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Unlocking the value of pharmacy data

Growth in drug spend cost to plans, employers, and members continues to grow. The patterns and practice of drug delivery and drug alternative sites of care is changing the market and revenue streams of providers.  Traditional Drug & Biological policy focused exclusively on medical claims will not keep pace with outsized growth in drug spend. Plans need to begin incorporating pharmacy claims into the holistic view of member benefit. 

In this session, attendees will:

  1. View drug spend trends, patterns, and growth, learning where D&B policy can be effective
  2. Observe the impact that adding PBM claims data to a member’s contextual processing has on overall policy effectiveness
  3. Plan for the future to monitor and rein in PBM claim cost

Presenters

Jonathan Starr, PharmD, Director of Content Solutions - Rx, Cotiviti

Michael Jablon, Vice President, Product Management, Cotiviti