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GTMRx Executive Roundtable Virtual Event
Paying for Value: Opportunities in the Medical Neighborhood to Get the Medications Right

October 9, 2020 | 10:00 am – 2:30 pm EST

Why this? Why now?

At the GTMRx Institute, we recognize that we cannot achieve our goals for medication management reform without a team-based approach which must include a viable primary care foundation—supported by payment reform that rewards inter-professional teams, utilizes effective and smart use of health IT at the point of care and is personalized through the use of companion and complementary diagnostics.

The virtual event will bring in speakers to illuminate the crisis we face with

  • a crumbling primary care infrastructure,
  • the importance of payment and policy change to achieve value,
  • the way forward in practice transformation and
  • the need for point-of-care access to information enabled by health IT (companion and complementary diagnostic test results, clinical information needed to evaluate therapy effectiveness and/or changes in needed therapy) available for use by all team members.

Event Overview

10:00 am – 10:30 am   Welcome and Introductions ; Susan Dentzer and Paul Grundy 

10:30 am – 11:00am    “Value Based Care: Changing How We Pay” & Fireside Chat; Patrick Conway, MD, MPH 

11:00 am – 11:45 am    “Value Based Care: ACOs Landscape”; Annette DuBard, MD, MPH

11:45 am – 12:15 pm    Break

12:15 pm – 12:45 pm    Lunch presentation – “Making It Real: Pharmacists Working in Collaborative Practice with Physicians”; Mary Roth McClurg, PharmD and Mark Loafman, MD  

12:45 pm – 1:45 pm     “Changing How & What We Pay Primary Care: The Way Forward for Value”; Ann Greiner    

1:45 pm – 2:00 pm       Break

2:00 pm – 2:30 pm      Steps in Moving Forward – A Call to Action; Susan Dentzer

Moderator

Susan Dentzer, MPH
Senior Policy Fellow, Robert J. Margolis Center of Health Policy, Duke University
Welcome and Introductions; Steps in Moving Forward—A Call to Action

Presenters

Patrick Conway, MD

Chief Executive Officer, Care Solutions, Optum 

Topic: Value Based Care: Changing How We Pay

Annette Dubard, MD, MPH
Vice President of Clinical Strategy, Aledade

Topic: Value Based Care: ACOs Landscape

Presentation Slides

Learning Objectives:

  1. ACO models gain traction with independent primary care practices, and how that proves successful for both Medicare and commercial populations.
  2. Advancing comprehensive medication management through data-informed workflows is key to ACO success and how this will look different in various settings.
  3. While COVID-19 has accelerated the imperative of payment reform and population-based care redesign and it has also illuminated specific challenges and opportunities to get the medications right.
  4. Looking at the transition from fee-for-service to a value-based payment model with metrics that matter and outcomes that count.

Mary R. McClurg, Pharm.D.
Professor and Executive Vice Dean-Chief Academic Officer, UNC Eshelman School of Pharmacy

Topic: Making It Real: Pharmacists Working in Collaborative Practice with Physicians

Presentation Slides

Learning Objectives:

  1. Describe the foundational elements of CMM essential to ensuring consistency in implementation of the service in primary care.
  2. Discuss the value proposition of CMM and the importance of ensuring strategic alignment of the CMM service with the goals of the primary care practice.
  3. Discuss current approaches and future directions to ensuring sustainability of CMM as an integral part of primary care.

Mark Loafman, MD, MPH
Systems Chair for Family and Community Medicine, Primary Care Collaborative

Topic: Making It Real: Pharmacists Working in Collaborative Practice with Physicians

Presentation Slides

Learning Objectives:

  1. Describe the foundational elements of CMM essential to ensuring consistency in implementation of the service in primary care.
  2. Discuss the value proposition of CMM and the importance of ensuring strategic alignment of the CMM service with the goals of the primary care practice.
  3. Discuss current approaches and future directions to ensuring sustainability of CMM as an integral part of primary care.

Ann Greiner
President and Chief Executive Officer, Primary Care Collaborative

Topic: Changing How & What We Pay Primary Care: The Way Forward for Value

Presentation Slides

Learning Objectives:

  1. Gain insight into how the U.S. fails to value primary care by examining: spending, utilization, payment models, benefit design, the workforce and post-pandemic plans. Consider how this underinvestment compares to other high-income countries.
  2. Understand the effects of underinvestment in primary care on key outcomes (quality, cost, health inequities, etc.) before & during COVID-19.
  3. Learn about efforts at the national and state level to re-orient the system towards primary care with help from state policymakers, private payers and the federal government.
  4. Discuss the importance of inter-professional, team-based care to enhance value and ensure appropriate care when managing patients with multiple chronic conditions.
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