(LONG BEACH, Calif. – February 4, 2016) — Sharon K. Jhawar, PharmD, corporate vice president of pharmacy for SCAN Health Plan, will be among the featured speakers at the National Value-Based Payment and Pay for Performance Summit to be held February 17-19 in San Francisco.
The summit is being held in recognition of the increasing importance for healthcare providers and insurers to take a more robust approach to improving quality while reducing costs and being appropriately compensated for their performance. In addressing the topic of “managing pharmaceutical costs in a value-based payment environment,” Jhawar will join with other healthcare leaders from industry, government and the nonprofit sector in sharing best practices and the opportunities and challenges they pose as healthcare moves from a volume-based to value-based approach in delivering care.
“There are many challenges facing the healthcare industry and through them all of SCAN remains firm in our longstanding commitment to focus on value and find innovative ways to improve senior healthcare as it pertains to quality, cost and access,” says Jhawar. “As year over year inflation on drug costs continues to be in the double digits, coupled with the rise of specialty drug costs and overall utilization, it is more critical than ever that we explore new concepts to manage costs and improve health outcomes.”
As part of its approach, SCAN is looking into how to optimize pay for performance contracting with pharmaceutical manufacturers. SCAN is also working creatively with retail pharmacies. For example, the SCAN-Express Scripts Quality Network Program, now in its second year, is encouraging and rewarding pharmacists to take a more active role in interacting with Medicare patients as a way to add value and improve care. Under the program top-performing and improved pharmacies receive incentives, while average or poorly performing pharmacies receive lower overall reimbursements. “SCAN is looking to evolve its pharmacy network to one that brings ‘value’ in terms of improved member health and cost,” Jhawar said.
SCAN is also a leading advocate in making medications more affordable for seniors. In 2016 many of the SCAN plans – Classic (HMO), Balance (HMO SNP), Heart First (HMO SNP) and Signature (HMO) plans – highlight the value of generic medications by featuring a dramatic savings opportunity. While copayments vary by county, these SCAN members receive a three-month supply (90 days) of Tier 1 and Tier 2 drugs and only pay for two months.“Many seniors take several medications to help them manage chronic, long-term conditions; and newer strategies are needed to manage rising drug costs so that the cost of drugs is not a barrier to good health,” said Jhawar.
The National Value-Based Payment and Pay for Performance Summit is being held at the Hyatt Regency in San Francisco. Information and registration may be obtained at: http://www.pfpsummit.com/agenda/day1.html.
SCAN is one of the nation’s largest not-for-profit Medicare Advantage plans, currently serving approximately 170,000 members. Further information about SCAN may be obtained at scanhealthplan.com or on Facebook at facebook.com/scanhealthplan.
As governed by the Centers for Medicare & Medicaid Services, member benefits vary by county. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or copayments/co-insurance may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Other Pharmacies and Providers are available in SCAN Health Plan’s network. Specific information on SCAN’s 2016 benefit plans is available at www.scan2016.com.
SCAN Health Plan is an HMO plan with a Medicare contract. Enrollment in SCAN Health Plan depends on contract renewal.
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Y0057_SCAN_9641_2016F File & Use Accepted 02072016