TAHP 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.  This a private meeting and is not open to general attendance.

Austin, TX

919 Congress Avenue, Lower Lobby Level

Sep 18, 2024

9:30 am - 3:30 pm

Agenda

9:30am - 10:15am

Zanidatamab for Second-line Treatment of Locally Advanced or Metastatic HER2+ Biliary Tract Cancer

This presentation in only open to health plan attendees and TAHP staff.

Presentation objectives are to provide an overview of the following information:

1. Overview of biliary tract cancer
2. Disease burden of biliary tract cancer
3. Biliary tract cancer treatment landscape and unmet need
4. Overview of zanidatamab
5. HERIZON-BTC-01: Phase 2 zanidatamab clinical trial design and longer term results

Speaker:

Michael Faithe, PharmD, BCPS- Director-Payer, Value, & Outcomes, Jazz Pharmaceuticals

10:20am - 11:05am

Redefining Pain Management: Integrating Human Expertise & Virtual Solutions to Address the Hidden Challenges of Chronic Pain

With 1 in 5 Americans suffering from chronic pain—more than those affected by cancer, diabetes, and heart disease—addressing this pervasive issue has never been more critical. When pain dominates, it’s all-consuming. Flowly’s virtual clinic model uniquely integrates human expertise with innovative therapeutic modalities to tackle the hidden challenges of pain.

Join us to explore how combining cutting-edge, therapist-delivered pain therapies with virtual, self-guided tools (AI, VR, Biofeedback) can transform the future of effective healthcare.

Speaker: 

Celine Tien, CEO & Founder, Flowly

11:10am - 11:55am

Bridging the Gap: The Role of Urgent Care in the American Healthcare System

More and more urgent care centers play a crucial role in alleviating the strain on emergency rooms by providing immediate treatment for non-life-threatening conditions. Dr. Alicia Tezel will highlight how these centers will help reduce wait times and lower healthcare costs by managing minor injuries and illnesses more efficiently. Dr. Tezel will also discuss the increasing importance of urgent care centers in offering accessible healthcare services, especially in underserved areas. Furthermore, she will point out that these centers will often provide extended hours and walk-in services, making them a vital component of the American healthcare system.

Speaker:

Alicia Tezel, CMO, Little Spurs Pediatrics Urgent Care

11:55am - 12:15pm

Lunch Served

12:15pm - 1:00pm

Lunch Presentation - Enhancing Pediatric Care and Reducing Total Cost of Care

Drawing from over 14 years of research with 300 organizations, Coastal Medical’s RightCare Model is now available to support medically complex children and their families. This new value based outcome driven model of care targets the five key outcomes essential for the success of these children and their families. Discover how this model and newly developed resources, tools, training, and support for both providers and families can lead to exceptional outcomes and significant cost savings.

Speaker:

Larry Moorman, Owner Coastal Medical Management

1:05pm - 1:50pm

What’s coming and how to handle it?: Addressing High-Cost Specialty Drug Spend and the Advancements in Cell and Gene Therapies

With the recent surge in FDA approval for costly new therapies and prescriptions, Texas health plans may feel like their budget is a moving target. Dr. Rodney Musselman will share insights and strategies for cell and gene therapies and provide updates on the Cell and Gene Therapy (CGT) Access Model. Byron Harris, PharmD, will discuss effective strategies to manage high-cost drug spend and significance that implementing these strategies can have for health plans. He will also address the increasing demand for GLP-1 agonists including new indications and trends we are seeing with these drugs.

Speakers: 

Rodney Musselman, MD, Chief Medical Officer – Commercial and Innovation, Medical Review Institute of America
Byron Harris, PharmD, Vice President – Pharmacy Programs, Medical Review Institute of America

1:55pm - 2:40pm

Predicting and Preventing Complications to Transform Maternal Health in Texas

This presentation explores a novel model of maternal care delivering improved pregnancy outcomes in Texas. We will discuss real-world cases from our programs with Texas health plans to demonstrate how Delfina Care’s cutting-edge technology enables early interventions by predicting complications. These early interventions during pregnancy and postpartum improve maternal and child health outcomes while lowering NICU and maternal readmission rates to reduce the total cost of care.

Speaker:

Senan Ebrahim, MD, PhD, Founder & CEO, Delfina

2:45pm - 3:30pm

Health Equity in Action: Vheda Health’s Clinical Advancements and Impact

This presentation explores the clinical successes and transformative journeys enabled by the Vheda Health program, focusing on health equity, maternal health, and improved diabetic and hypertensive control. We’ll highlight strategies for reaching hard-to-reach populations and addressing health equity in Texas using national best practices. Visual aids will illustrate how our member journey integrates key healthcare elements, driving cost savings, provider engagement, and clinical outcomes.

Speakers: 

Amy D’Domenicus, VP, Clinical Development & Design, Vheda Health
Shameet Luhar, CEO, Co-Founder & Board Member, Vheda Health

Speakers

Amy D’Domenicus

VP, Clinical Development & Design, Vheda Health

Senan Ebrahim, MD, PhD

Founder and CEO, Delfina

Michael Faithe, PharmD, BCPS

Director-Payer, Value, & Outcomes, Jazz Pharmaceuticals

Byron Harris, Pharm D

Vice President - Pharmacy Programs, MRIoA

Shameet Luhar

CEO, Co-Founder & Board Member, Vheda Health

Rodney Musselman, MD

Chief Medical Officer - Commercial and Innovation, MRIoA

Alicia Tezel

CMO, Little Spurs Pediatric Urgent Care

Celine Tien

CEO & Founder, Flowly

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