Understanding Health Care Reform
Program Objectives
  • Outline how access to health care will be expanded through health care reform
  • Describe major mandates of health care reform on individuals, government and private insurers, and employers
  • Review the timeline of changes outlined in the Patient Protection and Affordable Care Act and discuss how it may affect prescribing patterns
  • Explain how, when, and through what funding expansions in health care coverage will be paid and its expected effect on the deficit
  • Identify the key stakeholders who are affected through the implementation of the Patient Protection and Affordable Care Act
  • Describe the impact to each key stakeholder affected by health care reform, and how each is expected to react to these changes
  • Discuss the themes comprising the new pharmaceutical marketing and sales paradigm, and outline methods for substantiating value in a pharmaceutical product
  • Summarize the roles of generic versus branded products under the new marketing and sales paradigm
  • Identify health care reform imposed challenges to traditional sales and marketing efforts
Commercial Payers
Program Objectives
  • Describe the players and current landscape of the commercial payer environment
  • Discuss the new value-driven health care initiatives now underway
  • Comprehend the need for transparency in the marketplace
  • Digest the current trends in pharmacy benefit management and government payers
  • Construe the paradigm shift regarding employer-sponsored insurance and its effect on consumers



Commercial Distributors
Program Objectives
  • Contemplate and consider recent and future industry trends as they relate to wholesalers, retail and specialty pharmacies, and pharmacy benefit managers
  • Interpret consolidation and how it affects your business
  • Distinguish the drivers and potential for growth in all market segments
  • Identify and discuss the expanding role of commercial distributors in the marketplace
  • Define the key relationships, tools, and challenges of pharmacy benefit managers



Public Payers
Program Objectives
  • Gain a ground-floor overview of the mechanics and dynamics of how public payer entities operate
  • Unravel the latest reforms in Medicare and Medicaid, and the implications thereof to the health care system
  • Define, in detail, all military health care programs in meeting the primary and specialized care needs of veterans, and the related medical and social support services
  • Discuss how prisons and correctional facilities implement health care and the unique challenges they face in doing so



Hospitals
Program Objectives
  • Define and distinguish between the different health care delivery systems
  • Discover the challenges and implications facing hospitals and integrated delivery systems while experiencing declining revenue
  • Ascertain how consumer-directed health care and information technology will forever change the aspect of health care delivery and reimbursement
  • Consider the effect of competition and shrinking workforces while hospitals strive to improve the quality of care



Oncology
Program Objectives
  • Deliberate the benefits and challenges of the evolution of diagnostics, therapy, and patient care in today’s oncology climate
  • Consider the growth of pharmacogenomics to determine individualized treatment programs
  • Recognize the research and development challenges faced by manufacturers, and the cost containment challenges faced by payers
  • Discern the status and management practices of public and private payers in the oncology therapeutic category



Long-Term Care
Program Objectives
  • Identify the challenges the long-term care industry faces with a growing elderly population
  • Deduce and interpret the regulatory issues faced by the long-term care industry’s skilled nursing and assisted living facilities
  • Scrutinize the top long-term care providers and how they re-fashion their services to meet the needs of their residents now and in the future
  • Acknowledge the resurgence, growth, and flexibility of home health care and the multiple agencies that support a wide array of services
  • Discuss how third-party payers view and provide reimbursement for long-term care