Grappling with Site of Care Issues in Specialty Pharmacy

ACPE UAN #:   0233-0000-16-035-H04-P

Release Date:  Friday, April 22, 2016

Expiration Date:   Friday, April 22, 2019

Activity Type:  Knowledge-based  

Contact Hours:   1.25

Activity Fee:  Member:  $15.00             Non-Member:  $30.00

 

As an accredited provider, AMCP strictly adheres to the ACPE Standards for Commercial Support and other relevant guidelines and standards to ensure the independence of continuing pharmacy education (CPE) activities.  It is AMCP’s intent that all CPE activities be independent, objective, balanced, evidence-based and free of any commercial bias.   

Target Audience: This repurposed session from the AMCP Annual Meeting 2016 is designed to provide insights and solutions for pharmacists who practice in managed care settings, to help them maintain and enhance their knowledge, skills, and abilities. 

Activity Overview

Given the increasing availability and utilization of specialty medications, payers are challenged with finding approaches to control costs while maximizing patient outcomes. One such approach has been to administer infused specialty medications at the site of care with the lowest cost. Sites of care can vary from a physician’s office to a hospital outpatient clinic to a patient’s home, differences that can determine the coverage between medical and pharmacy benefit. Important questions arise on this issue of coverage between the medical and pharmacy benefit, and how payers can structure benefits, cost sharing and reimbursement in various site of care scenarios.

This session will provide insight on the current issues payers face regarding site of care, and highlight practical examples of how payers have addressed site of care. 

Learning Objectives:  

  1. Describe the biggest hurdles associated with site of care for specialty drugs.
  2. Summarize effective benefit designs used with site of care.
  3. Identify best practices for successful implementation of a site of care program.

Schedule of Educational Activity

This CPE online activity consists of a pre-recorded audio/slide presentation, a pre-test (to establish prior knowledge, not required to pass), a post-test with a score of 70% or higher, and a specific online activity evaluation. 

Faculty Relevant Financial Relationships Disclosure: AMCP asks everyone who is in a position to control the content of a continuing pharmacy education activity to disclose all relevant financial relationships with commercial interests. If AMCP determines that a conflict of interest exists as a result of a financial relationship you have (or that your spouse/partner has), we will need to take appropriate steps to resolve the conflict of interest.

  • Matt Bradley, RPh, MBA reports having no financial relationships with any commercial interests during the past 12 months.
  • AMCP staff report no relevant financial relationships pertinent to this activity: Puneet Singh, PharmD and Ruby Singh, PharmD, BCPS.

Method and CPE Requirements:   

Participants should claim continuing pharmacy education (CPE) credit for this online activity, only if they have not claimed credit for the live activity presented at the AMCP Annual Meeting 2016. 

CPE credit will be processed through the AMCP Learn portal and reported directly to CPE Monitor.  Please allow 24-72 hours for processing and posting in your NABP account.

To receive CPE credit for an AMCP Learn online activity you must:

  • View the entire pre-recorded audio/slide presentation.
  • Successfully complete the post-test with a score of 70% or higher (The post-test will provide feedback.)
  • Complete a specific online activity evaluation.

System Technical Requirements/Viewing Requirements: System Requirements Courses and learning activities are delivered via your Web browser and Acrobat PDF. For all activities you should have a basic comfort level using a computer and navigating the web site.  View the minimum technical and system requirements for online educational activities.

Credit Information

Activity Number Credit Amount Accreditation Period
ACPE UAN #0233-0000-16-035-H04-P 1.25 Contact Hours April 22, 2016 - April 22, 2019