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GTMRx In-Person & Virtual Advocacy Meeting

Advocating for Patient-Centered CMM Policy in the Government and Private-Sectors

Thursday, November 3, 2022 | 12:00 p.m. – 4:30 p.m. ET

Lunch will be served from 12:00 p.m. – 12:30 p.m. ET

Location: American College of Clinical Pharmacy (ACCP) Washington, DC office at 1455 Pennsylvania Ave., NW, Suite 400, Washington, DC 20004-1017

The goal of the meeting is to collaboratively develop a successful long-term advocacy campaign designed to implement sustainable payment and policy models that will support team-based, person-centered services to optimize medication use. We believe that this is best accomplished by advancing access to, and payment for comprehensive medication management (CMM). Leading this meeting is the GTMRx Payment and Policy Solutions Workgroup Leadership.

General Topics for Discussion:

  • Safeguard the standardized definition of CMM
  • Ensuring compensation for a comprehensive set of primary care services to include CMM (in the current payer environment)
  • Ensuring access to and payment for CMM services as we transition to sustainable value-based payment models
  • Supporting use of companion and complementary diagnostics to target correct therapies
  • Keeping the patient at the center: achieving patient-centered outcomes by ensuring an accountable CMM process of care

In May of this year, we published a discussion document which sets forth our 10 policy goals. We are now in the position to move forward more aggressively by establishing an advocacy platform that will decrease barriers to access and payment for CMM services for Americans. To be successful, we need your help, expertise, and ideas on how best to achieve this monumental task.

 

Materials to Review:

Read-Ahead Materials:

  • GTMRx Proposed Solutions – Framework of Advocacy Next Steps link
  • GTMRx Payment and Policy Discussion Document (foundational document that led to the Nov 3 event) link 
  • GTMRx Blueprint for Change – Executive Summary link 
  • GTMRx Value Framework for optimizing medication use through CMM link 
  • GTMRx Recommendation Letter to the Centers for Medicare and Medicaid Services on the Medicare Advantage program (Document Citation 87 46918) link 
  • GTMRx blog in Health Affairs Forefront, titled, “CMM: A Missing Ingredient In Value-Based Payment Models” link
  • Blog in Health Affairs Forefront, titled, “Using The Medicare Shared Savings Program To Innovate Primary Care Payment” link

Attendee List (in-person and virtual) link 

  Schedule

12:00-12:30 PM ET | Lunch 

12:30-12:35 PM ET | Opening Remarks 

Katherine Capps, Executive Director and Co-Founder, GTMRx Institute

12:35-12:45 PM ET | Chair/Facilitator Introduction and Attendee Introductions

Tom Kraus, JD, MHS, Vice President, Government Relations Office, American Society of Health-System Pharmacists (ASHP)

12:45-1:00 PM ET | Safeguarding the Standardized Definition of CMM + Discussion/Feedback

Paul Grundy

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

1:00-1:40 PM ET | Ensuring Compensation for CMM Services in the Current Payer Environment + Discussion/Feedback

Todd Sorenson

Todd Sorensen, Pharm.D., Alliance for Integrated Medication Management; Senior Executive Associate Dean for Strategic Initiatives and Faculty Affairs,

Ira Klein, MD, MBA, FACP, Board Member, GTMRx Institute; Vice President, Provider Relations, Tempus, Inc

1:40-1:50 PM ET | BREAK

1:50-2:30 PM ET | Ensuring CMM Services in the Transition to Sustainable Value-Based Payment Models + Discussion/Feedback

James Gelfand, JD, President, ERIC (ERISA Industry Committee)

2:30-3:00 PM ET | Achieving Patient-Centered Outcomes by Ensuring an Accountable CMM Process of Care + Discussion/Feedback

Michael Barr, MD, MBA, MACP, FRCP, Executive Physician Advisor, GTMRx Institute; President, MEDIS LLC

3:00-3:10 PM ET | BREAK

3:10-4:00 PM ET | Trends and Opportunities, Final Thoughts from Attendees

4:00-4:15 PM ET | Summary and Conclusion Facilitated by Tom Kraus JD

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