PBM Contracting Secrets

PRESENTERS

    Michael Miele, FSA, MAAA
    Senior Vice President, Capital Rx

REGISTER

Registration deadline:  October 18th, 2018
Cost:  $25 for paid-up members and subscribers  (please login to get this price)
           $30 for other attendees

SESSION DETAILS / WHAT ATTENDEES WILL LEARN

PBM benefits are an important component of any Health and Welfare benefits program. Contracting with a PBM is a complicated process and this session will shed light on some of the challenges faced during a contract negotiation. Participants will gain a high level overview of the industry, major contract components and how to properly evaluate a PBM contract.

PRESENTATION SLIDES:

Please click HERE.

TARGET AUDIENCE: Actuaries and consultants involved with Pharmacy Benefits Management contracting.

SUMMARY BIOGRAPHY

Mike Miele is a health care actuary with significant experience in all aspects of employer health and welfare benefits with a specialty in Pharmacy Benefit Management (PBM), data analytics, and medical management. Mike held many senior leadership positions during the last 12 years at Arthur J. Gallagher including the formation of the National Pharmacy Practice. Prior to joining Gallagher, Mike was the founder of PatientCentrix in 1995. PatientCentrix was a medical management and data management provider which was sold to SHPS Healthcare in 2004. Mike is one of the founders of predictive modeling as it applies to health care medical management and health insurance underwriting. Mike graduated from University of Michigan, with a B.S. in Actuarial Mathematics/ Statistics. He is a Fellow of Society of Actuaries (FSA) and a Member of the American Academy of Actuaries (MAAA).

DATE: Monday, October 22nd, 2018