Creating a Strategic Pharmacy PPN - ISCEBS€¦ · • Challenges faced by retail pharmacy: ... •...
Transcript of Creating a Strategic Pharmacy PPN - ISCEBS€¦ · • Challenges faced by retail pharmacy: ... •...
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The opinions expressed in this presentation are those of the speaker. The International Societydisclaims responsibility for views expressed and statements made by the program speakers.
Creating a Strategic Pharmacy PPN
Greg Caines, CEBSPartnerMorneau Shepell Ltd.Halifax, Nova Scotia
Confidential – Not for Distribution
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In today’s session we’ll cover…
• Pharmacy PPN landscape• Plan sponsor objectives• Key elements of the RFP• What to include in the SLA• Implementation considerations• Integration with overall HR strategy
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Pharmacy PPN Landscape
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Pharmacy PPN Landscape
• Challenges faced by retail pharmacy:- Generic legislation squeezing profit margins- Scope of practice evolving- Fierce retail competition- PBM agreements - Administrative burdens - Counsel patients, monitor adherence, intervene with physicians, & be a benefit plan expert…
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Pharmacy PPN Landscape
• Challenges faced by Plan Sponsors:- Low perceived value of benefit plan by employees- Cost management- Employee health and wellness- Drug non‐compliance waste- Rapidly changing drug landscape- Attraction & retention
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Plan Sponsor Objectives
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Plan Sponsor Objectives
• Enhance plan/member value• Cost management• Drug formulary design insights• Subject matter expertise for education • Improve health outcomes
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Pharmacy Objectives
• Increase Rx market share• Drive store traffic…high GM margins• Leverage their expertise to drive new revenue• Improved health outcomes • Customer loyalty
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Key Elements of the RFP
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Pre‐work before the RFP
• Mine your data to understand:- Cost & Rx market share by chain in your region(s)- Key Performance Indicators (KPI’s) by pharmacy
› Generic Fill Rates (GFR)› Maintenance Days Supply› Unit costs› Drug mix & therapeutic sub opportunities
- Burden’s of illness/health drivers
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Key Elements of the RFP
• Financial value• Health management resources/expertise• Reporting capabilities• Internal communication practices• Push strategy versus passive
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• Consulting pharmacist support• Marketing & implementation support• Distribution network/locations• Other services/programs• Willingness to enter into a SLA
Key Elements of the RFP
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Financial Value
• Member benefit on prescription costs• Loyalty program details
- Significant discounts on general merchandise- Linkage with existing retail loyalty program
• Partnerships with other rewards programs
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Health Management Resources
• Health Risk Assessment tools (HRA’s)• Biometric screening
- Scope - Location(s)
• Medication management reviews• Compliance programs
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Health Management Resources
• Nutritionist/Dietician• Health Coaching• Lunch ‘n Learns• Web tools for drug/disease information
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Reporting capabilities
• Tracking financial savings- Prescription benefits- Loyalty program benefits
• KPI’s• Health Management activities
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Internal Communication Practices
• How do they communicate with their pharmacy staff?
• How often?• How will the staff be made aware of the preferred client arrangement?
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Push Strategy versus Passive
• Traditional model customer initiated• Proposed model pharmacist driven
- HRA- Biometric Screening- Medication Management Reviews- Dietician/Nutrition Counseling- Health Coaching
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Push Strategy versus Passive
• Targeted health outreach programs - Diabetes- Mental Health- Heart Health- Digestive Health- Respiratory Health
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Consulting Pharmacist Support
• Insights on drug formulary design- Optimal tiered approaches
• Education- Generic drugs- Specialty & biologic medications- Counter‐detailing clinics
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Consulting Pharmacist Support
• Developing pilot initiatives for:- Trial Rx- Adherence management programs- Therapeutic substitution
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Marketing & Implementation Support
• Marketing Support:- Member brochures- Wallet id cards - Kitting packages and distribution process- Ability to tailor/brand- On‐site promotion/member information sessions
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Marketing & Implementation Support
• Established process for implementation- Managing member eligibility
› Initial load› Updates
- Internal coordinator/support
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Distribution Network
• Market penetration/locations relative to employee/work locations
• Potential for alliances where geographic penetration sub‐optimal
• Mail order services
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Other Services/Programs
• Medical equipment• Home health care
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The Service Level Agreement
• Will they enter into an agreement?• Sample of their standard contract• Schedule of performance objectives• Terms & Conditions • Length of agreement 3+3
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Implementation Considerations
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Implementation Considerations
• Baseline your KPI’s prior to launch• Full enrollment versus voluntary• Ensure privacy and confidentiality language protects - Sponsor’s data- Member’s will not be mass marketed to- Obtain consent for targeted health management
• Cover letter in kit from Plan Sponsor• Union/affinity groups
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Integration with Overall HR Strategy
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Integration with HR & Benefits Strategy
• Incorporate into overall tools inventory• Align services with priority “pain points” from baseline data
• Ensure PPN team understands your culture/goals/objectives/programs so they can champion your brand
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