Shawna Kittridge, MHS, RPh @ShawnaKitt
Partner, #MHS and #RPh @MercerGHSC | #Medicaid Pharmacy Thought Leader | #Managed Care #Public Policy mercer-government.mercer.com Idaho Joined June 2022-
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For too long, #MentalHealth disorders have been considered separate and distinct from physical #health conditions. We discuss the 988 implementation led by state #Medicaid agencies and provide insights into the state challenges. youtube.com/watch?v=myBJ3W… #healthcare
We work with state #Medicaid agencies to provide an entire array of services to help states benefit the most vulnerable people. Watch one recipient's powerful story after a disabling accident. bit.ly/3IPww1V #healthcare #health
#Telehealth: how do we implement it, how do we ensure the patient, provider and state are all part of the solution and get everything they need to make things happen? Our own @samespinosa_mmc and Kathy Nichols share insight: youtu.be/gQEBYHX31sw #health #medicaid
CMS released technical guidance for states regarding VBP arrangements for drug therapies. We share guidance of reporting requirements & expectations, including timelines & insights around pricing and participation: mercer-government.mercer.com/content/dam/me… #pharma #healthcare #Medicaid
At the close of #MentalHealthAwarenessMonth, listen to episode 2 of the Medicaid Leadership Exchange podcast series to hear how Children’s behavioral health is a priority issue that #Medicaid leaders seek to address tinyurl.com/mry8hesu
How can employers create sustainable change in the Black #EmployeeExperience? @Ferland_Martine shares key focus areas for #HR and #business leaders looking to close the #health, #wealth and #career gaps in their organizations. bit.ly/3NVZJKM #diversity
Firms that leave #MentalHealth care to the individuals could be signalling that they don't care about their people’s #wellbeing. See how total employment care can be a free #recruiting strategy bit.ly/3GRb0tJ in @PeopleMgt.
The expectations of employees in a multigenerational workplace are mismatched. Today's #leaders can take these actions to adapt their #leadership style to generational differences in the workplaces on.ft.com/3mp5BAo in @FT. #FutureofWork
Modern employees want to be recognized as unique individuals and more #money does not necessarily accomplish this. Explore why fringe #benefits are a powerful tool that can help #HR reach employees bit.ly/3NsVaI0 in @theHRDIRECTOR. #FutureofWork
#AMCP Summit coming up this week!
In April, AMCP convened leaders in the managed care #pharmacy space to address payment and benefit challenges for high-investment medications. Take a look at the summary to learn what topics were explored: bit.ly/3avVtTO
CMS released a final decision memorandum regarding #Medicare coverage of approved monoclonal antibodies that target amyloid for the treatment of #Alzheimer's disease. Learn who this decision affects and what it means for states and #Medicaid recipients. bit.ly/38QdtrL
Social determinants of #health, such as the ability to afford broadband, limit the likelihood of replacing #healthcare access with #telehealth. Explore the disparities in #DigitalHealth access across rural and urban areas in @PEHealthIT. bit.ly/399IvuL
#healthcare is a complex and we walk a fine line between regulation/patient safety and #innovation towards advanced therapeutics. We explore how new players in #health are impacting the industry: bit.ly/3x8QhwV #technology
What's a benefit of virtual care? Better outcomes are achieved through digital monitoring and other mechanisms, which is aimed at improving treatment compliance. Discover more about #risks and strategies for #DigitalHealth: bit.ly/3Q2vtzI #FutureofWork
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Sara Drake RPh, MPH, .. @SaraDrakeRx
24 Followers 142 Following I help state Medicaid programs project and manage their prescription drug expenditures. Medicaid | Pharmacy | Consultant | Leader
ASHP Foundation @ASHPFoundation
6K Followers 3K Following The philanthropic arm of the American Society of Health-System Pharmacists, we work to improve the health & well-being of patients through safe medication use.
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5K Followers 2K Following We’re the people who help patients get the medications they need at a cost they can afford. #WeAreMCPs
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236 Followers 830 Following National Practice Leader for Mercer GHSC, Husband and Father of 7, Avid Chess Player! Searching on how to make the perfect cup of coffee....
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216 Followers 157 Following The Mississippi Society of Health-System Pharmacists (MSHP) is a professional society of pharmacists and related personnel practicing in organized healthcare.
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24K Followers 538 Following Our mission is to prevent disease and protect and promote the health and safety of Rhode Islanders. Social media comment policy: https://t.co/oalR0Qd7xa
Healthy Connections M.. @scmedicaid
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2K Followers 690 Following News, Trends, Stats, Jobs, all Medicaid all the time. Live Talk Show |Medicaid Matters| Tues at 1PM EST/12PM CST/ 10AM PST. http://t.co/SvULND3Eiv
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202K Followers 116 Following Official Twitter account for the Centers for Medicare & Medicaid Services (CMS). Official government account. Authentication: https://t.co/phdhdq21GgWhere 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.
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
@ShawnaKitt I couldn't agree more Shawna. #MercerChats
@samespinosa_mmc @samespinosa_mmc with great challenge comes great opportunity? #MercerChats
Another great list on managing expensive #pharma treatments from @TracyFWatts. #MercerChats
A3. Strategies under consideration for managing extremely expensive gene and cellular therapies as they emerge: 🔎Outcomes based pricing 🔎Participate in a risk pool managed by PBM 🔎Rx specific stoploss 🔎Pay for drug over time #MercerChats
A3: One challenge is that the payment innovation always follows the pricing change/increase… #healthcare #Medicaid #MercerChats
@SaraDrakeRx I'd love to hear more about those risk mitigation ideas - maybe another #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
@Mercer_US Ensure the medication is appropriate for the patient to use through appropriate prior authorization criteria and ensure patients are reassessed to determine if clinical endpoints are being achieved. The goal is to help the patient access what works for them. #MercerChats
@TamaraMcCleary Also need to keep an eye on legislative activity in the states @TamaraMcCleary - not helping to bring Rx costs down. #MercerChats
@TamaraMcCleary @Mercer_US While keeping employees healthy #mercerchats
A3. Strategies under consideration for managing extremely expensive gene and cellular therapies as they emerge: 🔎Outcomes based pricing 🔎Participate in a risk pool managed by PBM 🔎Rx specific stoploss 🔎Pay for drug over time #MercerChats
@april_lindquist Absolutely! Risk mitigation solutions for Medicaid programs include risk corridors, risk pools, kick payments, reinsurance, and partial carve-outs. It's important for states to identify and implement the best solution to align with program goals. #MercerChats
A3. A variety of options, such as rebate programs, value based purchasing agreements and more can be applied to help lower #benefits #Pharmaceutical costs. Greater co-pays and a focus on factoring cost into anticipated patient outcomes can help reduce cost. #MercerChats
@GageGrammer @Mercer_US I feel the same, @GageGrammer! With my daughter though, we didn't have the option for generic #prescriptions. Thank goodness it's behind us now. #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: Payors will continue to consolidate purchasing through coalitions to gain leverage in purchasing #healthcare #Medicaid #MercerChats
@dr_salim_MD @Mercer_US So little competition @dr_salim_MD as the three big PBMs control most of the market. #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
@LisaLint @Mercer_US Generic is my best friend lol #MercerChats
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