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GTMRx Executive Roundtable Virtual Event
Payment, Policy & Practice: Supporting Medication Management Reform

June 24, 2021 | 2:00 pm – 5:00 pm EDT

Why this? Why now?

A recent report from the National Academy of Medicine on primary care calls for interprofessional teams that coordinate care across the continuum and meaningfully engage the full range of primary care professions.

The goal of the discussion will be to gain insights on regulatory and policy trends that inform payment and policy strategies to advance medication optimization in team-based care. Specifically, how the landscape has changed since MTM was introduced in Part D and the drivers to advance compensation for quality clinical services and medication-related outcomes rather than product-based metrics or services.

During our roundtable event discussion, the moderator will raise key questions:

  • How do we drive demand for services that offer value and motivate use of comprehensive and integrated services that manage chronic conditions while encouraging and rewarding appropriate and effective medication use?
  • What payment models do we use to support interprofessional, team-based care?
  • What payment and policy strategies are working in the real world?
  • How do we think about quality measures in a value-based payment environment?
  • How are public and private payors changing to meet new demands?
  • How is CMS changing payment models to meet new demands such as lower cost, higher quality, appropriate care?

We are delighted to have Susan Dentzer, senior policy fellow, Robert J. Margolis Center for Health Policy at Duke University lead these robust discussions that will inform our work.

Event Overview

Moderator

Susan Dentzer
Senior Policy Fellow
Robert J. Margolis Center of Health Policy
Duke University

Welcome and Introductions

Presenters

Paul Grundy

Paul Grundy, MD, MPH, FACOEM, FACPM
President, GTMRx Institute
Chief Transformation Officer
Innovaccer

Topic: Welcome

Andrew MacPherson
Managing Partner
Healthsperien, LLC

Topic: Value Based Payment: Current Landscape

Curtis Haas, Pharm.D., FCCP
Chief Pharmacy Officer
University of Rochester Medical Center, New York

Topic: Measures to Motivate Adoption

Amy Bassano
Deputy Director
Center for Medicare and Medicaid Innovation (CMMI)
Centers for Medicare and Medicaid

Topic: Value Based Payment: CMS

Reactor Panel

Allan Goroll, MD
Professor of Medicine
Harvard Medical School
Massachusetts General Hospital

Matt Salo
Executive Director
National Association of Medicaid Directors (NAMD)

Speaker Introductions by Payment and Policy Solutions Workgroup and Pharmacogenomics Payment and Policy Taskforce Co-Leads

VP Government Relations
American Society of Health-System Pharmacists (ASHP)
Chief Strategic Growth Officer
Tabula Rasa HealthCare
Policy and Professional Affairs Director
American College of Clinical Pharmacy (ACCP)
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