a plan that is right for you Multiple sclerosis and health insurance: How to choose a plan that is right for you What are the different types of health insurance? Choosing a health insurance plan is important, especially if you have

More information

PHARMACY CARE ----- FQHCs AND 340B PROGRAM

PHARMACY CARE ----- FQHCs AND 340B PROGRAM PHARMACY CARE ----- FQHCs AND 340B PROGRAM HISTORY OF 340B PROGRAM Initiated during Clinton administration Who can participate? FQHC, Family Planning, Ryan White, Black Lung, Hemophilia, Urban Indian,

More information

(RIN) 0906-AB08; 340-B

(RIN) 0906-AB08; 340-B October, 2015 Ms. Krista Pedley Director, Office of Pharmacy Affairs (OPA) Health Resources and Services Administration (HRSA) 5600 Fishers Lane, Mail Stop 08W05A Rockville, Maryland 20857 Re: Regulatory

More information

SNHPI Safety Net Hospitals for Pharmaceutical Access

SNHPI Safety Net Hospitals for Pharmaceutical Access SNHPI Safety Net Hospitals for Pharmaceutical Access Why the 340B Program Will Continue to be Important and Necessary after Health Care Reform is Fully Implemented Since 1992, the 340B drug discount program

More information

Jeanne C. Keruly, MS, CRNP Dennis Rivera, LCSW-C Assistant Professor of Medicine Johns Hopkins University School of Medicine June 16, 2015

Jeanne C. Keruly, MS, CRNP Dennis Rivera, LCSW-C Assistant Professor of Medicine Johns Hopkins University School of Medicine June 16, 2015 Jeanne C. Keruly, MS, CRNP Dennis Rivera, LCSW-C Assistant Professor of Medicine Johns Hopkins University School of Medicine June 16, 2015 Objectives To provide information on the types of services offered

More information

Northwest Georgia Oncology Centers, P.C.

Northwest Georgia Oncology Centers, P.C. Northwest Georgia Oncology Centers, P.C. High Deductibles and Out of Pocket HSA/HRA Plans (No up front collection) Medicare Advantage Plans Healthcare Exchange Plans Medicare only Cobra plans/high premiums

More information

Community Health Needs Assessment Implementation Plan FY 14-16

Community Health Needs Assessment Implementation Plan FY 14-16 Community Health Needs Assessment Implementation Plan FY 14-16 South Miami Hospital conducted a community health needs assessment in 2013 to better understand the healthcare needs of the community it serves

More information

UHC Branded Specialty Pharmacy Program

UHC Branded Specialty Pharmacy Program UHC Branded Specialty Pharmacy Program Evolution to Implementation Jake Groenewold, Senior Vice President, UHC Doug Smith, PharmD, Senior Director, UHC Kevin Colgan, MA, FASHP, Corporate Director of Pharmacy,

More information

Community Health Needs Assessment Implementation Plan FY 14-16

Community Health Needs Assessment Implementation Plan FY 14-16 Community Health Needs Assessment Implementation Plan FY 14-16 Doctors Hospital conducted a community health needs assessment in 2013 to better understand the healthcare needs of the community it serves

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 Cigna HealthSpring Premier (HMO POS) offered by Cigna HealthSpring Annual Notice of Changes for 2015 You are currently enrolled as a member of Cigna HealthSpring Premier (HMO POS). Next year, there will

More information

Specialty Pharmacy Definition

Specialty Pharmacy Definition Isn t All of Special? Developing Services Presented to: 2015 ICHP Annual Meeting Presented on: September 10, 2015 Presented by: Lana Gerzenshtein, Pharm.D., BCPS The speaker has no conflicts of interest

More information

Lydia Klinger Director, Ryan White & HIV Clinical Service Programs Virginia Commonwealth University. Mark Loafman MD, MPH

Lydia Klinger Director, Ryan White & HIV Clinical Service Programs Virginia Commonwealth University. Mark Loafman MD, MPH Lydia Klinger Director, Ryan White & HIV Clinical Service Programs Virginia Commonwealth University Mark Loafman MD, MPH Chair, Family and Community Medicine, Cook County Health and Hospitals System Lead,

More information

Annual Notice of Changes for 2014

Annual Notice of Changes for 2014 Blue Medicare HMO SM Standard offered by Blue Cross and Blue Shield of North Carolina (BCBSNC) Annual Notice of Changes for 2014 You are currently enrolled as a member of Blue Medicare HMO Standard. Next

More information

Summary of Benefits January 1, 2016 December 31, 2016. FirstMedicare Direct PPO Plus (PPO)

Summary of Benefits January 1, 2016 December 31, 2016. FirstMedicare Direct PPO Plus (PPO) Summary of Benefits January 1, 2016 December 31, 2016 FIRSTCAROLINACARE INSURANCE COMPANY FirstMedicare Direct PPO Plus (PPO) Chatham, Hoke, Lee, Montgomery, Moore, Richmond, Scotland Counties This booklet

More information

Summary of Benefits Community Advantage (HMO)

Summary of Benefits Community Advantage (HMO) Summary of Benefits Community Advantage (HMO) January 1, 2015 - December 31, 2015 This booklet gives you a summary of what we cover and what you pay. It doesn't list every service that we cover or list

More information

Building a Specialty Pharmacy Business. Kyle Skiermont, PharmD Director of Specialty/Infusion Operation Fairview Pharmacy Services

Building a Specialty Pharmacy Business. Kyle Skiermont, PharmD Director of Specialty/Infusion Operation Fairview Pharmacy Services Building a Specialty Pharmacy Business Kyle Skiermont, PharmD Director of Specialty/Infusion Operation Fairview Pharmacy Services Overview Agenda Brief overview of Fairview Barriers for hospital/health

More information

Your Medicare Prescription Drug Coverage as a Member of First UA Medicare Part D Silver EVIDENCE OF COVERAGE (EOC)

Your Medicare Prescription Drug Coverage as a Member of First UA Medicare Part D Silver EVIDENCE OF COVERAGE (EOC) January 1 December 31 2010 Your Medicare Prescription Drug Coverage as a Member of EVIDENCE OF COVERAGE (EOC) This booklet gives you the details about your Medicare prescription drug coverage from January

More information

2011 Midyear Clinical Meeting New Orleans, Louisiana. Educational Session Abstract

2011 Midyear Clinical Meeting New Orleans, Louisiana. Educational Session Abstract MCS-1 Title: Securing and managing prior authorizations for high-cost infusions in a large integrated health system Purpose: Medications administered by intravenous infusion commonly include chemotherapy,

More information

HELPING SOMEONE CHOOSE A MEDICARE PLAN? MVP IS HERE TO HELP YOU!

HELPING SOMEONE CHOOSE A MEDICARE PLAN? MVP IS HERE TO HELP YOU! HELPING SOMEONE CHOOSE A MEDICARE PLAN? MVP IS HERE TO HELP YOU! Y0051_2387 Accepted WHAT YOU NEED TO KNOW ABOUT MEDICARE When you re helping a friend or family member choose a Medicare plan, be sure you

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna-HealthSpring Preferred Plus (HMO) offered by Cigna-HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna-HealthSpring Preferred Plus (HMO). Next year, there

More information

Statement Of. The National Association of Chain Drug Stores. For. U.S. Senate Committee On Armed Services. Personnel Subcommittee.

Statement Of. The National Association of Chain Drug Stores. For. U.S. Senate Committee On Armed Services. Personnel Subcommittee. Statement Of The National Association of Chain Drug Stores For U.S. Senate Committee On Armed Services Personnel Subcommittee Hearing on FY2014 Budget April 17, 2012 2:00p.m. Russell Senate Office Building

More information

Effective January 1, 2014 through December 31, 2014

Effective January 1, 2014 through December 31, 2014 Summary of Benefits Effective January 1, 2014 through December 31, 2014 The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.

More information

WPS Medical Management

WPS Medical Management Medical Management WPS Medical Management Controlling Costs through Compassionate Support Managing Costs. Improving Outcomes. Just one employee with catastrophic medical claims can send your health insurance

More information

Henry Ford Health System Care Coordination and Readmissions Update

Henry Ford Health System Care Coordination and Readmissions Update Henry Ford Health System Care Coordination and Readmissions Update September 2013 BACKGROUND Most hospital readmissions are viewed as avoidable, costly, and in some cases as a potential marker of poor

More information

EVIDENCE OF COVERAGE

EVIDENCE OF COVERAGE Samaritan Advantage Health Plan (HMO) EVIDENCE OF COVERAGE Conventional Plan 2016 H3811_MM170_2016B Form CMS 10260-ANOC/EOC OMB Approval 0938-1051 (Approved 03/2014) January 1 December 31, 2016 Evidence

More information

Vermont s Health Care System Overview: Payers & Players

Vermont s Health Care System Overview: Payers & Players 1 Vermont s Health Care System Overview: Payers & Players (as we currently know it) Updated January 2015 Nolan Langweil, Joint Fiscal Office 2 Parts of a Health Care System Patients Providers Payers (Insurance

More information

Medication Therapy Management Program. A service for better understanding and managing the drugs you take at no additional cost to you.

Medication Therapy Management Program. A service for better understanding and managing the drugs you take at no additional cost to you. Medication Therapy Management Program A service for better understanding and managing the drugs you take at no additional cost to you. Better information for better outcomes at no additional cost to you

More information

RE: 340B Drug Pricing Program Omnibus Guidance HRSA RIN 0906-AB08, (Vol. 80, No. 167, August 28, 2015)

RE: 340B Drug Pricing Program Omnibus Guidance HRSA RIN 0906-AB08, (Vol. 80, No. 167, August 28, 2015) October 26, 2015 Krista Pedley, PharmD, MS Captain, USPHS Director, Office of Pharmacy Affairs Health Resources and Services Administration 5600 Fishers Lane, Mail Stop 08W05A Rockville, MD 20857 Via Email:

More information

CPAs and ADVISORS. experience access // 340B QUALIFICATIONS, BENEFITS AND CURRENT FOCUS

CPAs and ADVISORS. experience access // 340B QUALIFICATIONS, BENEFITS AND CURRENT FOCUS CPAs and ADVISORS experience access // 340B QUALIFICATIONS, BENEFITS AND CURRENT FOCUS BRIAN M. BELL BRAD K. BROTHERTON DIRECTOR PARTNER MATERIALS COVERED TODAY 340B Program Evolution, Purpose & Benefits

More information

UPDATES ON 340B 2011. Where do we go from here?

UPDATES ON 340B 2011. Where do we go from here? UPDATES ON 340B 2011 Where do we go from here? Brief Review of 340B Initiated during Clinton administration Who can participate? (FQHC, Family Planning, Ryan White, Black lung, Hemophilia, Urban Indian,

More information

Annual Notice of Changes for 2014

Annual Notice of Changes for 2014 Advocare Spirit Rx (HMO-POS) offered by Security Health Plan of Wisconsin, Inc. Annual Notice of Changes for 2014 You are currently enrolled as a member of Advocare Spirit Rx (HMO-POS). Next year there

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna-HealthSpring Preferred (HMO) offered by Cigna-HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna-HealthSpring Preferred (HMO). Next year, there will be

More information

Community Benefit Programs July 2013 June 2014 (Fiscal Year) GREATER HEALING HEALING

Community Benefit Programs July 2013 June 2014 (Fiscal Year) GREATER HEALING HEALING Community Benefit Programs July 2013 June 2014 (Fiscal Year) HSHS St. Joseph s Hospital in Highland is an affiliate of Hospital Sisters Health System (HSHS), a health care ministry that includes 14 hospitals,

More information

This Medicare Counselor Training program was developed under a grant from UnitedHealthcare through a joint project with the National Association of

This Medicare Counselor Training program was developed under a grant from UnitedHealthcare through a joint project with the National Association of 1 This Medicare Counselor Training program was developed under a grant from UnitedHealthcare through a joint project with the National Association of Area Agencies on Aging (n4a). However, nothing in these

More information

The PHS 340B Drug Pricing Program

The PHS 340B Drug Pricing Program 340B DRUG PRICING PROGRAM: Improving access to affordable medications. Harry P. Hagel, RPh, MS Senior Director HRSA Pharmacy Services Support Center American Pharmacists Association August 16, 2006 The

More information

The 340B Drug Pricing Program. Ariel Winter and Daniel Zabinski November 6, 2014

The 340B Drug Pricing Program. Ariel Winter and Daniel Zabinski November 6, 2014 The 340B Drug Pricing Program Ariel Winter and Daniel Zabinski November 6, 2014 Outline Background on 340B program Program has grown substantially 340B statute does not define key terms, allows many providers

More information

The 340B Drug Pricing Program: The Basics

The 340B Drug Pricing Program: The Basics The 340B Drug Pricing Program: The Basics Todd Lemke, Pharm.D CDE Paynesville Area Health Care System Pharmacist HRSA APhA Pharmacy Services Support Center Consultant 1 Intent of the 340B Program Safety

More information

Network PlatinumPlusMedicare Supplement Plans - Changes to Medicare Coverage in 2016

Network PlatinumPlusMedicare Supplement Plans - Changes to Medicare Coverage in 2016 Network PlatinumPlus (PPO) offered by Network Health Insurance Corporation Annual Notice of Changes for 2016 You are currently enrolled as a member of Network PlatinumPlus. Next year, there will be some

More information

EVIDENCE OF COVERAGE A complete explanation of your plan

EVIDENCE OF COVERAGE A complete explanation of your plan EVIDENCE OF COVERAGE A complete explanation of your plan Health Net Orange Option 1 (PDP) January 1, 2010 December 31, 2010 Important benefit information please read S5678_2010_0463 CMS F&U (09/09) January

More information

a Foundation for Change

a Foundation for Change Continuous Quality Improvement ADEs: Steven Utilizing R. Abel, Measurement PharmD, FASHP as Nital Patel, PharmD. MBA a Foundation for Change Sheri Helms, PharmD Candidate Brian Heckman, PharmD Candidate

More information

2015 Summary of Benefits

2015 Summary of Benefits 2015 Summary of Benefits Effective January 1, 2015, through December 31, 2015 H3909 Y0041_H3909_PC_15_18889 Accepted 09/01/2014 Section I: Introduction to Summary of Benefits You have choices about how

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 Cigna-HealthSpring Advantage (HMO) offered by Cigna-HealthSpring Annual Notice of Changes for 2015 You are currently enrolled as a member of Cigna-HealthSpring Advantage (HMO). Next year, there will be

More information

FIRSTCAROLINACARE INSURANCE COMPANY 2015 Summary of Benefits. FirstMedicare Direct PPO Plus (PPO)

FIRSTCAROLINACARE INSURANCE COMPANY 2015 Summary of Benefits. FirstMedicare Direct PPO Plus (PPO) FIRSTCAROLINACARE INSURANCE COMPANY 2015 Summary of Benefits FirstMedicare Direct PPO Plus (PPO) Chatham, Hoke, Lee, Montgomery, Moore, Richmond, Scotland Counties 1 P age SECTION I - INTRODUCTION TO SUMMARY

More information

ENGAGING PHARMACISTS IN 1305

ENGAGING PHARMACISTS IN 1305 ENGAGING PHARMACISTS IN 1305 UTAH EXAMPLES NICOLE BISSONETTE, MPH, MCHES EPICC PROGRAM MANAGER UTAH PROJECTS INVOLVING PHARMACISTS Prior to 1305 Select Health Pharmacist Hypertension Management Team Based

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 First Health Part D Value Plus (PDP) Plan offered by First Health Life & Health Insurance Company Annual Notice of Changes for 2015 You are currently enrolled as a member of First Health Part D Essentials

More information

January 1, 2015 December 31, 2015 Summary of Benefits. Altius Advantra (HMO) H8649-003 80.06.361.1-UTWY A

January 1, 2015 December 31, 2015 Summary of Benefits. Altius Advantra (HMO) H8649-003 80.06.361.1-UTWY A January, 205 December 3, 205 Summary of Benefits H8649-003 80.06.36.-UTWY A Y0022_205_H8649_003_UT_WYa Accepted /204 Summary of Benefits January, 205 December 3, 205 This booklet gives you a summary of

More information

EVIDENCE OF COVERAGE. A complete explanation of your plan. Health Net Green (HMO) January 1, 2010 December 31, 2010

EVIDENCE OF COVERAGE. A complete explanation of your plan. Health Net Green (HMO) January 1, 2010 December 31, 2010 EVIDENCE OF COVERAGE A complete explanation of your plan Health Net Green (HMO) January 1, 2010 December 31, 2010 Important benefit information please read H0755_2010_0389 10/2009 January 1 December 31,

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 Cigna-HealthSpring Advantage (HMO) offered by Cigna-HealthSpring Annual Notice of Changes for 2015 You are currently enrolled as a member of Cigna-HealthSpring Advantage (HMO). Next year, there will be

More information

About the Program 1. What is the current Osphena (ospemifene) Savings Offer for 30 day prescription?

About the Program 1. What is the current Osphena (ospemifene) Savings Offer for 30 day prescription? 2015 Osphena Savings Program Frequently Asked Questions Click here for Full Prescribing Information, including Boxed WARNING regarding Endometrial Cancer and Cardiovascular Disorders. Have a question about

More information

8.2000: HOSPITAL PROVIDER FEE COLLECTION AND DISBURSEMENT

8.2000: HOSPITAL PROVIDER FEE COLLECTION AND DISBURSEMENT DEPARTMENT OF HEALTH CARE POLICY AND FINANCING MEDICAL ASSISTANCE SECTION 8.2000 [Editor s Notes follow the text of the rules at the end of this CCR Document.] 8.2000: HOSPITAL PROVIDER FEE COLLECTION

More information

Co-Pay Assistance Program for CUBICIN (daptomycin for injection) for Intravenous Use Enrollment Form

Co-Pay Assistance Program for CUBICIN (daptomycin for injection) for Intravenous Use Enrollment Form 1. PATIENT INFORMATION Name Gender: o Male o Female Date of Birth: / / Address City State ZIP Email Home Phone Cell Phone Work Phone Alternate Contact Person (Optional) Alternate Phone Number (Optional)

More information

Transitions in Care Models: Case Studies in Pharmacy Practice. A conversation with Michelle Thoma, PharmD and Desi Kotis, PharmD

Transitions in Care Models: Case Studies in Pharmacy Practice. A conversation with Michelle Thoma, PharmD and Desi Kotis, PharmD Biography: Transitions in Care Models: Case Studies in Pharmacy Practice A conversation with Michelle Thoma, PharmD and Desi Kotis, PharmD Michelle Thoma, RPh, PharmD is Pharmacy Manager, Ambulatory and

More information

January 1, 2016 December 31, 2016. Summary of Benefits. Aetna Medicare Value Plan (HMO) H3312-060 H3312.060.1

January 1, 2016 December 31, 2016. Summary of Benefits. Aetna Medicare Value Plan (HMO) H3312-060 H3312.060.1 January 1, 2016 December 31, 2016 Summary of Benefits H3312-060 H3312.060.1 Y0001_2016_H3312_060 Accepted 9/2015 Summary of Benefits January 1, 2016 December 31, 2016 This booklet gives you a summary of

More information

First Health Part D Value Plus (PDP) offered by First Health Life & Health Insurance Company

First Health Part D Value Plus (PDP) offered by First Health Life & Health Insurance Company First Health Part D Value Plus (PDP) offered by First Health Life & Health Insurance Company Annual Notice of Changes for 2016 You are currently enrolled as a member of First Health Part D Value Plus (PDP).

More information

How to Prepare Physician Assistants For a Career in Indiana

How to Prepare Physician Assistants For a Career in Indiana COMMISSION FOR HIGHER EDUCATION Friday, February 12, 2010 DECISION ITEM A-2: Master of Science in Physician Assistant Studies To Be Offered by Indiana State University at Terre Haute Staff Recommendation

More information

Summary of Benefits. Prime (HMO-POS) and Value (HMO) January 1, 2015 December 31, 2015 G ENERATIONS A DVANTAGE 1-888-408-8285 (TTY: 711)

Summary of Benefits. Prime (HMO-POS) and Value (HMO) January 1, 2015 December 31, 2015 G ENERATIONS A DVANTAGE 1-888-408-8285 (TTY: 711) Summary of s and January 1, 2015 December 31, 2015 G ENERATIONS A DVANTAGE For more information about benefits or enrollment, call us or visit our website at www.martinspoint.org/medicare. 1-888-408-8285

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna-HealthSpring Preferred (HMO) offered by Cigna-HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna-HealthSpring Preferred (HMO). Next year, there will be

More information

2015 Summary of Benefits

2015 Summary of Benefits 2015 Summary of Benefits Effective January 1, 2015, through December 31, 2015 H3952 Y0041_H3952_KS_15_18734 Accepted 09/01/2014 Section I: Introduction to Summary of Benefits You have choices about how

More information

A. Sue Carlisle, PhD, MD Professor of Anesthesia and Medicine Associate Dean for UCSF at SFGH

A. Sue Carlisle, PhD, MD Professor of Anesthesia and Medicine Associate Dean for UCSF at SFGH A. Sue Carlisle, PhD, MD Professor of Anesthesia and Medicine Associate Dean for UCSF at SFGH VIEW FROM 23RD STREET 10 10 100,000 individuals seen/year 600,000 outpatient visits 16,500 admissions 6000

More information

DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration RIN 0906-AB08 340B Drug Pricing Program Omnibus Guidance

DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration RIN 0906-AB08 340B Drug Pricing Program Omnibus Guidance Page 1 THOT Members AUSTIN Central Health Seton Healthcare Family CORPUS CHRISTI CHRISTUS Spohn Health System Nueces County Hospital District DALLAS Children s Health System of Texas Parkland Health &

More information

Iowa Health and Wellness Plan Outreach Toolkit for IowaCare Providers. November 2013

Iowa Health and Wellness Plan Outreach Toolkit for IowaCare Providers. November 2013 Iowa Health and Wellness Plan Outreach Toolkit for IowaCare Providers November 2013 Dear IowaCare providers, The Iowa Department of Human Services is eager to support outreach efforts to publicize the

More information

Patient Assistance Program Primer

Patient Assistance Program Primer Patient Assistance Program Primer Suzanne Lepage Private Health Plan Strategist Suzanne Lepage Consulting Inc. Kitchener, Ontario The opinions expressed in this presentation are those of the speaker. The

More information

Do more of what you love. HealthPartners Wisconsin Freedom (Cost) 2016 Plan Comparison Guide

Do more of what you love. HealthPartners Wisconsin Freedom (Cost) 2016 Plan Comparison Guide Do more of what you love. HealthPartners Wisconsin Freedom (Cost) 2016 Plan Comparison Guide H2462_ 82767 Accepted 9/14/2014 H2462_91699_01 Accepted 8/30/2015 WIPlanComp Table of contents Introducing HealthPartners...................................

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 Keystone 65 Select Medical-Only (HMO) offered by Independence Blue Cross Annual Notice of Changes for 2015 You are currently enrolled as a member of Keystone 65 Select Medical-Only. Next year, there will

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 Coventry Advantage (no drug) (HMO) offered by Coventry Health Care of Missouri, Inc. Annual Notice of Changes for 2015 You are currently enrolled as a member of Coventry Advantage (no drug) (HMO). Next

More information

Part D payment system

Part D payment system Part D payment system paymentbasics Revised: October 204 This document does not reflect proposed legislation or regulatory actions. 425 I Street, NW Suite 70 Washington, DC 2000 ph: 202-220-3700 fax: 202-220-3759

More information

Medicare At A Glance. State Health Insurance Assistance Program (SHIP)

Medicare At A Glance. State Health Insurance Assistance Program (SHIP) 2015 Medicare At A Glance Indiana 2015 State Health Insurance Assistance Program (SHIP) Who runs the Medicare Program? The Centers for Medicare & Medicaid Services (CMS) is the Federal agency that runs

More information

Lisa Scholz, PharmD, MBA Senior Vice President and Chief Operating Officer 340B Health

Lisa Scholz, PharmD, MBA Senior Vice President and Chief Operating Officer 340B Health Lisa Scholz, PharmD, MBA Senior Vice President and Chief Operating Officer 340B Health Statements of Conflicts of Interest Patrick Dunham and Mary Elizabeth Marr have the following conflicts of interest

More information

Behavioral Health Quality Standards for Providers

Behavioral Health Quality Standards for Providers Behavioral Health Quality Standards for Providers TABLE OF CONTENTS I. Behavioral Health Quality Standards Access Standards A. Access Standards B. After-Hours C. Continuity and Coordination of Care 1.

More information

HRSA Pharmacy Services Support Center: The 340B Access Resource

HRSA Pharmacy Services Support Center: The 340B Access Resource HRSA Pharmacy Services Support Center: The 340B Access Resource Lisa Scholz PharmD, MBA Vice President, APhA HRSA Pharmacy Services Support Center Office of Population Affairs Webinar 9/16 INTEGRITY ACCESS

More information

Complete the enrollment form on the reverse side to join Onyx 360 today.

Complete the enrollment form on the reverse side to join Onyx 360 today. Complete the enrollment form on the reverse side to join Onyx 360 today. Oncology Nurse Advocates are available Monday through Friday, from 9 am to 8 pm Eastern Standard Time at 1-855-ONYX-360 (1-855-669-9360)

More information

Medicare. Prescription Drug Plan Guide. Simple steps to help you choose the right prescription drug coverage

Medicare. Prescription Drug Plan Guide. Simple steps to help you choose the right prescription drug coverage Medicare Prescription Drug Plan Guide An educational resource developed by Simple steps to help you choose the right prescription drug coverage and published by Rite Aid Corporation. Rite Aid pharmacists

More information

Title/Description: Discharge Medication Planning, Education, and Procurement

Title/Description: Discharge Medication Planning, Education, and Procurement University of Kentucky / UK HealthCare Policy and Procedure Policy # A02-030 Title/Description: Discharge Medication Planning, Education, and Procurement Purpose: To educate patients discharged from UK

More information

Mental Health and Substance Abuse Services Under BadgerCare Plus

Mental Health and Substance Abuse Services Under BadgerCare Plus Update January 2008 No. 2008-05 BadgerCare Plus Information for Providers To: Advanced Practice Nurse Prescribers with Psychiatric Specialty, AODA Counselors, Community Support Programs, Comprehensive

More information

[2015] SUMMARY OF BENEFITS H1189_2015SB

[2015] SUMMARY OF BENEFITS H1189_2015SB [2015] SUMMARY OF BENEFITS H1189_2015SB Section I You have choices in your health care One choice is to get your Medicare benefits through Original Medicare (fee-for-service Medicare). Original Medicare

More information

XXXXXXXFUNDAMENTALS An Essential Guide for Health System Executive Management

XXXXXXXFUNDAMENTALS An Essential Guide for Health System Executive Management 340B XXXXXXXFUNDAMENTALS An Essential Guide for Health System Executive Management 800.473.3516 www.wellpartner.com Table of Contents 340B Fundamentals for Health System Executive Management...1 What

More information

Welcome to the LILETTA Patient Savings Program

Welcome to the LILETTA Patient Savings Program Welcome to the LILETTA Patient Savings Program Eligible insured patients, activate your card today* * See full program Terms and Conditions on page 3 of this brochure or at LILETTAcard.com. Help With Your

More information

ASHP Regulatory Alert

ASHP Regulatory Alert Proposed Guidance: 340B Drug Discount Program Introduction On Friday, August 28, 2015, the Health Resources and Services Administration (HRSA) published the long awaited proposed omnibus guidance for the

More information

Health Insurance Premiums Too High?

Health Insurance Premiums Too High? T H E F A C T S A B O U T The Facts about Health Insurance Premiums Most Americans receive financial protection against the devastating expense of a serious disease or injury with health insurance provided

More information

Financial Planning. Patient Education Guide to Your Kidney/Pancreas Transplant Page 18-1. For a kidney/pancreas transplant.

Financial Planning. Patient Education Guide to Your Kidney/Pancreas Transplant Page 18-1. For a kidney/pancreas transplant. Patient Education Page 18-1 For a kidney/pancreas transplant Kidney and pancreas transplants are expensive. Planning your finances, both your income and insurance, will be a key part of planning for transplant.

More information

Presented by Excellus BlueCross BlueShield, a nonprofit independent licensee of the BlueCross BlueShield Association. Life has a plan.

Presented by Excellus BlueCross BlueShield, a nonprofit independent licensee of the BlueCross BlueShield Association. Life has a plan. Presented by Excellus BlueCross BlueShield, a nonprofit independent licensee of the BlueCross BlueShield Association. Life has a plan. It's hard to believe that another year has gone by. We want to thank

More information

Hackensack University Medical Center Administrative Policy Manual. Effective Date: January 2016 Page 1 of 11

Hackensack University Medical Center Administrative Policy Manual. Effective Date: January 2016 Page 1 of 11 Policy #: 1845 Hackensack University Medical Center Administrative Policy Manual Effective Date: January 2016 Page 1 of 11 Purpose: To identify the governing rules for the collection of all fees associated

More information

Mega Guidance Is Here!

Mega Guidance Is Here! Mega Guidance Is Here! David Pointer has no actual or potential conflict of interest in relation to this presentation. 1 Introduction Where are we today? Brief Overview of HRSA Audit Findings Where are

More information

Mega Guidance Is Here!

Mega Guidance Is Here! Mega Guidance Is Here! David Pointer has no actual or potential conflict of interest in relation to this presentation. Introduction Where are we today? Brief Overview of HRSA Audit Findings Where are we

More information

LAST Name: FIRST Name: Middle Initial 9 Mr. 9 Mrs. 9 Ms. Sex: 9 M 9 F

LAST Name: FIRST Name: Middle Initial 9 Mr. 9 Mrs. 9 Ms. Sex: 9 M 9 F 705 Mt. Auburn Street, Watertown, MA 02472 2015 HMO INDIVIDUAL ENROLLMENT FORM Please contact Tufts Health Plan Medicare Preferred if you need information in another language or format (Braille). To Enroll

More information

2013 Implementation Strategy Report: UC Irvine Health; A valuable asset to Orange County

2013 Implementation Strategy Report: UC Irvine Health; A valuable asset to Orange County 2013 Implementation Strategy Report: UC Irvine Health; A valuable asset to Orange County UC (University of California) Health is the fourth largest health system in California, and includes the UC Irvine

More information

Independent Health s Medicare Passport Advantage (PPO)

Independent Health s Medicare Passport Advantage (PPO) Independent Health s Medicare Passport Advantage (PPO) (a Medicare Advantage Preferred Provider Organization Option (PPO) offered by INDEPENDENT HEALTH BENEFITS CORPORATION with a Medicare contract) Summary

More information

Statement Of. The National Association of Chain Drug Stores. For. U.S. Senate Special Committee on Aging. Hearing on:

Statement Of. The National Association of Chain Drug Stores. For. U.S. Senate Special Committee on Aging. Hearing on: Statement Of The National Association of Chain Drug Stores For U.S. Senate Special Committee on Aging Hearing on: 10 Years Later: A Look at the Medicare Prescription Drug Program 2:30 p.m. 366 Dirksen

More information

LILETTA Patient Savings Program

LILETTA Patient Savings Program LILETTA Patient Savings Program Information and materials for your office and LILETTA patients Set up your office today by calling 855-706-4508 LILETTA Patient Savings Program Overview With the LILETTA

More information

Arizona State Retirement System Plan Benefit Information for Medicare Eligible Members

Arizona State Retirement System Plan Benefit Information for Medicare Eligible Members Arizona State Retirement System Plan Benefit Information for Medicare Eligible Members Benefits Effective January 1, 2012 UHAZ12HM3349753_000 H0303_110818_013543 Summary of the UnitedHealthcare plans

More information

January 1, 2015 December 31, 2015

January 1, 2015 December 31, 2015 BLUESHIELD FOREVER BLUE MEDICARE PPO VALUE AND BLUESHIELD MEDICARE PPO 750 (PPO) (a Medicare Advantage Preferred Provider Organization (PPO) offered by HEALTHNOW NEW YORK INC. with a Medicare contract)

More information

2016 Guide to Understanding Your Benefits

2016 Guide to Understanding Your Benefits 2016 Guide to Understanding Your Benefits Additional information about covered benefits available from Health Net Healthy Heart (HMO) Plan Alameda, Stanislaus counties, CA Lisa Pasillas-Le, Health Net

More information

Formulary Management

Formulary Management Formulary Management Formulary management is an integrated patient care process which enables physicians, pharmacists and other health care professionals to work together to promote clinically sound, cost-effective

More information

An Overview of Medicaid in North Carolina *

An Overview of Medicaid in North Carolina * An Overview of Medicaid in North Carolina * Lisa J. Berlin Center for Child and Family Policy Duke University Abstract: In North Carolina, as in other states, Medicaid cost containment is an increasingly

More information

Group Retiree Annual Notice of Changes for 2015

Group Retiree Annual Notice of Changes for 2015 Regence MedAdvantage Basic (PPO) offered by Regence BlueCross BlueShield of Oregon Group Retiree Annual Notice of Changes for 2015 You are currently enrolled as a member of Regence MedAdvantage Basic.

More information

Gerry County, Maryland Health Insurance - Plans and Funding Changes

Gerry County, Maryland Health Insurance - Plans and Funding Changes Leighton Ku, PhD, MPH Director, Center for Health Policy Research, GW Maryland Community Health Resources Commission Oct. 2, 2014 Two Health Safety Nets Insurance Safety Net: Medicaid, CHIP, MD Health

More information

The 3 Keys to Success in Your 340B Program. Rob Nahoopii, PharmD, MS, BCPS CEO Turnkey Pharmacy Solutions A 340B Management Company

The 3 Keys to Success in Your 340B Program. Rob Nahoopii, PharmD, MS, BCPS CEO Turnkey Pharmacy Solutions A 340B Management Company The 3 Keys to Success in Your 340B Program Rob Nahoopii, PharmD, MS, BCPS CEO Turnkey Pharmacy Solutions A 340B Management Company Objectives Provide a description and overview of the 340B program Discuss

More information

Health Research Institute 2014 June. Medical cost trend: Behind the numbers 2015 Chart pack

Health Research Institute 2014 June. Medical cost trend: Behind the numbers 2015 Chart pack Health Research Institute 2014 June Medical cost trend: Behind the numbers 2015 Chart pack HRI projects 2015 s medical cost trend to be 6.8% a modest increase over our 2014 projection of 6.5%. As more

More information