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The Future of Metabolic Health in Managed Care: Population Risk and Financial Impact
Pricing: Free for Members and $30 for Non-Members
Course Description
This session prepares managed care pharmacists to address metabolic health through the lenses of population demographics, financial forecasting, and emerging payer strategies. As metabolic conditions affect a growing and increasingly diverse share of U.S. adults, plans face rising costs, earlier disease onset, and pressure to anticipate long-term budget and benefit design implications.
Attendees will explore how demographic trends, expanding use of therapies across obesity, diabetes, and MASH/MASLD, and technologies such as continuous glucose monitors (CGMs) are reshaping utilization and cost projections. Faculty will highlight new and evolving managed care approaches—including prevention-focused benefit design and integrated strategies—that support more proactive, sustainable metabolic health management.
Target Audience
Pharmacists who practice in managed care settings.
Learning Objectives
At the completion of this activity, participants should be able to:
- Describe the demographic drivers of the metabolic health crisis and their implications for managed care planning and resource allocation.
- Discuss the financial impact of metabolic disease across time, including cost trajectories, forecasting challenges, and budget implications associated with earlier intervention, expanded therapeutic use, and emerging technologies.
- Identify metabolic health change drivers and a modern framework for emerging managed care strategies.
Melissa Durkee, PharmD, BCACP
National Pharmacy Program Manager
U.S. Department of Veterans Affairs
National Center for Health Promotion and Disease Prevention
Ian Smith, FSA, MAAA, FCA
Actuarial Senior Director
Optum, Pharmacy Advisory Services
Denise Wolff, PharmD
Senior Consultant, AMCP Business Strategies
AMCP
Disclosures:
| Faculty/Reviewer/Planner | Reported Relevant Financial Relationships |
| Melissa Durkee Faculty | Disclosed no relevant financial relationships |
| Ian Smith Faculty | Employee: Optum Insight |
| Denise WolfF Faculty | Disclosed no relevant financial relationships |
| Kristen Patti Peer Reviewer | Disclosed no relevant financial relationships |
| Brittany Henry Planner | Disclosed no relevant financial relationships |
The Academy of Managed Care Pharmacy (AMCP) is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
ACPE UAN: 0233-0000-26-027-H04-P • Activity Type: Knowledge-Based
Contact Hours: 1.25
Release Date: April 20, 2026 • Expiration Date: December 31, 2027
Activity Fee: Free for Members and Non-Members
Participants should claim continuing pharmacy education (CPE) credit for this home study activity only if they have not claimed credit for the live activity presented at AMCP 2026. CPE credit will be processed through the AMCP Learn portal and reported directly to CPE Monitor. Please allow 72 hours for processing and posting in your NABP account.
To receive credit for an online activity you must:
- Review the full content of the activity.
- Successfully complete the post-test (required to pass with a score of 70% or higher, it may be taken a maximum of three times).
- Complete a specific activity evaluation.
Available Credit
- 1.00 ACPEThe Academy of Managed Care Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.