PrimeTherapeutics joins the Center for Health Value Innovation in Value-Based Workshop for Rx Benefit Management.ST. PAUL St. Paul as a missionary he fearlessly confronts the “perils of waters, of robbers, in the city, in the wilderness.” [N.T.: II Cor. 11:26] See : Bravery , Minn. & ST. LOUIS -- PrimeTherapeutics, a thought leader in pharmacy benefit management A Pharmacy Benefit Manager (PBM) is a third party administrator of prescription drug programs. They are primarily responsible for processing and paying prescription drug claims. , will be a lead presenter in the workshop at the Third Annual Executive Forum on Rx Benefit Management for Employers and Health Plans: "Enhancing Employee Performance, Productivity, Health and Outcomes Through Innovative Pharmacy Benefit Design Strategies," July 21-22, 2008, Las Vegas Las Vegas (läs vā`gəs), city (1990 pop. 258,295), seat of Clark co., S Nev.; inc. 1911. It is the largest city in Nevada and the center of one of the fastest-growing urban areas in the United States. , NV. Hosted by World Congress, the forum includes presentations by The Center for Health Value Innovation (www.vbhealth.org), the nation's premier organization dedicated to establishing value and producing evidence for sustainable health and financial improvement. http://worldcongress.com/events/HL08055/index.cfm?confCode=HL08055 "Value-based benefit design provides an efficient, holistic approach holistic approach A term used in alternative health for a philosophical approach to health care, in which the entire Pt is evaluated and treated. See Alternative medicine, Holistic medicine. to pharmacy management through flexible programs and incentives designed to be in alignment with overall plan goals," states Christine Solberg, assistant vice president, Clinical Products and Benefit Strategy for Prime, a member of the Center. "When implementing VBBD, plan sponsors should leverage PBM PBM - play by mail. See play by electronic mail. core competencies A core competency is something that a firm can do well and that meets the following three conditions specified by Hamel and Prahalad (1990):
Solberg's presentation will also demonstrate the value of an integrated pharmacy and health benefit offering that provides sponsors access to best in class pharmacy management and the reduced administrative burden of using external parties to connect programs offered by multiple vendors. Prime's Efficiency Program is an example of how Prime and their Blue Cross partners leverage an integrated relationship to use medical claims data for more informed pharmacy benefit management programs. Metrics metrics Managed care A popular term for standards by which the quality of a product, service, or outcome of a particular form of Pt management is evaluated. See TQM. from the Efficiency Program allow Prime and their plan sponsors to ensure that pharmacy benefit goals are aligned with the goals of other wellness and health management programs and, ultimately the health outcomes of their members. Workshop host Cyndy Nayer, president and executive director of the Center, explains, "This timely forum identifies pertinent issues facing employer and plans. Senior executives associated with employers, health plans, pharmaceutical companies, PBMs, and government will explore the latest value-based benefit design models and the value of implementing these programs." The workshop will also explore opportunities to: * Improve generic use and automate Rx refills through the adoption of innovative e-Prescribing programs * Advance pharmacy interoperability for accurate data exchange and reduction in prescription error * Address the continuous challenges of Medicare Part D coverage * Successfully implement Medication Therapy Management Services (MTMS MTMS Medication Therapy Management Services MTMS Methyltrimethoxysilane MTMS Munitions Transportation Management System (USTRANSCOM) MTMS Mathematics Teaching in Middle School MTMS Maritime Tactical Message System ) * Strategically manage the costs and adherence of specialty medications * Hear the pros and cons pros and cons Noun, pl the advantages and disadvantages of a situation [Latin pro for + con(tra) against] of developing an in-house/onsite pharmacy program versus outsourcing the benefit * Establish appropriate utilization rates and accurately forecast pharmacy spend * Create a robust incentives and rewards program for better patient adherence and compliance About Prime Therapeutics Prime Therapeutics is a pharmacy benefit management company dedicated to providing innovative, clinically-based, cost-effective pharmacy solutions for clients and members. Providing pharmacy benefit services nationwide to approximately 14.6 (legal) million covered lives, its client base includes Blue Cross and Blue Shield Blue Shield A US not-for-profit health care insurer that is a reimbursement intermediary for physicians. Cf Blue Cross. Plans, employer and union groups, and third-party administrators. Headquartered in St. Paul, Minnesota, Prime Therapeutics is collectively owned by ten Blue Cross and Blue Shield Plans, subsidiaries or affiliates of those Plans. Learn more at www.primetherapeutics.com. About The Center for Health Value Innovation: Launched in 2007, The Center for Health Value Innovation is a not-for-profit (501c3) organization representing industry stakeholders Stakeholders All parties that have an interest, financial or otherwise, in a firm-stockholders, creditors, bondholders, employees, customers, management, the community, and the government. committed to sharing the evidence that value-based health designs improve health status and reduce health cost inflation. Visit www.vbhealth.org. |
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