EBPA April 6 Program

Understanding the Pharmaceutical Landscape – Challenges and Solutions

Approved for two (2) hours of Continuing Education

Michael J. Scalese, PharmD, BCCP, BCPS

Director of Clinical Services and Industry Relations

Prescryptive Health

Biosimilars represent a new advancement in drug technology and have a significant impact on how biologic drugs are managed in health plans. In fact, few other approvals or new entities in the last 10 years have been nearly as disruptive to the pharmaceutical market landscape. Recent and upcoming biosimilar releases create a considerable opportunity to optimize costs and minimize therapy interruption. This presentation will explore key elements of biosimilars and specific considerations related to pharmacy benefit management by payers and health plans.  

Matt Dickinson, PharmD, MBA

Pharmacy Consultant

FathomRx

Attendees will gain a deeper understanding of the challenges and solutions available to employers when selecting vendors and designing their pharmacy  benefit. This presentation will include a discussion about optics in contracting, the appeal of pricing transparency, and tactics to manage drug cost. The current landscape of copay accumulator programs, copay maximizers, alternate funding approaches, and gene therapies will also be discussed.

Michael J. Scalese, PharmD, BCCP, BCPS is the Director of Clinical Services and Industry Relations with Prescryptive Health. He graduated with a Doctor of Pharmacy Degree from Wilkes University Nesbitt School of Pharmacy. Following graduation, Dr. Scalese completed a PGY1 pharmacy residency at Palmetto Health in Columbia, South Carolina followed by a PGY2 cardiology residency at the University of Oklahoma College of Pharmacy in Oklahoma City, Oklahoma. Prior to joining Prescryptive Health, his experience focused on clinical education and peer-reviewed research at Auburn University’s Harrison School of Pharmacy followed by a clinical specialist role with Prisma Health where he founded and directed a PGY2 training program. In his current role, Dr. Scalese specializes in formulary and benefit management, specialty drug landscape and pipeline analysis, member empowerment through therapeutic alternatives, and various other clinical initiatives.  

Matt Dickinson, is an experienced pharmacist and healthcare leader with 10+ years in the managed care pharmacy and consulting industries. His previous regional and national health plan/PBM clients span as large as 16M lives and his employer clients range from 100 - 30,000 lives. His expertise includes evaluating and implementing new pharmacy vendors and PBMs including data analysis, contracting, specialty drug services, oversight, performance reporting, utilization management, quality, and performance improvement. He has collaborated with a variety of small and large cross-functional teams including other healthcare providers, politicians, executives, human resources, board members, benefits consultants, and information technology teams to present new ideas and execute objectives.    Matt earned his bachelor's degree in chemistry from Gonzaga University and then completed his Master of Business Administration (MBA) and Doctor of Pharmacy (PharmD) at Idaho Sate University.  He also completed a postdoctoral residency in managed care pharmacy at University of Nebraska Medical.  

Registration:

$65 Members - $85 Non-members/guests before 04/04

$80 Members - $100 Non-members/guests after 04/04

$140 New or Renewing EBPA Members + Event Registration*

Organizations are forced to increase costs due to labor, product, food and supplies for events.  EBPA has chosen to absorb the increased costs for this month's program. 

* Include membership and event registration. Your membership

paid through December 31, 2023.

Event Details:

Date:  Thursday, April 6, 2023

Location: Washington Athletic Club, 1325 Sixth Avenue, Seattle, WA 

Schedule:    

7:20 - 7:45 am - Registration, Breakfast

7:45 - 8:35 am - Michael J. Scalese, Prescryptive Health

8:35 - 9:00 am - Break 

9:00 - 9:50 am - Matt Dickinson, FathomRx

9:50 - 10:00 am - Q&A

*No refunds or credit for a future meeting can be granted after the deadline.

**Online registration deadline is Tuesday, April 4. If you miss the online registration, call the office 206.653.7259.  

Thank you to our Program Sponsors:

NOTE:  This event approved for two (2) hours of Continuing Education Credit by the Washington State Office of the Insurance Commissioner.

YOU MUST be seated for the presentation within 5 minutes of the session start. You can take a break, but you must limit your time outside the presentation. The Insurance Credits are for two hours.  NO PARTIAL CREDITS awarded. You cannot sign out early.