2017 PBMI Excellence Award Winners


We recognized six organizations with our PBMI Excellence Award for exceptional programs and strategies contributing to cost containment, care management, and quality improvement for the drug benefit.  Below are summaries of their winning programs/strategies.

Care Management Strategies

Anthem accepting the award
Devanshi, Sheri PharmD BCGP, Clinical Pharmacist and Ayn Piquant, PharmD RPh, Manager Pharmacy Operations, Anthem accept the award.

Anthem, Inc.

Anthem, Inc. is recognized for their Opioid Overutilization Management Program, which addresses the issue of potential opioid overuse. This program serves members at possible risk of overuse through a pharmacist–driven case management program and has reduced the number of opioid claims by half for these at risk members.

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HealthPartners accepting the award


Christine Solberg Strahl, PharmD, Sr. Manager Specialty Pharmacy Programs, HealthPartners accepts the award.

HealthPartners

HealthPartners is recognized for its Hepatitis C Program which uses a team of Pharmacy Navigators and Medication Therapy Management (MTM) pharmacists to support members being treated for hepatitis C manage their existing conditions and adhere to medications. The personalized approach by this program has led to a 98% hepatitis C therapy completion rate and nearly all participants achieving a viral cure.

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Cost Containment


Cigna accepting the award

Katy Wong, RPh MBA, Vice President Producer Relations, Cigna Pharmacy Management accepts the award.

Cigna Pharmacy Management

Cigna Pharmacy Management (Cigna) is recognized for strategic efforts to change the reimbursement model with drug manufacturers from volume to value through the use of outcomes-based contracts, which link financial terms to measured improvements in customers’ health. Cigna is measuring real world data across pharmacy and medical benefits to hold drug manufacturers accountable for expected health outcomes from medications, and is using these insights to inform future affordability strategies.

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MedImpact accepting the award  

Sara Erickson, PharmD, Health Outcomes Researcher, MedImpact Healthcare Systems accepts the award.

MedImpact Healthcare Systems

MedImpact Healthcare Systems, Inc. is recognized for their High-Cost Generics Program which uses pharmacists to review generics with a monthly cost of greater than $60, and where clinically appropriate, find alternative drugs that are equal or better in terms of efficacy, side-effect profile, and cost. Plan sponsors who implement this program save from $1.42 to $3.87 per member per month (PMPM) while also driving better healthcare consumer behaviors cost-sharing differentials, educational communications, and point-of-sale messaging.

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Quality Improvement

Alignment Healthcare accepting the award

Ali Farrokhroo, Pharm.D MBA, Vice President Pharmacy Services, Alignment Healthcare accepts the award.

Alignment Healthcare

Alignment Healthcare is recognized for its efforts to significantly improve medication adherence rates among seniors being treated for diabetes, hypertension, and high cholesterol. Using both sophisticated data analytics and concierge-level clinical support, this program has helped reduce costs and improve outcomes for Medicare Advantage populations.

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Adam Caromicoli, Managing Partner, Indellient/Blue Relay accepts the award.

Indellient

Indellient is recognized for their member communication software solution called Blue Relay. This program helped a large pharmacy benefit manager simplify document approval processes, create
automated workflows, and reduce review cycle time, while improving the quality and compliance of member benefit communications.

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