SCAN Health Plan VP of Pharmacy to Address National Conference Focused on Value-Based Healthcare

Guía de Regalos

LONG BEACH, Calif.–(BUSINESS WIRE)–Sharon K. Jhawar, PharmD, corporate vice president of pharmacy for SCAN
Health Plan, will be among the featured speakers at the National
Value-Based Payment and Pay for Performance Summit to be held February
17-19 in San Francisco.

The summit is being held in recognition of the increasing importance for
healthcare providers and insurers to take a more robust approach to
improving quality while reducing costs and being appropriately
compensated for their performance. In addressing the topic of “managing
pharmaceutical costs in a value-based payment environment,” Jhawar will
join with other healthcare leaders from industry, government and the
nonprofit sector in sharing best practices and the opportunities and
challenges they pose as healthcare moves from a volume-based to
value-based approach in delivering care.

“There are many challenges facing the healthcare industry and through
them all of SCAN remains firm in our longstanding commitment to focus on
value and find innovative ways to improve senior healthcare as it
pertains to quality, cost and access,” says Jhawar. “As year over year
inflation on drug costs continues to be in the double digits, coupled
with the rise of specialty drug costs and overall utilization, it is
more critical than ever that we explore new concepts to manage costs and
improve health outcomes.”

As part of its approach, SCAN is looking into how to optimize pay for
performance contracting with pharmaceutical manufacturers. SCAN is also
working creatively with retail pharmacies. For example, the SCAN-Express
Scripts Quality Network Program, now in its second year, is encouraging
and rewarding pharmacists to take a more active role in interacting with
Medicare patients as a way to add value and improve care. Under the
program top-performing and improved pharmacies receive incentives, while
average or poorly performing pharmacies receive lower overall
reimbursements. “SCAN is looking to evolve its pharmacy network to one
that brings ‘value’ in terms of improved member health and cost,” Jhawar
said.

SCAN is also a leading advocate in making medications more affordable
for seniors. In 2016 many of the SCAN plans – Classic (HMO), Balance
(HMO SNP), Heart First (HMO SNP) and Signature (HMO) plans – highlight
the value of generic medications by featuring a dramatic savings
opportunity. While copayments vary by county, these SCAN members receive
a three-month supply (90 days) of Tier 1 and Tier 2 drugs and only pay
for two months. “Many seniors take several medications to help them
manage chronic, long-term conditions; and newer strategies are needed to
manage rising drug costs so that the cost of drugs is not a barrier to
good health,” said Jhawar.

The National Value-Based Payment and Pay for Performance Summit is being
held at the Hyatt Regency in San Francisco. Information and registration
may be obtained at: http://www.pfpsummit.com/agenda/day1.html.

SCAN is one of the nation’s largest not-for-profit Medicare Advantage
plans, currently serving approximately 170,000 members. Further
information about SCAN may be obtained at scanhealthplan.com
or on Facebook at facebook.com/scanhealthplan.

As governed by the Centers for Medicare & Medicaid Services, member
benefits vary by county. This information is not a complete description
of benefits. Contact the plan for more information. Limitations,
copayments and restrictions may apply. Benefits, premiums and/or
copayments/co-insurance may change on January 1 of each year. The
Formulary, pharmacy network, and/or provider network may change at any
time. You will receive notice when necessary. Other Pharmacies and
Providers are available in SCAN Health Plan’s network. Specific
information on SCAN’s 2016 benefit plans is available at
www.scan2016.com.

SCAN Health Plan is an HMO plan with a Medicare contract. Enrollment
in SCAN Health Plan depends on contract renewal.

Y0057_SCAN_9641_2016F File & Use Accepted 02072016

Contacts

SCAN Health Plan
Ross Goldberg, 818-597-8453, x-1
ross@kevinross.net