________________________Pharmacy Benefits Academy September 11-12, 2008 Hyatt Regency O Hare, Rosemont, Illinois

1. ________________________Pharmacy Benefits AcademySeptember 11-12, 2008Hyatt Regency O’Hare, Rosemont, Illinois 

2. Learning Network Activities

3. Please silence your…  Pagers Cell phones Blackberries IPods – IPhones – ITunes Other noise making devices or colleagues

4. Special thanks to our Sponsors Academy Sponsors Envision RxOptions Pfizer, Inc. Sanofi-Aventis   Session Sponsors Healthation MedMetrics Prescription Solutions Walgreens Health Initiatives Event Sponsors ATTAC Consulting Buck Consultants GlaxoSmithKline J.R. Katz Medco   Exhibitors McKesson Specialty University of Illinois—Chicago CatalystRx

5. Midwest Business Group on Health MBGH is a Chicago-based, non-profit coalition of Midwest employers working together to improve the quality and cost-effectiveness of health care for purchasers and the health status of their constituents Founded in 1980, membership includes over 96 large, self-funded, public and private employers such as Abbott Laboratories, Boeing, Caterpillar, City of Chicago, Ford, Kraft Foods, State of Illinois and University of Chicago Member organizations cover over 2 million lives and spend over $2.5 billion on health care Employers are represented by those responsible for designing and managing health benefits

6. MBGH Activities Buying Groups for Audits, Chicago HMOs, Incentive Programs, Worksite & Health Management Programs and Pharmacy Benefits Learning Network Programs on health benefits management, strategies and trends Networking & benchmarking health benefit roundtables Roundtables on pharmacy management, union benefits, wellness programs and CDHPs Medicare Employer Forum calls Health Plan & Health System User Groups

7. MBGH Activities Health Benefit & Quality Initiatives “HPQ-Select” – Employer tool to identify how employees’ health impacts their productivity “Taking Control of Your Health” – an “Asheville Model” pilot to determine if waived drug co-pays linked with visits with pharmacist diabetic counselors increases diabetic patient compliance with treatments “Readiness to Change Survey “- a survey to determine employers’ and employees’ readiness to adopt value-based benefit strategies “Community Leader for Value-Driven Health Care” – promoting transparency

8. Why conduct a Pharmacy Benefits Academy? Most employers and health plans offer pharmacy benefits to prevent or reduce the debilitating impact of acute conditions and chronic conditions, and prevent unnecessary hospital and medical costs Purchasers have seen the cost of drugs become a greater portion of their benefit budgets, especially specialty – biotech drugs Most employers are relying more frequently on a range of providers, plans, PBMs, DM firms and others to assist in designing and managing the benefit, often without appropriate due diligence or monitoring Cost containment and cost-sharing approaches have their place, but research is showing how cost can be a barrier to improved health

9. Why conduct a Pharmacy Benefits Academy? “Value” and “evidence” based benefit designs are being promoted as ways to change behavior and motivate better decision-making Transparency has become a key term in defining relationships and contracts Medicare Part D has brought a new set of challenges and decisions for employers Pharmacies that offer primary care clinics are a new provider seeking purchaser and plan contracts Genetics is making personalized drugs a reality T0 manage the benefit effectively, a foundation of knowledge on multiple topics is required

10. MBGH & Pharmacy Outcome Specialists (POS) MBGH recognized the need for an intensive “course” to provide purchasers with the skills and knowledge to design, select, contract, manage and monitor pharmacy benefits MBGH member POS recognized the need to assist its employer and health plan clients and sought out the coalition as a partner We joined forces to create the PBA, intended as an annual event

11. Pharmacy Outcome Specialists Specialists in… Pharmacy Benefit Manager audits and contract renewals Chain Pharmacy reimbursement audits Fraud, waste and abuse programs for Medicare Part D Plan Sponsors Pharmacy educational conferences Clinical pharmacy consulting

12. Key Logistics A monograph of the PBA will be created and sent to all participants as a summary of the key strategies, recommendations and cases, in early 2009, at no cost Your evaluation on the program is critical to future success Those seeking HRCI credits should go to registration desk at end of conference for attendance certificate Sponsors & Exhibitors Location of facilities

13. ________________________Pharmacy Benefits AcademySeptember 11-12, 2008Hyatt Regency O’Hare, Rosemont, Illinois