Precision Medicine 101: The Role of Managed Care in Bridging Coverage Gaps

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

Course Description

Reflex testing, biomarkers, guideline concordance — oh my! If any of these terms don’t sound familiar, that’s okay! Precision medicine is complex, and there’s a lot to learn. Join faculty as they provide an in-depth introduction to the field of precision medicine and terminology in oncology and beyond. They’ll explore the precision medicine ecosystem, discuss clinical application of biomarkers, highlight FDA-approved companion diagnostics, examine the evolving regulatory and legislative landscape, and detail why this should matter to payers. Through payer-focused insights and real-world examples, attendees will gain actionable information to ensure their organization is prepared for the growing pipeline of targeted therapeutics.

Precision medicine is transforming health care, with the power to enhance patient outcomes, lower health care costs, and optimize resource utilization. Whether you're new to the field or looking to refine your approach, this session will help you stay ahead of the curve.

Target Audience

Pharmacists who practice in managed care settings.

Learning Objectives

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

  1. Define foundational concepts and terminology in precision medicine, including reflex testing, laboratory benefit managers (LBMs), and companion vs. complementary diagnostics.
  2. Describe the clinical application of biomarkers and FDA-approved companion diagnostics in oncology and non-oncology treatment.
  3. Describe payer challenges and strategies related to benefit design, policy alignment, and reimbursement for precision medicine.
  4. Identify emerging trends and legislative developments impacting biomarker testing and coverage decisions.

 

Course summary
Available credit: 
  • 1.25 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: 
12/05/2025
Course expires: 
12/31/2026
Cost:
$30.00

Jennifer Billings, PharmD, BCGP

Director, Clinical Pharmacy
IPD Analytics, LLC
Aventura, FL

Steven Kheloussi, PharmD, MBA, FAMCP

Principal Consultant
Kheloussi Consulting, LLC
Wilkes-Barre, PA

Disclosures

Faculty/Reviewer/Planner 

Reported Relevant Financial Relationships 

Jennifer Billings 
Faculty 

Disclosed no relevant financial relationships. 

Steven Kheloussi 
Faculty 

Disclosed no relevant financial relationships. 

Kristen Patti 

Peer Reviewer 

Disclosed no relevant financial relationships. 

Brittany V. 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: 0233-0000-25-049-H04-P • Activity Type: Knowledge-Based
Contact Hours: 1.25
Release Date: December 5, 2025 •  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 Nexus 2025. 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
    The Academy of Managed Care Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Price

Cost:
$30.00
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