Sara Drake RPh, MPH, MBA @SaraDrakeRx
I help state Medicaid programs project and manage their prescription drug expenditures. Medicaid | Pharmacy | Consultant | Leader linkedin.com/in/sarajdrake/ Saint Paul, Minnesota Joined June 2022-
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The Inflation Reduction Act is now law and includes provisions that will affect Medicaid programs. Let's talk about it. mercer-government.mercer.com/content/dam/me…
A3: Some private plan sponsors have explored financing models like pay over time for high cost drugs. Challenges in the #Medicaid rebate structure have made similar models challenging to implement. #MercerChats
A3: Speaking of Sovaldi and Hep C @samespinosa_mmc , some #Medicaid programs have been successful with implementation of subscription models for select drug classes such as #HepatitisC. There may be potential for similar models for #PrEP or #HIV. #MercerChats
A3: At the same time as presenting clinical opportunity, #GeneTherapy will create financing challenges to employers and state Medicaid programs. Payers will need to explore risk mitigation solutions to align with program and budget goals. #MercerChats
A2: The availability of #biosimilars for some blockbuster drugs has the potential to be a game changer. For the employer market, it’s a potential decrease in benefit cost. For the Medicaid market, it’s an opportunity for increased rebate negotiations. #MercerChats
A2: Manufacturers are pushing back on #340B through restrictions on sales to contract pharmacies despite pressure from federal regulators. Any #DrugPriceReform package needs to include a vision for a path forward on #340B. #MercerChats
A2: As we wind down from the #PHE, many individuals will move from Medicaid back to employer or exchange coverage. Governments, employers, and #PBMs need to coordinate to make the process seamless. #MercerChats
A1: Government and employer markets alike are exploring new innovations in financing high cost drugs. The new @cms VBP rule may streamline the process for outcomes based contracting. #MercerChats
A1: Government market is really beginning to question and redefine the role of the #PBM in #Medicaid managed care. States are seeking increased #PBMTransparency to better understand how #Medicaid pharmacy dollars are used. #MercerChats
A1: Despite uncertain efficacy and durability, patients, employers, and governments are being charged high prices for accelerated approval drugs. #MercerChats
A1: The complexity of the pharmacy benefit is a significant challenge facing payers. #PBMs, rebates, GER/BER reconciliations, administrative fees, copay maximizers, spread pricing, #340B. To navigate the challenges, you first need to learn the language. #MercerChats
Join us tomorrow for an engaging discussion on the challenges and opportunities in the pharmacy benefit space! #Mercerchats
Check out our state policy preconference on family caregiving and the direct care workforce on Sept 12
Check out our state policy preconference on family caregiving and the direct care workforce on Sept 12
Register now to join our June 14 LinkedIn Live event featuring @guzmand, @LewisGarrad and more discussing how #business and #HR leaders attract top talent and ensure they get the most of their workforce. bit.ly/3Q3EuZu #MercerLive #culture #EmployeeExperience
Under pressure to act on #diversity, equity and #inclusion? Discover how a #skills-based work model can help #HR advance the DEI agenda and create equity for all workers. bit.ly/3NpO86R #FutureofWork
As businesses reopen, see why companies should lean into #telehealth as a way to support employee #wellness and #productivity bit.ly/3zgSucp in @Forbes. #health
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@april_lindquist @TamaraMcCleary Most definitely - collaboration across the payers will help all.#MercerChats
Where did the time go? Thank you everyone for joining us today on this high-intensity, quick 3 question #mercerchats on managing cost in #pharma and #benefits. Learn more on this topics here on the @Mercer_US channel and at @MercerGHSC.
@TamaraMcCleary And the measurement of clinical outcomes associated with high cost drugs is key. The utilization of clinical data is necessary to assess the short and long-term outcomes. We work with our clients to establish high cost drug monitoring parameters and metrics. #MercerChats
@april_lindquist @Mercer_US A2: It will be exciting to see pharmacists and healthcare professionals work at the top of their licensure to support the upcoming challenges. We are already doing this with our Medicaid clients to identify opportunities to expand pharmacist patient care services. #MercerChats
@Mercer_US There will be greater awareness to the different cultural and societal differences in medication use across a diverse population. #healthequity #diversity #mercerchats
@Mercer_US We can provide members access to programs that help lower medication costs or a lower total cost of care for chronic conditions. According to the CDC, 1 in 4 adults in the US have a chronic disease. It could impact each of us or our neighbors and loved ones. #mercerchats
@SaraDrakeRx 100% Sara, we keep looking for better answers!
@SaraDrakeRx @LisaLint @TracyFWatts @samespinosa_mmc @KipPiper @ShawnaKitt @DonnaKLencki @dr_salim_MD Nice to meet you Sara. #MercerChats
Getting ready for an important #MercerChats on Pharmacy costs and trends.
Join our #MercerChats on June 15 at 11AM ET to discuss how the drug marketplace is changing over the next 3-5 years with @TracyFWatts, @TamaraMcCleary, @samespinosa_mmc, @KipPiper, @ShawnaKitt, @DonnaKLencki, @dr_salim_MD and @SaraDrakeRx. #healthcare #Medicaid
Join our #MercerChats on June 15 at 11AM ET to discuss how the drug marketplace is changing over the next 3-5 years with @TracyFWatts, @TamaraMcCleary, @samespinosa_mmc, @KipPiper, @ShawnaKitt, @DonnaKLencki, @dr_salim_MD and @SaraDrakeRx. #healthcare #Medicaid
What are the major #pharmacy benefit challenges facing employers and government payers today? Find out at our #MercerChats on June 15 with @TracyFWatts, @TamaraMcCleary, @samespinosa_mmc, @KipPiper, @ShawnaKitt, @DonnaKLencki, @dr_salim_MD and @SaraDrakeRx. #healthcare #Medicaid
What are the major #pharmacy benefit challenges facing employers and government payers today? Find out at our #MercerChats on June 15 with @TracyFWatts, @TamaraMcCleary, @samespinosa_mmc, @KipPiper, @ShawnaKitt, @DonnaKLencki, @dr_salim_MD and @SaraDrakeRx. #healthcare #Medicaid
June is #Alzheimer’s & Brain Awareness Month. Although there are some normal age-related changes in a person’s memory and thinking, #dementia, or severe memory loss that interferes with daily life, is not part of the normal aging process. cdc.gov/aging/healthyb… #EndAlz
With 1 in 4 Americans infected with #HPV, getting HPV vaccinations back on track is critical to preventing future disease, suffering, and death. Find out how states are taking action.
Are you taking a closer look at your #benefit offerings? With this guide, you'll uncover new developments in statutory employee benefits, common benefit practices and overall employment conditions. #FutureofWork #HR bit.ly/3aJZBjo
You can’t win the war for #talent with compensation alone! It’s critical to focus on what your employees want from their jobs and then get creative to deliver on a win-win way forward. Cc: @soumyasanto @kkruse #FutureofWork #EmployeeExperience #HR bit.ly/3aMcjy6
Pharmacy professor, Laura Happe, author of the book "If You Give an Ox an Oxy", will be at Convention this year and she will be selling and signing her book during the lunch with exhibitors on Thursday, June 9th! Stop by table 45 to meet her!
Congratulations to our Ph.D. student Rebeca Stiepel! Rebeca is the 2022 recipient of the Kathryne A. Brewington Graduate Research Award. unc.live/3xd4JE4