Medical + Pharmacy Directors Forum

These forums offer our health plan Medical and Pharmacy Directors the unique opportunity to interface with their peers and hear from state and national experts as they discuss common challenges and best practices.

🔒 Attendance is restricted to health plan Medical and Pharmacy Directors and event sponsors.

Stephen F. Austin Hotel (Assembly Room)

701 Congress Ave., Austin, TX 78701

Apr 30, 2025

9:30 am - 3:30 pm

Download

Agenda

9:30am - 10:15am

Urological Catheter User Outcomes: Reducing Recurrent UTIs and Acute Hospital Stays

Reducing catheter-associated complications such as recurrent UTIs and avoidable hospital stays requires more than the right product. This session highlights a value-based approach to improving outcomes through proactive patient coaching, compliance monitoring, and clinical collaboration. It will focus on how real-time data, provider engagement, and patient education can be aligned to reduce complications, lower costs, and support high-quality care for catheter users.

Speaker: 

  • Landon Groff, President, Maxwell Medical

10:20am - 11:05am

Streamlining Prior Authorization: The Role of Interoperability, Automation and AI in Improving Efficiency

Post-COVID cost pressures have driven payers to rely more on prior authorization (PA), increasing provider and patient burden due to inefficiencies. Meanwhile, AI, automation, and evolving health information exchange rules are reshaping market solutions. This session explores how streamlining PA through interoperability, automation, and AI can enhance healthcare efficiency and improve patient care.

Speakers: 

  • Tim Capstick, Senior VP of Sales, Agadia
  • Tom Ramovs, Vice President, Clinical Solutions, Agadia

11:10am - 11:55am

Clinically validated 94% Medication Adherence: Transforming Home Infusion Economics

Join IV Ensure CEO and healthcare innovator Mitchell Berenson, MPH, as he reveals breakthrough findings from the OU Health University of Oklahoma Medical Center study. Discover how IV Ensure’s pioneering cloud-based platform transforms home infusion from 50% to 94% medication adherence, reducing readmissions by 87%. Learn how real-time monitoring with active care management delivers better patient outcomes and trims the bottom line—$40K savings per patient annually in preventable readmissions. That’s $100M in annual savings for every million lives—impacting the $528B non-adherence challenge.

Speaker:

  • Mitchell Berenson, CEO and founder, IV Ensure

11:55am - 1:00pm

Lunch Served

12:15pm

Lunch Presentation: Vheda Health

1:05pm - 1:50pm

Ceilings and Floors: Customized Product Designs that Improves Outcomes and CAHP Scores

Soda Health has conducted a proprietary research study to interrogate Medicare Advantage members preferences to guide plans on design and inform engaging product​ design. This study identifies 5 discrete member segments with differing needs, goals, and drivers for plan selection. As Medicare Advantage supplemental benefits administration becomes more accurate, personalized, and preventive, health plans have an opportunity to fine tune their product design to be both more appealing and more effective. Learn about the 5 different Medicare Advantage segments and how best to serve them.

Speaker:

  • Casey Bartolucci, Chief Commercial Officer, Soda Health, Inc.
  • Dan McCoy, Founder and CEO, RocketTools.io and Dan McCoy Consulting

1:55pm - 2:40pm

Aging in Place: Revolutionizing Care Through Mobile Diagnostics

Join Principle Health Systems to discuss how mobile diagnostic services can improve outcomes and cut costs. By bringing lab, imaging, EKG, echo, and ultrasound directly to patients in their SNFs, ALFs, or homes, we achieve improved compliance, faster turnaround times, reduced patient stress, and significant cost savings. Standardizing these mobile services also enables seamless data sharing between providers and payers. Through compelling case studies, we’ll illustrate how this model enhances patient outcomes and facilitates aging in place with greater efficiency and dignity.

Speaker: 

  • James M. Dieter, NP-C, DC, Chairman and CEO, Principle Health Systems

2:45pm - 3:30pm

Updates in ALS Treatments

Updates on current treatments available for ALS

Speaker:

  • Kevin Saldanha, MD, Medical Science Liaison, Mitsubishi Tanabe Pharma America
Speakers

Casey Bartolucci

Chief Commercial Officer, Soda Health

Mitchell Berenson

Founder and CEO, IV Ensure

Tim Capstick

Senior VP of Sales, Agadia

James M. Dieter

Chairman and CEO, Principle Health Systems

Landon Groff

President, Maxwell Medical

Dan McCoy

Founder and CEO, RocketTools.io

Tom Ramovs

Vice President, Clinical Solutions, Agadia

Kevin Saldanha

Medical Science Liaison, Mitsubishi Tanabe Pharma America

Become a Sponsor

If you are interested in sponsoring one of our upcoming forums or other events please complete the request to sponsor form. Please make sure to include the event of interest.

This field is for validation purposes and should be left unchanged.