Sponsored Webinar

SCIOAdvanced Pharmacy Analytics:
Enhancing FWA Compliance & Cost Containment

Sponsored by SCIO Health Analytics
October 7, 2015
2:00 p.m. - 3:00 p.m. ET


Recent OIG reports show serious gaps in the integrity of the Part D benefit. Medicare spending for commonly abused opioid drugs has grown faster than spending for all Part D drugs, and questionable billing still goes undetected. Advanced analytics can not only reduce costs for PBMs and Health Plans alike, they can also help maintain the integrity of the pharmacy benefit.

Topics of discussion will include:

Member Drug Seeking Behavior identification - now that CMS will consider a "Lock-In" program, it is more important than ever to identify these members.

Pharmacy Report Cards - weekly, proactive pharmacy reporting of all network pharmacies and spikes and trends of various metrics.

J Code to NDC comparison - identify potential overlap in payment under both the pharmacy and medical benefit.

Rena Bielinski, Pharm.D., AHFI
SVP, Chief Pharmacy Officer, SCIO Health Analytics