Summer Benefits Camp: A Virtual Adventure

Evaluating the Effectiveness of your Specialty Utilization Management Program

Options for High-Value Prescription Drug Coverage

Looking to the 2020 Election and Beyond

Social Determinants of Health and Employment

Akron Public Schools/Oswald

The Impact of Custom Utilization Management Programs

Employer Showcase

June 3, 2020
3:00pm-3:45pmET

June 16, 2020
11:00am-12:00pmET

June 30, 2020
3:00pm-4:00pmET

July 21, 2020
3:00pm-4:00pmET

August 5, 2020
11:00am-12:00pmET

August 27, 2020
11:00am-12:00pmET

September 24, 2020
3:00pm-4:00pmET

Summer Benefits Camp:
A Virtual Adventure

A six-part webinar series where you and your team can take a break from the day-to-day while exploring the latest developments in employee benefits.


Navigate the virtual benefits wilderness where you’ll confront:

The Effectiveness of your Specialty Utilization Management Program Options for High-Value Prescription Drug Coverage The 2020 Election and Beyond Social Determinants of Health and Employment The Impact of Custom Utilization Management Programs

Participants will:

  • Understand the market size and distribution of specialty dispensing.
  • Explore the three main areas for specialty cost management.
  • Discover the difference in utilization management effectiveness.
  • Hear examples of different areas to look for in evaluating effective utilization management criteria.

Presented by
Julayna Meyer

Senior Vice President, Lockton Dunning

As a pharmacist with over 20 years of experience, Julayna brings real-world expertise to clients on managing their pharmacy benefit. She has over 20 years of experience in pharmacy benefit management to help clients develop pharmacy strategies for improving health outcomes and lower costs. Julayna was with Express Scripts for 15 years where she had a variety of roles including product development, clinical sales, and account management leadership. She was the author of the Drug Trend Report and has spoken at numerous industry events. Julayna was also at Centene for almost three years working on the country’s largest managed Medicaid programs. She has experience working with employers, health plans, and government plans.

At Lockton Dunning she leads the team focused on developing strategies for employers and health plans to efficiently manage their pharmacy benefit while improving their health of their population.

Participants will:

  • Understand how a fair price for prescription drugs can be determined using a value assessment framework and cost-effectiveness analysis.
  • Discover two to three prescription drugs with prices in line with their clinical benefit for patients, and two to three prescription drugs with prices out of line with their clinical benefit for patients.
  • Encounter three to five ways payers, employers and policymakers can use independent assessment of fair pricing to improve the value of their prescription drug spend.

This program is valid for 1 PDC toward SHRM-CP and SHRM-SCP recertification.

This activity has been approved for 1 (HR (General)) recertification credit hour through the HR Certification Institute.

This course is pending approval of 1 Ohio Department of Insurance continuing education credit hour.

Presented by
Sarah Emond, MPP

Executive Vice President and Chief Operating Officer, Institute for Clinical and Economic Review

With nearly 20 years of experience in the business and policy of health care, Sarah leads the strategic planning and operations of ICER as Executive Vice President and Chief Operating Officer. In that role, she is responsible for overseeing ICER’s public programs, communications, operations and finances.

Prior to joining ICER, Sarah spent time as a communications consultant, with six years in the corporate communications and investor relations department at a commercial-stage biopharmaceutical company and several years with a health care communications firm. Sarah began her health care career in clinical research at Beth Israel Deaconess Medical Center in Boston.

A graduate of the Heller School for Social Policy and Management at Brandeis University, Sarah holds a Master of Public Policy degree with a concentration in health policy. Sarah also received a bachelor’s degree in biological sciences from Smith College. Sarah serves as a member of the Board of Advisors to the Heller School and is a past fellow of the Boston Chapter of the New Leaders Council. Sarah recently learned to ski and is proud that she hasn’t broken any bones doing so and has completed seven half-marathons since she took up long-distance running in 2013.

Participants will:

  • Explore the latest policy developments on Capitol Hill affecting plan/PBM relationships.
  • Discover how your plan may be affected by new HHS guidance and rulemaking.
  • Uncover tips and tools for staying on top of the changing legislative and regulatory landscapes.

This program is valid for 1 PDC toward SHRM-CP and SHRM-SCP recertification.

This activity is approved of 1 (HR (General)) recertification credit hour through the HR Certification Institute.

This course is pending approval of 1 Ohio Department of Insurance continuing education credit hour.

Presented by
Heidi Sorenson, J.D.

Counsel, Alston & Bird

Heidi Sorensen is counsel in the Alston & Bird Health Care Group and focuses her practice on health care fraud and abuse and compliance matters, including the Anti-Kickback Statute. Heidi advises retail and specialty pharmacies, pharmacy benefit managers and pharmaceutical manufacturers. She also advises medical device and durable medical equipment manufacturers and distributors. Additionally, works with skilled nursing facilities, hospitals and health systems, physical therapy and rehabilitation agencies, and other health care providers. Heidi advises clients on Medicaid issues, providing regulatory advice, helping clients defend Medicaid audits and investigations, conducting internal investigations and representing clients in administrative hearings and appeals.

Heidi helps clients develop compliance programs and implement corporate integrity agreements. She has developed compliance programs for multinational life sciences companies, including pharmaceutical, medical device, and DME manufacturers.

Heidi previously served as chief of the Administrative and Civil Remedies Branch in the Office of Counsel to the Inspector General (OCIG) at the Department Health and Human Services and served as the OCIG’s coordinator for both the Provider Self-Disclosure Protocol and the Physicians at Teaching Hospitals national project. Heidi also served the OCIG as senior counsel and deputy branch chief.

Employees often face challenges maintaining employment and contributing fully to their work due to pressing complex medical, social, emotional and economic needs. Some are living “paycheck to paycheck” and may be just “one flat tire away” from losing their jobs. High turnover, absenteeism, FMLA, performance issues, high emergency department and hospital utilization may be indicators of employees struggling with these issues – all very costly to the employer and potentially negatively impactful to the customers they serve. This presentation highlights social determinants of health and employment to consider when designing benefits or providing support services to employees that may help them achieve better health, economic stability, higher quality of life and productivity in the workplace.

Participants will:

  • Gain insights of the social determinants of health and employment that prevent employees from optimizing health, economic stability and well-being.
  • Identify potential ways to align support services and benefit design with employee social, health and economic needs, including the Pathways Community HUB model.
  • Hear the steps that can be taken to develop an approach for addressing social determinants within their workplace.

This program is valid for 1 PDC toward SHRM-CP and SHRM-SCP recertification.

This activity has been approved for 1 (HR (General)) recertification credit hour through the HR Certification Institute.

This course is pending approval of 1 Ohio Department of Insurance continuing education credit hour.

Presented by
Rita Horwitz

President & CEO, Better Health Partnership

A native of Greater Cleveland, Ms.Horwitz is the President and CEO of Better Health Partnership, a non-profit, regional health improvement collaborative located in Northeast Ohio that brings health care, employers, payers and other stakeholders together to accelerate data-informed improvements in population and community health. Collectively, the partners align to improve outcomes in maternal/infant health, children and adults with chronic disease and social-emotional health needs.

A graduate of The Ohio State University’s School of Nursing, and Case Western Reserve University’s Health Care Executive Management program, Horwitz has held executive leadership positions in ambulatory care, corporate-based health and wellness, business development, quality improvement and entrepreneurial non-profit ventures. She serves on the Board of Directors of the National Network for Regional Healthcare Improvement, the Carmella Rose Health Foundation, United Way’s Community Advisory Board, UnitedHealthcare’s Community Advisory Board, the leadership teams of Cuyahoga County’s Health Improvement Partnership, First Year Cleveland’s infant mortality coalition, and the Ohio Patient-Centered Primary Care Collaborative. In 2018, she received recognition in Crain’s Cleveland Business, as one of Northeast Ohio’s most noteable women in health care and is a graduate of Leadership Cleveland’s class of 2019.

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Presented by
Paul Catania

Oswald Companies

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Ryan Pendleton

Akron Public Schools

Bio here

During this presentation, the Employers Health Clinical team will:

  • Evaluate the recent changes in the pharmacy landscape to better inform employer decisions on the pharmacy benefit.
  • Highlight the financial impact of custom utilization management programs implemented by Employers Health clients.
  • Provide information regarding the growing specialty class of HIV and changes around the utilization and coverage of pre-exposure prophylaxis (PrEP) medications.

This program is valid for 1 PDC toward SHRM-CP and SHRM-SCP recertification.

This activity has been approved for 1 (HR (General)) recertification credit hour through the HR Certification Institute.

This course is pending approval of 1 Ohio Department of Insurance continuing education credit hour.

Presented by
Matt Harman, PharmD, MPH

Senior Director of Pharmacy, Employers Health

As senior director of pharmacy, Matt works to monitor, evaluate and improve the pharmacy plan performance of the Employers Health $1 billion PBM group purchasing programs with CVS and OptumRx. He works proactively with the organization’s more than 215 member employers to provide clinical information and strategies to help reduce health care spend and positively influence the health of more than 3 million individuals.

Matt founded the Employers Health managed care pharmacy residency program and currently serves as the director. Additionally, he manages and executes the organization’s flu immunization program which administers flu vaccines to thousands of individuals annually at their workplace.

He currently serves on the board of directors for the Health Policy Institute of Ohio, the pharmacy committee for Beacon Charitable Pharmacy and is a member of the Society for Women’s Health Research – Migraine Network Healthcare Opinion Leaders and Decision Makers.

Matt earned his Doctor of Pharmacy from the University of Kentucky where he co-founded an Academy of Managed Care Pharmacy student chapter and served as the inaugural president. While obtaining his PharmD, he enrolled in the College of Public Health to obtain a Master of Public Health with a concentration in Health Service Management. Matt completed his residency training at The Ohio State University Health Plan, which expanded his knowledge and skills in managed care pharmacy.

Kevin Wenceslao, PharmD

Clinical Advisor, Employers Health

Kevin works closely with the director of pharmacy to serve as a clinical resource for our members’ benefit professionals on topics of new drugs, plan design recommendations and overall trends. Furthermore, he assists in delivering flu shots as part of the Employers Health Flu Immunization Program, as well as mentoring pharmacy students completing their rotations at Employers Health.

Kevin obtained his Doctor of Pharmacy from The Ohio State University in 2018 and his bachelor’s degree in biology from Iowa State University in 2013. Kevin has worked in various pharmacy settings ranging from retail, specialty, to telepharmacy where he provided Medication Therapy Management services to patients throughout the nation. During his time at OSU, he was an active member of the Academy of Managed Care Pharmacy where he participated in Pharmacy & Therapeutics competitions.

Kelsey Dieters, PharmD

Clinical Advisor, Employers Health

Kelsey works closely with Employers Health’s director of pharmacy and clinical advisor to serve as a resource to benefit professionals throughout the country. In this role, she makes plan design recommendations and provides information on new drugs and overall trends. Additionally, she assists in delivering flu shots as part of the Employers Health Flu Immunization Program.

Prior to joining Employers Health she served as a pharmacist intern at a national leading pharmacy. Kelsey obtained her Doctor of Pharmacy from The University of Kentucky College of Pharmacy, Bachelor of Science in pharmaceutical sciences from The Ohio State University and a Certificate in Fundamentals of Managed Care Pharmacy from the Academy of Managed Care Pharmacy. She was a member of the varsity women’s tennis team at The University of Kentucky and Ohio State.

Details coming soon...