Patient Engagement in Managed Care Pharmacy: Putting Policy into Practice

Overview

Pricing: Free for Members and $30 for Non-Members

Course Description

As healthcare decision-making becomes more patient-centric, incorporating patient perspectives is critical for developing meaningful formulary design models. New CMS regulations will require patient representation on P&T committees for plans offering essential health benefits and expand beneficiary engagement across state Medicaid agencies. But will these efforts be sufficient? Informative? If not, what practical actions are needed to ensure that the experience patients and beneficiaries bring can be translated into meaningful and actionable insights? Hear examples from experts that will support individual patients tasked with representing diverse patient populations and health conditions; pair committee membership with more representative, rigorous, and robust patient experience information; and identify policies, processes, and partnerships needed. Together, these practices can shift patient centricity from representation to informative, meaningful, and actionable guidance. Pharmacy directors representing a commercial health plan and state Medicaid agency will offer their experiences to help turn policies to increase patient-centricity into practice.

Target Audience

Pharmacists who practice in managed care settings.

Learning Objectives

At the completion of this activity, participants should be able to:

  1. Describe the value of incorporating the patient perspective in formulary management and benefit design.
  2. Summarize new CMS rules that expand patient representation or advisory engagement for state Medicaid agencies and P&T committees for plans offering essential health benefits.
  3. Identify actionable strategies to translate these policies into practical actions as these CMS requirements become effective in 2025 and 2026.
  4. Compare commercial health plan and state Medicaid organization experiences engaging patients and patient representatives in managed care pharmacy decisions.
Course summary
Available credit: 
  • 1.25 ACPE
    ACPE The Academy of Managed Care Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
Course opens: 
04/18/2025
Course expires: 
12/31/2026
Cost:
$30.00

Faculty

Kimberly Lenz, PharmD, MBA, FAMCP

Chief Pharmacy Officer, MassHealth
Massachusetts Medicaid
South Grafton, MA

 

Emily G. Tsiao, PharmD, BCPS

Medical Policies Clinical Pharmacist
Premera Blue Cross
Federal Way, WA

 

Joe Vandigo, PhD

Principal Scientist & Director of Value
Applied Patient Experience
Washington, DC

 

Financial Relationship Disclosures

FACULTY/REVIEWER/PLANNER​

REPORTED RELEVANT FINANCIAL RELATIONSHIPS​

Kimberly Lenz, PharmD, MBA, FAMCP​

Faculty​

Disclosed no relevant financial relationships.​

Emily G. Tsiao, PharmD, BCPS​

Faculty​

Premera Blue Cross, Employee​

Joe Vandigo, PhD​
Faculty​

Applied Patient Experience: Employee; Novartis Pharmaceuticals: Individual Stocks/Stock Options​

Michelle Aslami, PharmD​

Reviewer​

Disclosed no relevant financial relationships.​

Jennifer Evans, PharmD, BCACP​

Planner​

Disclosed no relevant financial relationships​

  • If applicable, relevant financial relationships have been mitigated and documented.
  • Content has undergone a peer review to ensure content validity.

Accreditation

Accreditation:

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: 0233-0000-25-005-H04-P • Activity Type: Knowledge-Based
Contact Hours: 1.25
Release Date: April 18, 2024 •  Expiration Date: December 31, 2026
Activity Fee: Free for Members and $30 for 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 2024. 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

  • 1.25 ACPE
    ACPE The Academy of Managed Care Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Register/Take course

Price

Cost:
$30.00
Please login or register to take this course.

Required Hardware/software

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 websites. View the minimum technical and system requirements for continuing education online learning activities