SlideShare a Scribd company logo
1 of 4
Download to read offline
PHARMACEUTICAL
STRATEGIC PRICING
OCTOBER 5-6, 2015 | PHILADELPHIA, PA
Adapting To Changing Payer Expectations, New Government Regulations and the
Increased Focus on Product Innovation to Develop Optimal Pricing Strategies that
Ensure Greater Patient Access while Maximizing a Pharmaceutical Company’s Profitability
DISTINGUISHED PRESENTERS INCLUDE:
PHARMACEUTICAL INDUSTRY PERSPECTIVES
PAYERS, PHARMACY BENEFIT MANAGERS AND ACCOUNTABLE CARE ORGANIZATIONS
ADDITIONAL PRICING EXPERTS
CONFERENCE SPONSOR:
500 N. DEARBORN STREET, SUITE 500 CHICAGO, IL 60654 (P) 312.822.8100 (F) 312.602.3834 www.q1productions.com
Michael Paas
VP, Market Access & Pricing
REGENERON PHARMACEUTICALS
Sean McElligott
Director
JANSSEN
Leonard Fairfield
Senior Director Pricing & Contracts
DEPOMED *pending confirmation
Jonathan Connell
Senior Counsel
BRISTOL MYERS SQUIBB
2nd Semi-Annual
John Alter
Vice President, Global Health & Value,
Global Established Pharma Business Unit
PFIZER
Jennifer English
Director, Contracts & Pricing
ACORDA THERAPEUTICS
Juan Camilo Roman
Senior Director, Market Access
ABBVIE
William Hillmer
Senior Director, Strategic Pricing &
Contracts
MALLINCKRODT
J’Aime Conrod
National Director, Federal & Government
Accounts, Market Access & Pricing
UCB
Lisa McNair
Manager, Contracting and
Reimbursement
INVIDIOR
Ed Pezalla, MD, MPH
National Medical Director for
Pharmacy Policy and Strategy
AETNA
Kimberly Gwiazdzinski
Senior Director, Pharmaceutical Trade
Relations,
PRIME THERAPEUTICS
F.Michael White, PharmD CSP
Director, Clinical Pharmacy Services,
Interim VP
BLUECROSS BLUESHIELD TENNESSEE
Megan Woosley
Team Leader of Case Management
OWENSBORO HEALTH ACO
Crystal Kuntz
VP Policy and Regulatory Affairs
AMERICA’S HEALTH INSURANCE
PLANS (AHIP)
Rene Acker, R.Ph.
Chief Operating Officer
MERIDIANRX
Trevor Wear
Partner
SIDLEY AUSTIN
Donna Yesner
Partner
MORGAN LEWIS
Matthew Fornataro
Associate
ARNOLD & PORTER LLP
Robert Field, PhD, MPH, JD
Professor, Health Management & Policy
DREXEL UNIVERSITY
Anne Hance
Partner
MCDERMOTT, WILL & EMERY
Andrew Peterson, PharmD, PhD
John Wyeth Dean, Professor of Clinical
Pharmacy and Health Policy
UNIVERSITY OF THE SCIENCES
8:00 REGISTRATION & MORNING COFFEE
8:50 OPENING REMARKS
9:00 KEYNOTE PRESENTATION: EVOLUTION OF HEALTHCARE AND
IMPACT ON PHARMACEUTICAL PRICING
The continually evolving healthcare landscape throughout the US has a
constant impact on pharmaceutical pricing, as consumers, physicians and
health plans change priorities and requirements. Robust healthcare reforms
across the country have also placed an increased focus and awareness relat-
ed to the price of pharmaceutical therapies, resulting in considerable chang-
es for pharmaceutical executives. Compounded by external scrutiny of the in-
dustry, executives must continually evaluate and re-evaluate pricing models,
forecasts, and structures to ensure the future growth and viability of the in-
dustry. The focus of this talk will be on the how each of the major stakehold-
ers in the drug supply chain price their products and how the market place,
government requirements and other forces influence pricing decisions.
Andrew Peterson, PharmD, PhD
John Wyeth Dean Professor of Clinical Pharmacy and Professor of Health
Policy- Mayes College of Healthcare Business and Policy
UNIVERSITY OF THE SCIENCES
9:45 PANEL DISCUSSION: REVISED PRICING STRATEGIES IN LINE
WITH 340B OMNIBUS GUIDANCE
Many uncertainties exist surrounding the proposed changes to the 340B
Drug Pricing Program, with the Health Resources & Services A sdministra-
tion (HRSA) having submitted new guidance to the Office of Management
and Budget on May 6th, 2015. Although a comment period as well as imple-
mentation phase will be provided once the guidance is final, many organiza-
tions are preparing for changes and the impact on pricing structures. With
legal, financial and operational ramifications, understanding the anticipated
revisions will ensure corporations are ready to move forward within a restruc-
tured 340B framework.
• Impact on revenue, rebates and price
• Reporting and compliance considerations
• Effective internal restructuring to comply
Jonathan Connell, Senior Counsel, BRISTOL MYERS SQUIBB
Donna Yesner, Partner, MORGAN LEWIS
Trevor Wear, Partner, SIDLEY AUSTIN
10:30 COFFEE & NETWORKING BREAK
11:00 PRICING TRANSPARENCY REPORTING AND REQUIREMENTS
IN LIGHT OF 340B DRUG PRICING CHANGES
While pharmaceutical manufacturers are currently submitting data to CMS
related to the average manufacturer’s price, unit rebate amount, package
size and national drug code, the proposed changes to 340B include addi-
tional reporting requirements with an aim of providing even greater price
transparency. Revisions to the 340B regulations indicate new requirements
including collection of previously stated drug pricing, as well as calculated
340B ceiling price for each National drug code. Pricing executives require a
firm understanding of proposed changes in order to ensure data is available
for reporting based on finalized regulations.
• Impact of increased transparency on pricing
• Ensuring data is accessible for reporting
• Forecasting additional 340B transparency requirements
Donna Yesner, Partner, MORGAN LEWIS
11:45 IDENTIFYING THE IMPACT OF GENERIC AND BIOSIMILAR
ENCROACHMENT ON PHARMACEUTICAL PRICING
Across the pharmaceutical and biotechnology industries, pricing executives
are continually planning and evaluating strategies related to maximizing
product exclusivity provided by patents, and are concerned regarding the
launch of generic and biosimilar products. Uncertainties exist throughout the
industry related to the timelines of generic and biosimilar approvals by FDA,
with the first biosimilar product only recently receiving clearance, after con-
siderable delays. For pricing executives, balancing the optimization of reve-
nue alongside strategies for maintaining profitability post-generic launch is
essential in preserving the growth and development of the industry.
• Impact on pricing as a result of generic and biosimilar approval
• Maximizing revenue through final periods of exclusivity
• Maintaining sales through creative pricing post-generic launch
Sean McElligott, Director
JANSSEN
Robert Field, PhD, MPH, JD, Professor, Health Management & Policy
DREXEL UNIVERSITY
12:45 LUNCHEON FOR ALL DELEGATE, SPEAKERS AND SPONSOR
ATTENDEES
1:45 COMMUNICATING PRODUCT VALUE TO COMMERCIAL PAYERS
TO SUPPORT PRICING STRUCTURES
In an increasingly competitive marketplace, pharma pricing executives must
provide clear and comprehensive value propositions to gain support for new
and existing therapies with commercial payers. While effectively communi-
cating the health and economic value of a product is essential to gaining sup-
port, it is increasingly difficult to do so, as payers shift priorities and continue
to place more focus on cost in addition to effectiveness. Having a robust dos-
sier prepared for payers and successfully leveraging information gathered
throughout the organization will ensure pricing structures are maintained.
• Utilizing HEOR data to support value proposition
• Lessons learned from successful negotiations
• Trends in payer landscape focused on cost
John Alter, Vice President, Global Health & Value, Global Established
Pharma Business Unit, PFIZER
2:30 PANEL: PAYER PERSPECTIVES ON THE EVOLVING HEALTHCARE
LANDSCAPE AND EFFECT ON PHARMACEUTICAL PRICING
Private payers throughout the US play a pivotal role in the healthcare system,
ensuring millions of individuals have access to healthcare. As the cost of
healthcare across the country has continued to rise, health insurers have
looked to support products with high levels of effectiveness, as well as prod-
ucts that have the ultimate levels of cost-effectiveness. With pharmaceuti-
cal and biotechnology companies increasingly developing more expensive,
niche products that serve unmet medical needs but carry higher prices, the
two industries have come to a cross-road and must work in tandem to con-
tinue serving patients across the country.
• Models for assessing pharmaceutical price v. effectiveness
• Review processes for new and existing product formularies
• Payer perspective on optimal dossier inclusions
Michael Paas, VP, Market Access & Pricing
REGENERON PHARMACEUTICALS
Rene Acker, R.Ph., Chief Operating Officer, MERIDIANRX
F. Michael White, PharmD, CSP, Director, Clinical Pharmacy Services,
Interim VP, BLUECROSS BLUE SHIELD TENNESSEE
Ed Pezalla, MD, MPH, National Medical Director for Pharmacy Policy and
Strategy, AETNA
Crystal Kuntz, VP Policy and Regulatory Affairs
AMERICA’S HEALTH INSURANCE PLANS (AHIP)
3:30 COFFEE & NETWORKING BREAK
4:00 PRICING COLLABORATION AND COHESION WITH PHARMACY
BENEFIT MANAGERS
For Pharmacy Benefit Managers (PBMs) throughout the nation, working with
pharmaceutical pricing executives is a crucial step in reducing the per capita
spend of clients enrolled in the varied programs supported by the PBM. Nego-
tiations are increasingly centered around product health benefits, and ensur-
ing funds directed to pharmaceutical therapies provide the highest possible
medical benefit. With rising prices across the specialty drug segment apply-
ing pressure across the entire system, it is more critical than ever to establish
strong working relationships between PBMs and life sciences corporations.
• Trends in the PBM market for the next several years
• Challenges caused by increasing pharmaceutical prices
• Establishing mutually beneficial partnerships
Rene Acker, R.Ph., Chief Operating Officer, MERIDIANRX
Kimberly Gwiazdzinski, Senior Director, Pharmaceutical Trade Relations
PRIME THERAPEUTICS
5:00 IMPACT OF BUNDLED PAYMENTS ON PHARMACEUTICAL
PRICING AND REIMBURSEMENT
As public and private payers continue to reduce the overall cost of care while
providing the most advantageous possible outcome, the growing trend of
utilizing bundled payments for treatment will continue. Bundled payments
are becoming increasingly prevalent, especially in light of the shift toward
integrated care, and bundled reimbursement methodologies provide hospi-
tals and healthcare professionals with an opportunity to bill per procedure
or episode-of-care -- rather than based on itemized costs. In order to react
to this emphasis on bundled payments, pharmaceutical pricing executives
must consider the impact of bundling when developing overall pricing and
contracting structures, and companies must grapple with the complex legal
and regulatory framework governing bundled sales arrangements.
• Overview of bundled payments in pharmaceutical and biotech industry
• Developing a bundled price and cost benefits for patients and providers
• Anti-Kickback Statute overview and discount “safe harbor”
• Current enforcement trends and performance-based rebates
Matthew Fornataro, Associate, ARNOLD & PORTER LLP
5:45 END OF DAY ONE
PHARMACEUTICAL STRATEGIC PRICING
DAY ONE | MONDAY, OCTOBER 5
500 N. DEARBORN STREET, SUITE 500 CHICAGO, IL 60654 (P) 312.822.8100 (F) 312.602.3834 www.q1productions.com
500 N. DEARBORN STREET, SUITE 500 CHICAGO, IL 60654 (P) 312.822.8100 (F) 312.602.3834 www.q1productions.com
PHARMACEUTICAL STRATEGIC PRICING
DAY TWO | TUESDAY, OCTOBER 6
8:30 REGISTRATION & MORNING COFFEE
8:50 OPENING REMARKS
9:00 IMPACT OF STATE MEDICAID PROGRAMS ON
PHARMACEUTICAL PRICING STRATEGIES
Although much discussion surrounding pharmaceutical pricing is centered
on US Federal programs, there is increasing concern regarding individual
state Medicaid programs, especially in light of new coverage requirements
put into place through the Affordable Care Act. With some of the largest
states driving a high proportion of Medicaid utilization, it is important to un-
derstand the priorities and challenges faced at the state level in providing
cost-effective care. In a multi-part presentation, presenters will provide in-
sight into challenges with state Medicaid, followed by robust discussion with
the audience to answer questions and ensure clarification.
PART ONE: SHIFT OF STATE MEDICAID PATIENTS TO PRIVATE MAN-
AGED CARE
• State benefits of shifting patients to private managed care
• Impact of shifting patient base on pricing and formularies
• Preparing pricing strategies for state Medicare enrollees
J’Aime Conrod
National Director, Federal & Government Accounts, Market Access & Pricing
UCB
PART TWO: PANEL DISCUSSION: STATE-LEVEL MEDICAID
CHALLENGES
• Overview of significant state Medicaid programs
• Varied priorities based on population health and needs
• Budgetary constraints at the state Medicaid level
J’Aime Conrod
National Director, Federal & Government Accounts, Market Access & Pricing
UCB
Lisa McNair
Manager, Contracting and Reimbursement
INVIDIOR
10:30 COFFEE & NETWORKING BREAK
11:00 RISK SHARING, VALUE BASED, AND EXCLUSIVITY: TRENDS
WITHIN INNOVATIVE CONTRACTING TYPES
Ensuring product coverage and accessibility is essential for pricing teams
and as more high-cost products move up the pipeline, pricing leaders work
to develop innovative contracting types for these products that will be well-re-
ceived by private payers and managed care organizations. Unique contract-
ing types, such as risk sharing, value based and exclusivity agreements
may garner payer support and coverage of products, however they may be
challenging to implement due to legal restrictions, budgetary concerns, and
distribution of risk between both parties. This session will explore innovative
contracting types and the future growth of each contracting method and us-
ability for various therapeutic areas.
PART ONE: PANEL DISCUSSION ON VALUE BASED CONTRACTING
• Payer and managed care group preferences for a value-based contract
• Including clear and readable metrics on product value
• ACA impact on value-based contract usability
William Hillmer
Senior Director, Strategic Pricing & Contracts
MALLINCKRODT
Jennifer English
Director, Contracts & Pricing
ACORDA THERAPEUTICS
Jonathan Connell
Senior Counsel
BRISTOL MYERS SQUIBB
Kimberly Gwiazdzinski
Senior Director, Pharmaceutical Trade Relations
PRIME THERAPEUTICS
PART TWO: RISK SHARING AND EXCLUSIVITY AGREEMENTS
• Avoiding legal red tape to ensure that the contract moves forward
• Balancing the scale to ensure both parties truly share risk
• Advantages to utilizing an exclusivity agreement for new products
Trevor Wear
Partner
SIDLEY AUSTIN
12:30 LUNCHEON FOR ALL DELEGATE, SPEAKER AND SPONSOR
ATTENDEES
1:30 ENSURING COVERAGE OF SPECIALTY PHARMACEUTICALS
THROUGH EXCEPTIONAL CONTRACTS AND PRICING MODELS
With many pharmaceutical products in the pipeline targeted for rare diseas-
es, oncology and other specialty areas, pharmaceutical pricing teams are
tasked with balancing the return on investment for these products while en-
suring accessibility for patients. Understanding factors that are taken into
consideration by payers, such as patient outcomes, trial data, affordability
and risk, when deciding to cover a specialty product will help pricing leaders
better develop contractual agreements that provide usable information for
payers and pricing models that are mutually beneficial. As the development
of innovative and targeted therapies continues to grow, companies must
clarify the ways in which specialty products will be managed and covered in
order to develop sustainable pricing models for the future.
• Identifying usable contracting models for specialty products
• Predicting future trends of coverage in specialty pharma
• Pricing specialty pharmaceuticals to ensure product coverage
Juan Camilo Roman, Senior Director, Market Access
ABBVIE
2:15 REGULATORY ENVIRONMENT AND CONTRACTING TRENDS FOR
THE MEDICARE PART D PROGRAM
Through the implementation of the Affordable Care Act, Medicare Part D
has been greatly impacted as lowering drug costs for patients affects re-
bates and discounts expected. With more specialty products in the pipeline,
understanding the structure of specialty tier prices for Part D programs is
essential. This session will delve into current best practices in contracting
and pricing within the Medicare part D programs, identifying areas where
change may be imminent and enabling attendees to best prepare for upcom-
ing shifts in guidance.
• Reviewing proposed guidance: why it was revoked & what will be next
• Successful navigation of specialty tier pricing structures within Medicare
• Direct price negotiation with government groups vs managed care or PBMs
Anne Hance, Partner
MCDERMOTT, WILL & EMERY
3:00 COFFEE & NETWORKING BREAK
3:15 PANEL DISCUSSION: THE ROLE OF PRODUCT PRICING IN ACO
DECISION-MAKING
Based on provisions within the Affordable Care Act, Accountable Care Or-
ganizations have been tasked with the responsibility of lowering the overall
cost of treatment for patients while increasing the quality of care provided
to the general population. ACO executives must balance cost and quality
when deciding what products will be contracted and prescribed within their
hospitals and physician offices, prompting pharmaceutical pricing teams to
better understand the factors that are considered within these value analy-
sis discussions. This insightful panel discussion will provide attendees with
an inside look at how value analysis committees and ACO leadership evalu-
ate therapies based on pricing, product effectiveness and other elements.
William Hillmer Senior Director, Strategic Pricing & Contracts
MALLINCKRODT
Megan Woosley, Team Leader of Case Management
OWENSBORO HEALTH ACO
Matthew Fornataro, Associate
ARNOLD & PORTER LLP
4:00 PRICING CONSIDERATIONS FOR PHARMACEUTICAL PRODUCT
ACQUISITIONS
As pharma brands change ownership due to larger pharma re-focusing port-
folios and smaller pharma acquiring assets or consolidating, these brands
experience price decisions that impact commercial and government payers
in unplanned ways. These changes also require careful assessment, deci-
sion-making, planning, and implementation by the new pharma owner as
early as due diligence and far into the brand pricing lifecycle for successful
transition. Transition places at risk value position, market access, contin-
ued payer coverage, patient affordability, revenue stream, and government
reporting. Understanding, anticipating, and mitigating pricing risk in these
areas enable successful product transition or, for payers, insights into bal-
ancing continued access and costs.
• Assessing net price in due diligence
• Gauging strategic pricing opportunity in the competitive value mix
•Aligningpricingconsiderationswithpayercoverageandpatientaffordability
• Supporting product acquisition pricing through value and payer transition
• NDC pricing transition: rebate, chargeback and government reporting
Leonard Fairfield, Senior Director Pricing & Contracts
DEPOMED
4:45 CONCLUSION OF CONFERENCE ACTIVITIES
PHARMACEUTICAL STRATEGIC PRICING
OCTOBER 5-6, 2015 | PHILADELPHIA, PA
500 N. DEARBORN STREET, SUITE 500 CHICAGO, IL 60654 (P) 312.822.8100 (F) 312.602.3834 www.q1productions.com
Senior Manager, Strategic Pricing, ABBVIE
Director of Contracts and Pricing, ACORDA THERAPEUTICS
Vice President Patient & Market Access, AEGERION
Partner, ARTISAN HEALTHCARE CONSULTING
Senior Manager, Pricing & Contracting, AVANIR
Director, Managed Markets Marketing, AVANIR
Director, Global Market Access Strategies, BAXTER
Director of Strategic Pricing & Reimbursement, BAYER
Head, Strategic Pricing & Reimbursement, BAYER
Director, Business Strategies, BAYER
Director, BERKELEY RESEARCH GROUP
Associate Director of Managed Markets, BIOGEN IDEC
Associate Director, Sales Analysis, BMS
Market Access, BMS
Managed Care & Contracting, BMS
Director, Strategic Contracting & Analytics, BTG
Associate Pharmacy Director, CAREOREGON
Assoc. Dir. Global Pricing & Market Access, CELGENE
National Account Manager, CELGENE
Chief Commercial Officer, CLEMENTIA PHARMACEUTICALS
Senior Director, US Corporate Accounts, CSL BEHRING
Senior Manager of Government Programs, DAIICHI SANKYO
Associate Director, Strategic Pricing and Contracting, EISAI
Director, Pricing & Contracting, FERRING
Cross Portfolio Pricing & Contracting, GENENTECH
Senior Manager, Pricing & Contracting, GENENTECH
Director of Pricing & Contracting, HORIZON PHARMA
Associate Director, Payer & Trade Strategy, HYPERION
Vice President Customer Operations, IKARIA
Vice President of Payor & Pricing, IRONWOOD
Strategic Contract Management, JANSSEN
Director, National Accounts & Market Access, JANSSEN
Director, Offer Development, JOHNSON & JOHNSON
Director, Strategic Contracts, JOHNSON & JOHNSON
Senior Director, Managed Care & Trade Relations, MEDA
Director, Managed Markets, MEDAC PHARMA
Director of Pricing, ONYX PHARMACEUTICALS
Director of Payer Strategy, OTSUKA AMERICA
Director, Pricing; Home Healthcare, PHILIPS HEALTHCARE
Director, Marketing, PURDUE PHARMA
Director, Managed Markets Contracting, PURDUE PHARMA
Government Pricing, RB PHARMACEUTICALS
Director of Managed Markets, RECKITT BENCKISER
Senior DIrector, Contract Development & Analytics, SANOFI
Director, Managed Markets Analytics, SHIRE
Head, Contracts & Reporting, SHIRE
Senior Director, Contract Development & Analytics, SHIRE
Partner, SIDLEY AUSTIN LLP
Partner, SIMON-KUCHER & PARTNERS
Associate Director, Contract Development, SUNOVION
National Pricing Manager, TAKEDA PHARMACEUTICALS
Senior Director, Pricing & Contracting, TEVA
Associate Director, Contract Administration & Pricing, TEVA
US Head, Access & Reimbursement, THROMBOGENICS
National Account Executive, UCB PHARMA
National Account Manager, UNITED THERAPEUTICS
PREVIOUS ATTENDEES INCLUDE:
KEY SPEAKER HIGHLIGHT:
Professionals who have the most to gain from this program are those that de-
velop and manage pricing strategies and create contract agreements with pay-
ers and government agencies. Executives whose work is directly impacted by
the evolving healthcare market will find this program of great insight, including
Heads, Managers, Directors and Vice Presidents of:
• Pricing
• Pricing & Contracting
• Contracting
• Market Access
• Managed Markets
• Contract Development
At this time, there are a variety of sponsorship and exhibition opportunities
available for companies wishing to increase their visibility and participation in
the program, ranging from keynote speaking opportunities through to exhibitor
and documentation sponsors. Organizations most suitable for this type of expo-
sure on this program provide services and solutions including:
• Benchmarking
• Contract Management
• Forecasting
• Market Research
• Pharmaceutical Pricing Services
• Pricing Strategy Consultation
WHO SHOULD ATTEND:
SPONSORSHIP OPPORTUNITIES:
• Market Analytics
• National Accounts
John Alter
Vice President / Global Established Pharma
Business Unit Lead Global Health and Value
PFIZER INC
John Alter is currently VP Global Health & Value lead and member of the lead-
ership team of the Global Established Pharma Business Unit at Pfizer. Health
& Value functions include Pricing, Market Access, HEOR and Real World Data.
John joined Pfizer in 1998 and has held positions of increasing responsibilities
in several functions/divisions including Corporate Finance, Global Manufactur-
ing and Pharmaceutical Commercial Operations in North America, Latin Ameri-
ca, Europe, Africa, Middle East and Asia Pacific.
John earned his undergraduate degree from Villanova University and his MBA
from George Mason University and served as a U.S. Naval officer for six years
before joining industry. He is married with three children.

More Related Content

What's hot

The Pharma & ACO Relationship
The Pharma & ACO RelationshipThe Pharma & ACO Relationship
The Pharma & ACO Relationship
Joseph Gaspero
 
USA Pharmacy Benefits Management Market Overview
USA Pharmacy Benefits Management Market OverviewUSA Pharmacy Benefits Management Market Overview
USA Pharmacy Benefits Management Market Overview
Niraj Singhvi
 

What's hot (20)

Dsp investor deck jp morgan january 2017 final2
Dsp investor deck jp morgan january 2017 final2Dsp investor deck jp morgan january 2017 final2
Dsp investor deck jp morgan january 2017 final2
 
Pharma marketing & policies
Pharma marketing & policiesPharma marketing & policies
Pharma marketing & policies
 
Patented Medicine Prices Review Board: Exploring the Impact of Proposed Price...
Patented Medicine Prices Review Board: Exploring the Impact of Proposed Price...Patented Medicine Prices Review Board: Exploring the Impact of Proposed Price...
Patented Medicine Prices Review Board: Exploring the Impact of Proposed Price...
 
Strong Medicine
Strong MedicineStrong Medicine
Strong Medicine
 
Ethical & unethical pharma market
Ethical & unethical pharma marketEthical & unethical pharma market
Ethical & unethical pharma market
 
IFPMA Code of Practice 2012
IFPMA Code of Practice2012IFPMA Code of Practice2012
IFPMA Code of Practice 2012
 
Impax Labs - 35th Annual JP Morgan Healthcare Conference
Impax Labs - 35th Annual JP Morgan Healthcare ConferenceImpax Labs - 35th Annual JP Morgan Healthcare Conference
Impax Labs - 35th Annual JP Morgan Healthcare Conference
 
Impax Fourth Quarter 2016 Earnings Call Presentation
Impax Fourth Quarter 2016 Earnings Call PresentationImpax Fourth Quarter 2016 Earnings Call Presentation
Impax Fourth Quarter 2016 Earnings Call Presentation
 
HawkPartners Perspective on Payer Research
HawkPartners Perspective on Payer ResearchHawkPartners Perspective on Payer Research
HawkPartners Perspective on Payer Research
 
Dsp investor deck oct 2015 final (2)
Dsp investor deck oct 2015 final (2)Dsp investor deck oct 2015 final (2)
Dsp investor deck oct 2015 final (2)
 
Accelerating Bio-Pharma's Marketing Transformation
Accelerating Bio-Pharma's Marketing TransformationAccelerating Bio-Pharma's Marketing Transformation
Accelerating Bio-Pharma's Marketing Transformation
 
Challenges of pharmaceutical industry in 2015
Challenges of pharmaceutical industry in 2015Challenges of pharmaceutical industry in 2015
Challenges of pharmaceutical industry in 2015
 
Rapport biosimilars excerpts
Rapport biosimilars excerptsRapport biosimilars excerpts
Rapport biosimilars excerpts
 
The Pharma & ACO Relationship
The Pharma & ACO RelationshipThe Pharma & ACO Relationship
The Pharma & ACO Relationship
 
Diplomat Pharmacy Inc - November 2016 Investors Presentation
Diplomat Pharmacy Inc - November 2016 Investors PresentationDiplomat Pharmacy Inc - November 2016 Investors Presentation
Diplomat Pharmacy Inc - November 2016 Investors Presentation
 
USA Pharmacy Benefits Management Market Overview
USA Pharmacy Benefits Management Market OverviewUSA Pharmacy Benefits Management Market Overview
USA Pharmacy Benefits Management Market Overview
 
Ethical practices in pharma
Ethical practices in pharmaEthical practices in pharma
Ethical practices in pharma
 
Specialty drug trend_whitepaper
Specialty drug trend_whitepaperSpecialty drug trend_whitepaper
Specialty drug trend_whitepaper
 
Financial Management in Pharmaceutical industry
Financial Management in Pharmaceutical industryFinancial Management in Pharmaceutical industry
Financial Management in Pharmaceutical industry
 
Federal pharmaceutical pricing reform: What do patients think?
Federal pharmaceutical pricing reform: What do patients think?Federal pharmaceutical pricing reform: What do patients think?
Federal pharmaceutical pricing reform: What do patients think?
 

Viewers also liked (14)

Ley4570
Ley4570Ley4570
Ley4570
 
Virus gadget pengaruhi efektivitas masyarakat
Virus gadget pengaruhi efektivitas masyarakatVirus gadget pengaruhi efektivitas masyarakat
Virus gadget pengaruhi efektivitas masyarakat
 
Test
TestTest
Test
 
OptimalViewsheds_FairfaxVA
OptimalViewsheds_FairfaxVAOptimalViewsheds_FairfaxVA
OptimalViewsheds_FairfaxVA
 
Actividad 1 juan camil bedoya escobar 8b
Actividad 1 juan camil bedoya escobar 8bActividad 1 juan camil bedoya escobar 8b
Actividad 1 juan camil bedoya escobar 8b
 
Pres5
Pres5Pres5
Pres5
 
Practica 7
Practica 7Practica 7
Practica 7
 
Distributed agile
Distributed agileDistributed agile
Distributed agile
 
Edublog
EdublogEdublog
Edublog
 
Las cibercomunidades de aprendizaje (cCA): presente y futuro
Las cibercomunidades de aprendizaje (cCA):  presente y futuroLas cibercomunidades de aprendizaje (cCA):  presente y futuro
Las cibercomunidades de aprendizaje (cCA): presente y futuro
 
Neogociacion colectiva trabajo 05.05.2016
Neogociacion colectiva trabajo 05.05.2016Neogociacion colectiva trabajo 05.05.2016
Neogociacion colectiva trabajo 05.05.2016
 
Estado de necesidad 1
Estado de necesidad 1Estado de necesidad 1
Estado de necesidad 1
 
Concrete Materials.ppt
Concrete Materials.pptConcrete Materials.ppt
Concrete Materials.ppt
 
Pharmacotherapy considerations in elderly adults
Pharmacotherapy considerations in elderly adultsPharmacotherapy considerations in elderly adults
Pharmacotherapy considerations in elderly adults
 

Similar to Pharma Pricing Agenda

New Health Report 2012 - Media Briefing Deck
New Health Report 2012 - Media Briefing Deck New Health Report 2012 - Media Briefing Deck
New Health Report 2012 - Media Briefing Deck
Quintiles
 
VC_DataDrivenDecision
VC_DataDrivenDecisionVC_DataDrivenDecision
VC_DataDrivenDecision
Dianne Pilon
 
Market Access in Latin America Leaders Forum - Agenda
Market Access in Latin America Leaders Forum - AgendaMarket Access in Latin America Leaders Forum - Agenda
Market Access in Latin America Leaders Forum - Agenda
Andrea Basagoitia. Ph.D
 
TPF - Issue 2
TPF - Issue 2TPF - Issue 2
TPF - Issue 2
Kinbo Lee
 
3rd Annual Customer Centric Medical Information Agenda
3rd Annual Customer Centric Medical Information Agenda3rd Annual Customer Centric Medical Information Agenda
3rd Annual Customer Centric Medical Information Agenda
Tracey Zdravkovic
 
Quintiles new healthreport_2011
Quintiles new healthreport_2011Quintiles new healthreport_2011
Quintiles new healthreport_2011
Quintiles
 

Similar to Pharma Pricing Agenda (20)

Conor Smith Resume MS 8-15
Conor Smith Resume MS 8-15Conor Smith Resume MS 8-15
Conor Smith Resume MS 8-15
 
Marketing and promotion_facts_071108_final
Marketing and promotion_facts_071108_finalMarketing and promotion_facts_071108_final
Marketing and promotion_facts_071108_final
 
Marketing and promotion_facts_071108_final
Marketing and promotion_facts_071108_finalMarketing and promotion_facts_071108_final
Marketing and promotion_facts_071108_final
 
Pharmacy Benefit Managers
Pharmacy Benefit ManagersPharmacy Benefit Managers
Pharmacy Benefit Managers
 
New Health Report 2012 - Media Briefing Deck
New Health Report 2012 - Media Briefing Deck New Health Report 2012 - Media Briefing Deck
New Health Report 2012 - Media Briefing Deck
 
VC_DataDrivenDecision
VC_DataDrivenDecisionVC_DataDrivenDecision
VC_DataDrivenDecision
 
Market Access in Latin America Leaders Forum - Agenda
Market Access in Latin America Leaders Forum - AgendaMarket Access in Latin America Leaders Forum - Agenda
Market Access in Latin America Leaders Forum - Agenda
 
SupplyChain-ISSUU
SupplyChain-ISSUUSupplyChain-ISSUU
SupplyChain-ISSUU
 
TPF - Issue 2
TPF - Issue 2TPF - Issue 2
TPF - Issue 2
 
Specialty one pager FINAL
Specialty one pager FINALSpecialty one pager FINAL
Specialty one pager FINAL
 
Why Pharmaceutical Prices are Rising and How We Can Fight Against Them?
Why Pharmaceutical Prices are Rising and How We Can Fight Against Them?Why Pharmaceutical Prices are Rising and How We Can Fight Against Them?
Why Pharmaceutical Prices are Rising and How We Can Fight Against Them?
 
Data-driven Healthcare for the Pharmaceutical Industry
Data-driven Healthcare for the Pharmaceutical IndustryData-driven Healthcare for the Pharmaceutical Industry
Data-driven Healthcare for the Pharmaceutical Industry
 
Drug Discovery, Development and Commercialization
Drug Discovery, Development and CommercializationDrug Discovery, Development and Commercialization
Drug Discovery, Development and Commercialization
 
7 Drivers: Pharmaceutical Television Advertising - John G. Baresky
7 Drivers: Pharmaceutical Television Advertising - John G. Baresky7 Drivers: Pharmaceutical Television Advertising - John G. Baresky
7 Drivers: Pharmaceutical Television Advertising - John G. Baresky
 
2015 Medical Device Outlook - Deloitte
2015 Medical Device Outlook - Deloitte2015 Medical Device Outlook - Deloitte
2015 Medical Device Outlook - Deloitte
 
3rd Annual Customer Centric Medical Information Agenda
3rd Annual Customer Centric Medical Information Agenda3rd Annual Customer Centric Medical Information Agenda
3rd Annual Customer Centric Medical Information Agenda
 
Pharma R&D in a Value-based Healthcare System
Pharma R&D in a Value-based Healthcare SystemPharma R&D in a Value-based Healthcare System
Pharma R&D in a Value-based Healthcare System
 
Quintiles new healthreport_2011
Quintiles new healthreport_2011Quintiles new healthreport_2011
Quintiles new healthreport_2011
 
Fda Cms Summit Panel Preso In Ventiv
Fda Cms Summit Panel Preso In VentivFda Cms Summit Panel Preso In Ventiv
Fda Cms Summit Panel Preso In Ventiv
 
A Look Ahead for Health System Pharmacies
A Look Ahead for Health System PharmaciesA Look Ahead for Health System Pharmacies
A Look Ahead for Health System Pharmacies
 

Pharma Pricing Agenda

  • 1. PHARMACEUTICAL STRATEGIC PRICING OCTOBER 5-6, 2015 | PHILADELPHIA, PA Adapting To Changing Payer Expectations, New Government Regulations and the Increased Focus on Product Innovation to Develop Optimal Pricing Strategies that Ensure Greater Patient Access while Maximizing a Pharmaceutical Company’s Profitability DISTINGUISHED PRESENTERS INCLUDE: PHARMACEUTICAL INDUSTRY PERSPECTIVES PAYERS, PHARMACY BENEFIT MANAGERS AND ACCOUNTABLE CARE ORGANIZATIONS ADDITIONAL PRICING EXPERTS CONFERENCE SPONSOR: 500 N. DEARBORN STREET, SUITE 500 CHICAGO, IL 60654 (P) 312.822.8100 (F) 312.602.3834 www.q1productions.com Michael Paas VP, Market Access & Pricing REGENERON PHARMACEUTICALS Sean McElligott Director JANSSEN Leonard Fairfield Senior Director Pricing & Contracts DEPOMED *pending confirmation Jonathan Connell Senior Counsel BRISTOL MYERS SQUIBB 2nd Semi-Annual John Alter Vice President, Global Health & Value, Global Established Pharma Business Unit PFIZER Jennifer English Director, Contracts & Pricing ACORDA THERAPEUTICS Juan Camilo Roman Senior Director, Market Access ABBVIE William Hillmer Senior Director, Strategic Pricing & Contracts MALLINCKRODT J’Aime Conrod National Director, Federal & Government Accounts, Market Access & Pricing UCB Lisa McNair Manager, Contracting and Reimbursement INVIDIOR Ed Pezalla, MD, MPH National Medical Director for Pharmacy Policy and Strategy AETNA Kimberly Gwiazdzinski Senior Director, Pharmaceutical Trade Relations, PRIME THERAPEUTICS F.Michael White, PharmD CSP Director, Clinical Pharmacy Services, Interim VP BLUECROSS BLUESHIELD TENNESSEE Megan Woosley Team Leader of Case Management OWENSBORO HEALTH ACO Crystal Kuntz VP Policy and Regulatory Affairs AMERICA’S HEALTH INSURANCE PLANS (AHIP) Rene Acker, R.Ph. Chief Operating Officer MERIDIANRX Trevor Wear Partner SIDLEY AUSTIN Donna Yesner Partner MORGAN LEWIS Matthew Fornataro Associate ARNOLD & PORTER LLP Robert Field, PhD, MPH, JD Professor, Health Management & Policy DREXEL UNIVERSITY Anne Hance Partner MCDERMOTT, WILL & EMERY Andrew Peterson, PharmD, PhD John Wyeth Dean, Professor of Clinical Pharmacy and Health Policy UNIVERSITY OF THE SCIENCES
  • 2. 8:00 REGISTRATION & MORNING COFFEE 8:50 OPENING REMARKS 9:00 KEYNOTE PRESENTATION: EVOLUTION OF HEALTHCARE AND IMPACT ON PHARMACEUTICAL PRICING The continually evolving healthcare landscape throughout the US has a constant impact on pharmaceutical pricing, as consumers, physicians and health plans change priorities and requirements. Robust healthcare reforms across the country have also placed an increased focus and awareness relat- ed to the price of pharmaceutical therapies, resulting in considerable chang- es for pharmaceutical executives. Compounded by external scrutiny of the in- dustry, executives must continually evaluate and re-evaluate pricing models, forecasts, and structures to ensure the future growth and viability of the in- dustry. The focus of this talk will be on the how each of the major stakehold- ers in the drug supply chain price their products and how the market place, government requirements and other forces influence pricing decisions. Andrew Peterson, PharmD, PhD John Wyeth Dean Professor of Clinical Pharmacy and Professor of Health Policy- Mayes College of Healthcare Business and Policy UNIVERSITY OF THE SCIENCES 9:45 PANEL DISCUSSION: REVISED PRICING STRATEGIES IN LINE WITH 340B OMNIBUS GUIDANCE Many uncertainties exist surrounding the proposed changes to the 340B Drug Pricing Program, with the Health Resources & Services A sdministra- tion (HRSA) having submitted new guidance to the Office of Management and Budget on May 6th, 2015. Although a comment period as well as imple- mentation phase will be provided once the guidance is final, many organiza- tions are preparing for changes and the impact on pricing structures. With legal, financial and operational ramifications, understanding the anticipated revisions will ensure corporations are ready to move forward within a restruc- tured 340B framework. • Impact on revenue, rebates and price • Reporting and compliance considerations • Effective internal restructuring to comply Jonathan Connell, Senior Counsel, BRISTOL MYERS SQUIBB Donna Yesner, Partner, MORGAN LEWIS Trevor Wear, Partner, SIDLEY AUSTIN 10:30 COFFEE & NETWORKING BREAK 11:00 PRICING TRANSPARENCY REPORTING AND REQUIREMENTS IN LIGHT OF 340B DRUG PRICING CHANGES While pharmaceutical manufacturers are currently submitting data to CMS related to the average manufacturer’s price, unit rebate amount, package size and national drug code, the proposed changes to 340B include addi- tional reporting requirements with an aim of providing even greater price transparency. Revisions to the 340B regulations indicate new requirements including collection of previously stated drug pricing, as well as calculated 340B ceiling price for each National drug code. Pricing executives require a firm understanding of proposed changes in order to ensure data is available for reporting based on finalized regulations. • Impact of increased transparency on pricing • Ensuring data is accessible for reporting • Forecasting additional 340B transparency requirements Donna Yesner, Partner, MORGAN LEWIS 11:45 IDENTIFYING THE IMPACT OF GENERIC AND BIOSIMILAR ENCROACHMENT ON PHARMACEUTICAL PRICING Across the pharmaceutical and biotechnology industries, pricing executives are continually planning and evaluating strategies related to maximizing product exclusivity provided by patents, and are concerned regarding the launch of generic and biosimilar products. Uncertainties exist throughout the industry related to the timelines of generic and biosimilar approvals by FDA, with the first biosimilar product only recently receiving clearance, after con- siderable delays. For pricing executives, balancing the optimization of reve- nue alongside strategies for maintaining profitability post-generic launch is essential in preserving the growth and development of the industry. • Impact on pricing as a result of generic and biosimilar approval • Maximizing revenue through final periods of exclusivity • Maintaining sales through creative pricing post-generic launch Sean McElligott, Director JANSSEN Robert Field, PhD, MPH, JD, Professor, Health Management & Policy DREXEL UNIVERSITY 12:45 LUNCHEON FOR ALL DELEGATE, SPEAKERS AND SPONSOR ATTENDEES 1:45 COMMUNICATING PRODUCT VALUE TO COMMERCIAL PAYERS TO SUPPORT PRICING STRUCTURES In an increasingly competitive marketplace, pharma pricing executives must provide clear and comprehensive value propositions to gain support for new and existing therapies with commercial payers. While effectively communi- cating the health and economic value of a product is essential to gaining sup- port, it is increasingly difficult to do so, as payers shift priorities and continue to place more focus on cost in addition to effectiveness. Having a robust dos- sier prepared for payers and successfully leveraging information gathered throughout the organization will ensure pricing structures are maintained. • Utilizing HEOR data to support value proposition • Lessons learned from successful negotiations • Trends in payer landscape focused on cost John Alter, Vice President, Global Health & Value, Global Established Pharma Business Unit, PFIZER 2:30 PANEL: PAYER PERSPECTIVES ON THE EVOLVING HEALTHCARE LANDSCAPE AND EFFECT ON PHARMACEUTICAL PRICING Private payers throughout the US play a pivotal role in the healthcare system, ensuring millions of individuals have access to healthcare. As the cost of healthcare across the country has continued to rise, health insurers have looked to support products with high levels of effectiveness, as well as prod- ucts that have the ultimate levels of cost-effectiveness. With pharmaceuti- cal and biotechnology companies increasingly developing more expensive, niche products that serve unmet medical needs but carry higher prices, the two industries have come to a cross-road and must work in tandem to con- tinue serving patients across the country. • Models for assessing pharmaceutical price v. effectiveness • Review processes for new and existing product formularies • Payer perspective on optimal dossier inclusions Michael Paas, VP, Market Access & Pricing REGENERON PHARMACEUTICALS Rene Acker, R.Ph., Chief Operating Officer, MERIDIANRX F. Michael White, PharmD, CSP, Director, Clinical Pharmacy Services, Interim VP, BLUECROSS BLUE SHIELD TENNESSEE Ed Pezalla, MD, MPH, National Medical Director for Pharmacy Policy and Strategy, AETNA Crystal Kuntz, VP Policy and Regulatory Affairs AMERICA’S HEALTH INSURANCE PLANS (AHIP) 3:30 COFFEE & NETWORKING BREAK 4:00 PRICING COLLABORATION AND COHESION WITH PHARMACY BENEFIT MANAGERS For Pharmacy Benefit Managers (PBMs) throughout the nation, working with pharmaceutical pricing executives is a crucial step in reducing the per capita spend of clients enrolled in the varied programs supported by the PBM. Nego- tiations are increasingly centered around product health benefits, and ensur- ing funds directed to pharmaceutical therapies provide the highest possible medical benefit. With rising prices across the specialty drug segment apply- ing pressure across the entire system, it is more critical than ever to establish strong working relationships between PBMs and life sciences corporations. • Trends in the PBM market for the next several years • Challenges caused by increasing pharmaceutical prices • Establishing mutually beneficial partnerships Rene Acker, R.Ph., Chief Operating Officer, MERIDIANRX Kimberly Gwiazdzinski, Senior Director, Pharmaceutical Trade Relations PRIME THERAPEUTICS 5:00 IMPACT OF BUNDLED PAYMENTS ON PHARMACEUTICAL PRICING AND REIMBURSEMENT As public and private payers continue to reduce the overall cost of care while providing the most advantageous possible outcome, the growing trend of utilizing bundled payments for treatment will continue. Bundled payments are becoming increasingly prevalent, especially in light of the shift toward integrated care, and bundled reimbursement methodologies provide hospi- tals and healthcare professionals with an opportunity to bill per procedure or episode-of-care -- rather than based on itemized costs. In order to react to this emphasis on bundled payments, pharmaceutical pricing executives must consider the impact of bundling when developing overall pricing and contracting structures, and companies must grapple with the complex legal and regulatory framework governing bundled sales arrangements. • Overview of bundled payments in pharmaceutical and biotech industry • Developing a bundled price and cost benefits for patients and providers • Anti-Kickback Statute overview and discount “safe harbor” • Current enforcement trends and performance-based rebates Matthew Fornataro, Associate, ARNOLD & PORTER LLP 5:45 END OF DAY ONE PHARMACEUTICAL STRATEGIC PRICING DAY ONE | MONDAY, OCTOBER 5 500 N. DEARBORN STREET, SUITE 500 CHICAGO, IL 60654 (P) 312.822.8100 (F) 312.602.3834 www.q1productions.com
  • 3. 500 N. DEARBORN STREET, SUITE 500 CHICAGO, IL 60654 (P) 312.822.8100 (F) 312.602.3834 www.q1productions.com PHARMACEUTICAL STRATEGIC PRICING DAY TWO | TUESDAY, OCTOBER 6 8:30 REGISTRATION & MORNING COFFEE 8:50 OPENING REMARKS 9:00 IMPACT OF STATE MEDICAID PROGRAMS ON PHARMACEUTICAL PRICING STRATEGIES Although much discussion surrounding pharmaceutical pricing is centered on US Federal programs, there is increasing concern regarding individual state Medicaid programs, especially in light of new coverage requirements put into place through the Affordable Care Act. With some of the largest states driving a high proportion of Medicaid utilization, it is important to un- derstand the priorities and challenges faced at the state level in providing cost-effective care. In a multi-part presentation, presenters will provide in- sight into challenges with state Medicaid, followed by robust discussion with the audience to answer questions and ensure clarification. PART ONE: SHIFT OF STATE MEDICAID PATIENTS TO PRIVATE MAN- AGED CARE • State benefits of shifting patients to private managed care • Impact of shifting patient base on pricing and formularies • Preparing pricing strategies for state Medicare enrollees J’Aime Conrod National Director, Federal & Government Accounts, Market Access & Pricing UCB PART TWO: PANEL DISCUSSION: STATE-LEVEL MEDICAID CHALLENGES • Overview of significant state Medicaid programs • Varied priorities based on population health and needs • Budgetary constraints at the state Medicaid level J’Aime Conrod National Director, Federal & Government Accounts, Market Access & Pricing UCB Lisa McNair Manager, Contracting and Reimbursement INVIDIOR 10:30 COFFEE & NETWORKING BREAK 11:00 RISK SHARING, VALUE BASED, AND EXCLUSIVITY: TRENDS WITHIN INNOVATIVE CONTRACTING TYPES Ensuring product coverage and accessibility is essential for pricing teams and as more high-cost products move up the pipeline, pricing leaders work to develop innovative contracting types for these products that will be well-re- ceived by private payers and managed care organizations. Unique contract- ing types, such as risk sharing, value based and exclusivity agreements may garner payer support and coverage of products, however they may be challenging to implement due to legal restrictions, budgetary concerns, and distribution of risk between both parties. This session will explore innovative contracting types and the future growth of each contracting method and us- ability for various therapeutic areas. PART ONE: PANEL DISCUSSION ON VALUE BASED CONTRACTING • Payer and managed care group preferences for a value-based contract • Including clear and readable metrics on product value • ACA impact on value-based contract usability William Hillmer Senior Director, Strategic Pricing & Contracts MALLINCKRODT Jennifer English Director, Contracts & Pricing ACORDA THERAPEUTICS Jonathan Connell Senior Counsel BRISTOL MYERS SQUIBB Kimberly Gwiazdzinski Senior Director, Pharmaceutical Trade Relations PRIME THERAPEUTICS PART TWO: RISK SHARING AND EXCLUSIVITY AGREEMENTS • Avoiding legal red tape to ensure that the contract moves forward • Balancing the scale to ensure both parties truly share risk • Advantages to utilizing an exclusivity agreement for new products Trevor Wear Partner SIDLEY AUSTIN 12:30 LUNCHEON FOR ALL DELEGATE, SPEAKER AND SPONSOR ATTENDEES 1:30 ENSURING COVERAGE OF SPECIALTY PHARMACEUTICALS THROUGH EXCEPTIONAL CONTRACTS AND PRICING MODELS With many pharmaceutical products in the pipeline targeted for rare diseas- es, oncology and other specialty areas, pharmaceutical pricing teams are tasked with balancing the return on investment for these products while en- suring accessibility for patients. Understanding factors that are taken into consideration by payers, such as patient outcomes, trial data, affordability and risk, when deciding to cover a specialty product will help pricing leaders better develop contractual agreements that provide usable information for payers and pricing models that are mutually beneficial. As the development of innovative and targeted therapies continues to grow, companies must clarify the ways in which specialty products will be managed and covered in order to develop sustainable pricing models for the future. • Identifying usable contracting models for specialty products • Predicting future trends of coverage in specialty pharma • Pricing specialty pharmaceuticals to ensure product coverage Juan Camilo Roman, Senior Director, Market Access ABBVIE 2:15 REGULATORY ENVIRONMENT AND CONTRACTING TRENDS FOR THE MEDICARE PART D PROGRAM Through the implementation of the Affordable Care Act, Medicare Part D has been greatly impacted as lowering drug costs for patients affects re- bates and discounts expected. With more specialty products in the pipeline, understanding the structure of specialty tier prices for Part D programs is essential. This session will delve into current best practices in contracting and pricing within the Medicare part D programs, identifying areas where change may be imminent and enabling attendees to best prepare for upcom- ing shifts in guidance. • Reviewing proposed guidance: why it was revoked & what will be next • Successful navigation of specialty tier pricing structures within Medicare • Direct price negotiation with government groups vs managed care or PBMs Anne Hance, Partner MCDERMOTT, WILL & EMERY 3:00 COFFEE & NETWORKING BREAK 3:15 PANEL DISCUSSION: THE ROLE OF PRODUCT PRICING IN ACO DECISION-MAKING Based on provisions within the Affordable Care Act, Accountable Care Or- ganizations have been tasked with the responsibility of lowering the overall cost of treatment for patients while increasing the quality of care provided to the general population. ACO executives must balance cost and quality when deciding what products will be contracted and prescribed within their hospitals and physician offices, prompting pharmaceutical pricing teams to better understand the factors that are considered within these value analy- sis discussions. This insightful panel discussion will provide attendees with an inside look at how value analysis committees and ACO leadership evalu- ate therapies based on pricing, product effectiveness and other elements. William Hillmer Senior Director, Strategic Pricing & Contracts MALLINCKRODT Megan Woosley, Team Leader of Case Management OWENSBORO HEALTH ACO Matthew Fornataro, Associate ARNOLD & PORTER LLP 4:00 PRICING CONSIDERATIONS FOR PHARMACEUTICAL PRODUCT ACQUISITIONS As pharma brands change ownership due to larger pharma re-focusing port- folios and smaller pharma acquiring assets or consolidating, these brands experience price decisions that impact commercial and government payers in unplanned ways. These changes also require careful assessment, deci- sion-making, planning, and implementation by the new pharma owner as early as due diligence and far into the brand pricing lifecycle for successful transition. Transition places at risk value position, market access, contin- ued payer coverage, patient affordability, revenue stream, and government reporting. Understanding, anticipating, and mitigating pricing risk in these areas enable successful product transition or, for payers, insights into bal- ancing continued access and costs. • Assessing net price in due diligence • Gauging strategic pricing opportunity in the competitive value mix •Aligningpricingconsiderationswithpayercoverageandpatientaffordability • Supporting product acquisition pricing through value and payer transition • NDC pricing transition: rebate, chargeback and government reporting Leonard Fairfield, Senior Director Pricing & Contracts DEPOMED 4:45 CONCLUSION OF CONFERENCE ACTIVITIES
  • 4. PHARMACEUTICAL STRATEGIC PRICING OCTOBER 5-6, 2015 | PHILADELPHIA, PA 500 N. DEARBORN STREET, SUITE 500 CHICAGO, IL 60654 (P) 312.822.8100 (F) 312.602.3834 www.q1productions.com Senior Manager, Strategic Pricing, ABBVIE Director of Contracts and Pricing, ACORDA THERAPEUTICS Vice President Patient & Market Access, AEGERION Partner, ARTISAN HEALTHCARE CONSULTING Senior Manager, Pricing & Contracting, AVANIR Director, Managed Markets Marketing, AVANIR Director, Global Market Access Strategies, BAXTER Director of Strategic Pricing & Reimbursement, BAYER Head, Strategic Pricing & Reimbursement, BAYER Director, Business Strategies, BAYER Director, BERKELEY RESEARCH GROUP Associate Director of Managed Markets, BIOGEN IDEC Associate Director, Sales Analysis, BMS Market Access, BMS Managed Care & Contracting, BMS Director, Strategic Contracting & Analytics, BTG Associate Pharmacy Director, CAREOREGON Assoc. Dir. Global Pricing & Market Access, CELGENE National Account Manager, CELGENE Chief Commercial Officer, CLEMENTIA PHARMACEUTICALS Senior Director, US Corporate Accounts, CSL BEHRING Senior Manager of Government Programs, DAIICHI SANKYO Associate Director, Strategic Pricing and Contracting, EISAI Director, Pricing & Contracting, FERRING Cross Portfolio Pricing & Contracting, GENENTECH Senior Manager, Pricing & Contracting, GENENTECH Director of Pricing & Contracting, HORIZON PHARMA Associate Director, Payer & Trade Strategy, HYPERION Vice President Customer Operations, IKARIA Vice President of Payor & Pricing, IRONWOOD Strategic Contract Management, JANSSEN Director, National Accounts & Market Access, JANSSEN Director, Offer Development, JOHNSON & JOHNSON Director, Strategic Contracts, JOHNSON & JOHNSON Senior Director, Managed Care & Trade Relations, MEDA Director, Managed Markets, MEDAC PHARMA Director of Pricing, ONYX PHARMACEUTICALS Director of Payer Strategy, OTSUKA AMERICA Director, Pricing; Home Healthcare, PHILIPS HEALTHCARE Director, Marketing, PURDUE PHARMA Director, Managed Markets Contracting, PURDUE PHARMA Government Pricing, RB PHARMACEUTICALS Director of Managed Markets, RECKITT BENCKISER Senior DIrector, Contract Development & Analytics, SANOFI Director, Managed Markets Analytics, SHIRE Head, Contracts & Reporting, SHIRE Senior Director, Contract Development & Analytics, SHIRE Partner, SIDLEY AUSTIN LLP Partner, SIMON-KUCHER & PARTNERS Associate Director, Contract Development, SUNOVION National Pricing Manager, TAKEDA PHARMACEUTICALS Senior Director, Pricing & Contracting, TEVA Associate Director, Contract Administration & Pricing, TEVA US Head, Access & Reimbursement, THROMBOGENICS National Account Executive, UCB PHARMA National Account Manager, UNITED THERAPEUTICS PREVIOUS ATTENDEES INCLUDE: KEY SPEAKER HIGHLIGHT: Professionals who have the most to gain from this program are those that de- velop and manage pricing strategies and create contract agreements with pay- ers and government agencies. Executives whose work is directly impacted by the evolving healthcare market will find this program of great insight, including Heads, Managers, Directors and Vice Presidents of: • Pricing • Pricing & Contracting • Contracting • Market Access • Managed Markets • Contract Development At this time, there are a variety of sponsorship and exhibition opportunities available for companies wishing to increase their visibility and participation in the program, ranging from keynote speaking opportunities through to exhibitor and documentation sponsors. Organizations most suitable for this type of expo- sure on this program provide services and solutions including: • Benchmarking • Contract Management • Forecasting • Market Research • Pharmaceutical Pricing Services • Pricing Strategy Consultation WHO SHOULD ATTEND: SPONSORSHIP OPPORTUNITIES: • Market Analytics • National Accounts John Alter Vice President / Global Established Pharma Business Unit Lead Global Health and Value PFIZER INC John Alter is currently VP Global Health & Value lead and member of the lead- ership team of the Global Established Pharma Business Unit at Pfizer. Health & Value functions include Pricing, Market Access, HEOR and Real World Data. John joined Pfizer in 1998 and has held positions of increasing responsibilities in several functions/divisions including Corporate Finance, Global Manufactur- ing and Pharmaceutical Commercial Operations in North America, Latin Ameri- ca, Europe, Africa, Middle East and Asia Pacific. John earned his undergraduate degree from Villanova University and his MBA from George Mason University and served as a U.S. Naval officer for six years before joining industry. He is married with three children.