Medical + Pharmacy Directors Forum

The Medical and Pharmacy Directors Forum brings together clinical leaders from health plans across Texas to exchange ideas, discuss common challenges, and hear from state and national experts.

🔒 Attendance is restricted to health plan members and event sponsors.

Stephen F. Austin Assembly Room

701 Congress Ave., Austin, TX

Sep 25, 2025

9:30 am - 3:30 pm

Agenda

9:30 am

Zepzelca (lurbinectedin) Clinical Overview

This session will provide an overview of Small Cell Lung Cancer (SCLC), the treatment landscape, and the results from the IMforte trial which evaluated the efficacy and safety of first-line maintenance therapy with lurbinectedin plus atezolizumab in extensive-stage small cell lung cancer.

Speaker: Michael Faithe, Director-Payer, Value, & Outcomes, Jazz Pharmaceuticals

10:20 am

Comparing BTK Inhibitors: Real-World Data and Clinical Insights on Zanubrutinib

As targeted therapies evolve, real-world outcomes are reshaping how clinicians and plans evaluate treatment options. This session provides a comparative look at BTK inhibitors, with a focus on zanubrutinib. Drawing from Phase 2 and 3 trials as well as real-world data from Kaiser Permanente, UC Health, and others, the discussion will highlight safety, efficacy, and patient tolerance trends across the BTKi class. Attendees will gain insight into clinical and economic factors shaping oncology treatment decisions today.

Speaker: Marjan Massoudi, PharmD, Principal Director, Medical Value & Outcomes, BeOne Medicines USA, Inc.

11:10 am

Angelique: One Leukemia Patient's Journey to CAR-T

A compelling presentation featuring Angelique’s inspiring journey from leukemia diagnosis through CAR-T cell therapy. Both the physician and patient will share their unique perspectives on this remarkable path to recovery.

Speaker: Hisham Abdel-Azim, MD, Chief, Transplant/Cellular Therapy, Loma Linda University Health

11:55 am

Lunch Served

12:15 pm

Addressing Non-Medical Drivers of Health Through Community Pharmacies in Texas: A New Episcopal Health Foundation Sponsored Study

Community pharmacies are uniquely positioned to help address non-medical drivers of health, and the need is evident in Texas. Over 14% of Texans face food insecurity, and there is a critical shortage of primary care and mental health providers in 98% and 97% of counties, respectively. On the other hand, 90% of Americans live within 5 miles of a pharmacy, and patients visit pharmacies more than any other healthcare provider. Learn about a recent CPESN and Episcopal Health Foundation study exploring how community pharmacies can play a role in addressing access to healthcare through preventative and chronic care services, care management, and the integration of community health workers in the pharmacy.

Speaker: Jake Galdo, PharmD, MBA, BCPS, BCGP, Chief Executive Officer, Seguridad, Inc

1:05 pm

Closing the Gap: Transforming Pediatric Care Access and Quality for Health Plans

Timely pediatric care is a shared priority across Texas. This session highlights models that support virtual urgent care, improve care coordination, and strengthen connections between families, providers, and community stakeholders. Summer Health will share strategies that have helped increase preventive care engagement and reduce avoidable emergency room visits, focusing on real-world solutions that improve access and outcomes for pediatric populations.

Speaker: Ali Alhassani, Chief Medical Officer, Summer Health

1:55 pm

GeneDx Enabling Your Network to Deliver on the AAP Guidelines: Genomic Sequencing in Pediatric Care

As genomic testing becomes more central to pediatric care, updated guidance from the American Academy of Pediatrics is prompting a shift in how and when sequencing is used. This session explores the evolving clinical landscape and what it means for health plans, providers, and care teams working to ensure appropriate, timely access to genetic testing across pediatric populations.

Speaker: Stephanie Baskin, MD, Clinical Geneticist, GeneDx

2:45 pm

Digitizing Medical Policies for Speed & Compliance in Prior Auth

As payers face rising demands to streamline operations and reduce administrative burdens, digitizing medical policies has become critical to improving speed, accuracy, and compliance. In this session, Itiliti Health will share how they partnered with a major Blues plan to digitize over 650 medical policies across four lines of business, creating a scalable approach to managing policies that supports faster prior authorization, reduces errors, and ensures regulatory alignment.

Speaker: Michael Lunzer, CEO, Itiliti Health

Speakers

Hisham Abdel-Azim, MD, MS

Chief, Transplant/Cellular Therapy, Loma Linda University Health

Ali Alhassani

Chief Medical Officer, Summer Health

Stephanie Baskin, MD

Clinical Geneticist, GeneDx

Michael Faithe

Director-Payer, Value, & Outcomes, Jazz Pharmaceuticals

Jake Galdo

Chief Executive Officer, Seguridad, Inc.

Michael Lunzer

CEO, Itiliti Health

Marjan Massoudi

Principal Director, Medical Value & Outcomes, BeOne Medicines USA, Inc.

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