Strategic Market Insight opportunities are available on Monday, Tuesday, and Wednesday.
Please fill out our online Sponsorship Inquiry Form and a representive will contact you.
Monday, March 30, 2020 • 10:45 - 11:30 am
Market Insight A:
Why You Might be Paying Too Much for Your Pharmacy Benefits: Strategies to Control Costs and Improve Outcomes
Tired of efforts to lower pharmacy costs having little impact on the bottom line? Frustrated with the industry always seeming to find ways to add cost without adding value?
Managing your pharmacy benefits can be complex, making it difficult to weigh costs with value. However, by taking a closer look at a few key components you can gain a better understanding and uncover significant savings opportunities.
Hear first-hand how one plan went from year-over-year double-digit trend increases to achieving a less than 3% average increase over six years.
During this session, you'll discover:
- Examples of drugs that you might be covering that are costing you
- The most important metric when comparing PBMs
- Strategies to significantly reduce costs and improve member health
Byron Mickle
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Byron Mickle
Senior Vice President, Sales and Marketing Navitus Health Solutions |
Byron Mickle oversees and provides executive leadership to the Sales and Marketing departments at Navitus Health Solutions, a full pass-through pharmacy benefit manager (PBM) and industry alternative to traditional models. As such, Navitus is committed to taking the unnecessary costs out of pharmacy benefits to make prescriptions more affordable for plan sponsors and their members. Since Byron joined Navitus in 2007, his leadership has helped catapult the organization’s managed members from half a million to over six million.
During Byron’s tenure at Navitus, he championed the development of Navi-Gate® 3D, an industry-leading data analytics and reporting tool that offers unprecedented customization and analytical power to clients in an easy-to-use graphical depiction. He also drove the development of ClearView Rx, an industry-first tool that illuminates PBM comparisons for plan sponsors and consultants by enabling accurate financial evaluation between different models.
Byron draws on almost 35 years of health care experience, including 30 years in the PBM industry and 15+ years in executive roles. Prior to joining Navitus, he held senior sales leadership positions at industry giants Express Scripts and Medco Health. With an intimate understanding of the different PBM models and broad industry experience, Byron provides unique insight on the PBM landscape.
Byron holds a bachelor’s degree in business management from the University of Phoenix.
John Stenerson
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John Stenerson
Deputy Executive Officer Self-Insured Schools of California (SISC) |
In his over 30 years at SISC, Mr. Stenerson has grown the program from a small regional pool to a statewide coalition of over 400 school districts with an annual budget of $2.5 Billion. One out of every 1,000 Americans is covered by a SISC medical plan.
He is responsible for all aspects of SISC including implementing programs that promote access to high quality and appropriate health care, keeping health benefits affordable and maintaining fiscal stability.
He has presented on some of SISC’s successes to groups including the Association of Governmental Risk Pools (AGRiP), the Pacific Business Group on Health (PBGH) and the Catalyst for Payment Reform (CPR). He is a long time member on boards for the California Association of Joint Powers Authorities (CAJPA) and the California Health Care Coalition (CHCC). He also represented purchasers on the California Healthcare Performance Information System (CHPI) board.
He is a graduate of Concordia College in Moorhead, Minnesota.
