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The Cell and Gene Therapy Landscape: Delivering New Opportunities for Value-based Contracting

Event Date: 7/31/2024

Event Overview

Wednesday, 7/31/2024
11:00 AM CT – 12:00 PM CT (60 minutes)
Hosted by: Health Plan Alliance and Payer Ally
Join us as experts from Payer Ally, an independent consulting firm, deliver a bird' s-eye view of the market landscape of cell and gene therapies and the impact this has had on the evolution of value-based contracts (VBCs) and best practices. 

While value-based reimbursement strategies and reimbursement models are not new to the healthcare marketplace, the advances in cell and gene therapies have created a new category of treatments with extremely high price tags (as much as $4 million per one-time treatment).  As a result, these ultra-expensive treatments command additional efforts from payers to safeguard their appropriate use and ensure the expected value and positive outcomes, given the monumental and upfront investment that the payer must bear.  VBCs have continued to evolve as a viable solution for payers, along with emerging players in the market with growing expertise in handling the complexities in VBC administration. 

 

PLATFORM NOTES: The roundtable discussion will be hosted on Zoom.  Please test your computer speed, microphone and camera in advance to ensure the best experience:


Zoom system check - https://zoom.us/test


 

Audience

Open to all Alliance members involved in managing drug benefits, overseeing clinical policies, and those concerned with the financial implications of new and costly therapies.  

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Documents
7/31/2024

Presentation: The Cell and Gene Therapy Landscape: Delivering New Opportunities for Value-based Contracting
While value-based reimbursement strategies and reimbursement models are not new to the healthcare marketplace, the advances in cell and gene therapies have created a new category of treatments with extremely high price tags (as much as $4 million per one-time treatment). PayerAlly, an independent consulting firm, delivers a bird' s-eye view of the market landscape of cell and gene therapies.

7/31/2024

PayerAlly:Value-Based Contracts
Delve further into Value-based contracts with PayerAlly's White Paper.

7/31/2024

Recording: The Cell and Gene Therapy Landscape: Delivering New Opportunities for Value-based Contracting
Cell and gene therapies have revolutionized the healthcare landscape by introducing innovative treatments with exorbitant price tags. As these therapies can cost as much as $4 million per one-time treatment, payers have faced the challenge of ensuring their appropriate utilization and securing expected value and positive outcomes. Join PayerAlly as they deliver a bird' s-eye view of the market landscape of cell and gene therapies and how value-based contracts (VBCs) have emerged as a viable solution for payers.

Attendees

Below is a list of all delegates registered to date for this event

  • Stuart Battersby
  • ALLIANCE MEMBER
  • Chief Financial Officer at Community Health Plan of Washington
  • Bucky Broadrick
  • ALLIANCE MEMBER
  • Director of Pharmacy Services at Alliant Health Plans
  • Sara Beth Brown
  • ALLIANCE MEMBER
  • Clinical Pharmacist at HealthTeam Advantage
  • Jennifer Cyr
  • ALLIANCE MEMBER
  • Clinical Pharmacy Manager at Community Health Options
  • Lisa Denney
  • ALLIANCE MEMBER
  • FWA Supervisor at Johns Hopkins Health Plans
  • Danielle Dolores
  • ALLIANCE MEMBER
  • Director, Pharmacy Services at Health Partners Plans / Jefferson Health Plans (HPP/JHP)
  • Hugh Fatodu
  • ALLIANCE MEMBER
  • AVP, Pharmacy at Johns Hopkins Health Plans
  • Christopher Ferrin
  • ALLIANCE MEMBER
  • Manager of Pharmacy Programs at Samaritan Health Plans
  • Christine Gilbert
  • ALLIANCE MEMBER
  • Dir Finance, Business Development M&A at Sentara Health Plans
  • Katherine Gilbreath
  • ALLIANCE MEMBER
  • Pharmacy Benefits Services Specialist at CHRISTUS Health Plan
  • Kristen Hankins
  • ALLIANCE MEMBER
  • Director of Network Strategy - Confluence Health at Health Alliance Medical Plans
  • Keith Johnson
  • ALLIANCE MEMBER
  • Director, Business Development at Community Health Options
  • Laurie Lincoln
  • ALLIANCE MEMBER
  • SVP, Pharmaceutical Care Programs at Capital District Physicians' Health Plan (CDPHP)
  • Laurie Lindsay
  • ALLIANCE MEMBER
  • Underwriting-Financial Analyst at Samaritan Health Plans
  • Mark Lorson
  • ALLIANCE MEMBER
  • Pharmacist at Neighborhood Health Plan of Rhode Island
  • Christine Lukow
  • ALLIANCE MEMBER
  • Manager of Clinical Pharmacy Programs at FirstCarolinaCare Insurance Company
  • Sarah Maffei
  • ALLIANCE MEMBER
  • Director Stop Loss at Providence Health Plan
  • Tamara Marziani
  • ALLIANCE MEMBER
  • Director, Specialty Solutions at Capital District Physicians' Health Plan (CDPHP)
  • Kaitlyn McCarthy
  • ALLIANCE MEMBER
  • Clinical Pharmacist – Specialty Drug Care Management at Capital District Physicians' Health Plan (CDPHP)
  • Kate McIntosh
  • ALLIANCE MEMBER
  • Vice President and Chief Medical Officer at Health New England
  • Eric McKeon
  • ALLIANCE MEMBER
  • Director, Pharmacy Programs and Strategies at Quartz Health Solutions
  • Christy McQuade
  • ALLIANCE MEMBER
  • Snr Contract Negotiator at Capital District Physicians' Health Plan (CDPHP)
  • Jennifer Meko
  • ALLIANCE MEMBER
  • Sr. Medical Director at Quartz Health Solutions
  • Jamie Miller
  • ALLIANCE MEMBER
  • Associate Vice President, Managed Care Pharmacy Services at Geisinger Health Plan
  • Alex Newell
  • ALLIANCE MEMBER
  • Senior Actuary at Health Alliance Plan (HAP)
  • Tina Nguyen
  • ALLIANCE MEMBER
  • Pharmacy Manager at CHRISTUS Health Plan
  • Theresa Nobles
  • ALLIANCE MEMBER
  • Manager - Specialty Pharmacy Care Management and Policy Specialist at Capital District Physicians' Health Plan (CDPHP)
  • Wade Penner
  • ALLIANCE MEMBER
  • Manager Revenue-Risk at Samaritan Health Plans
  • Kirit Pindolia
  • ALLIANCE MEMBER
  • Director, Medical Genetics and Genomics at Health Alliance Plan (HAP)
  • Natalie Pirkola
  • ALLIANCE MEMBER
  • Vice President, Pharmacy and Population Health at Health Alliance Plan (HAP)
  • Ted Regalia
  • ALLIANCE MEMBER
  • VP Pharmacy Benefits at Network Health
  • Preston Renshaw
  • ALLIANCE MEMBER
  • Chief Medical Officer at Avera Health Plans
  • Christian Reyes
  • ALLIANCE MEMBER
  • Clinical Pharmacist at Sentara Health Plans
  • Connie Ryder
  • ALLIANCE MEMBER
  • Vice President, Ancillary Contracting at Capital District Physicians' Health Plan (CDPHP)
  • Mike Takach
  • ALLIANCE MEMBER
  • Senior Pharmacy Consultant at Community Health Options
  • Gary Tereso
  • ALLIANCE MEMBER
  • Director of Pharmacy at Health New England
  • Eugene Terkoski
  • ALLIANCE MEMBER
  • Director of Pharmacy Care and Services at Health First Health Plans
  • Megan Thomas
  • ALLIANCE MEMBER
  • Assistant Manager, Utilization Management at Community Health Options
  • Sarah West
  • ALLIANCE MEMBER
  • Claims Coding Assoc- Sr at IU Health Plans
  • Sephora White
  • ALLIANCE MEMBER
  • SIU Manager at Sentara Health Plans
  • Amber Zuber
  • ALLIANCE MEMBER
  • Associate Vice President, Pharmacy & Member Services at Paramount Health Care
Speakers