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Academy of Managed Care Pharmacy Celebrates 25th Annual Meeting & Expo in San Diego
Date:4/4/2013

n introduction to Accountable Care Organizations (ACOs), groups of hospitals and health care providers that come together voluntarily to provide coordinated high-quality care to patients and share in any savings that result, transforming the way health care is delivered.
  • Preventing and Combating Fraud in Medicare Advantage and Part D: This session will focus on strategies to combat fraud in the Medicare programs, explain the elements of fraud and types of evidence necessary, and offer tips on how to work with law enforcement and prosecutors. It will also describe the relationship between AMCP and the CMS Outreach and Educational Medicare Integrity Contractor (MEDIC).
  • Medicare Star Ratings: This session reviews the current Stars program and explains how managed care pharmacists are collaborating with other health care professionals to achieve higher star ratings, which are intended to incent higher quality outcomes by Medicare Advantage programs.
  • Specialty Drugs are Forecasted to be 50% of All Drug Expenditures in 2018: This session will address the challenges of managing reimbursement for a drug category that is likely to increase in cost, given a robust pipeline and growing patient need.
  • Essential Health Benefits: The Shape of Things to Come: In this session, faculty will update attendees on the latest guidance around essential health benefit coverage and specific state exchange requirements under the Affordable Care Act, and will provide perspective on the implications of CMS requirements on benefit design, formulary coverage, and cost for qualified health plans in the exchanges.
  • Town Hall: Pharmacist Provider Status: Some national pharmacy associations are advocating that pharmacists be designated as patient-care providers eligible for reimbursement under Medicare. This would require an act of Congress, and the hope is that private insurers would follow suit. This session will al
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