This is a general announcemnt (not a real session) 
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Session title:
Session 113 Open Forum: Pharmacy Outcomes Based Contracting
 
Session date: 2016-06-17
 
   Start Time: 12   : 00 AM  
  End Time:   12   : 00 AM  
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Competency:  
  1. Breadcrumb:  Strategic Insight and Integration > Management partnership

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    Articles: ( What's This?)
    • act-1999-vol33-iss02-shapiro

      Article from: The Actuary February 1999 – volume 33 -Issue 2 2 The Actuary • February 1999 Editor William C. Cutlip, FSA wcutlip@compuserve.com Associate Editors Janet M. Carstens, FSA carstej@towers.com Robert J. McKay, FSA rjmckay@hewitt.com Robert D. Shapiro, FSA shapiro@netstream.net Marc Twinney, FSA Assistant Edi

    • act-2013-vol10-iss6-ingram

      Article from: The Actuary Magazine December 2013/January 2014 – Volume 10, Issue 6 A Look Into ERM MAKING RISK MODELS COLLABORATIVE BY DAVE INGRAM than as a stone tablet brought down from the mountain by the modeling team who wrestled with the fates to create it. But making a complex stochastic risk model into an inter

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      The title of this article borrows from the more widely known quote from Dutch philosopher, Desiderius Erasmus, said about women. I would guess though, at least among product development actuaries, that the restated...
      By Douglas Bennett

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    • fin-crisis-essay-2011

      Risk Management: Part Two Systemic Risk, Financial Reform, and Moving Forward from the Financial Crisis pr e s ent e d b y t h e Society of Actuaries, Casualty Actuarial Society and Canadian Institute of Actuaries 1st edition2 Systemic Risk, Financial Reform , and Moving Forward fr om the Financial Crisis Introduction

    • fin-crisis-essay-2011-ingram

      30 You would not know it from the news, but in fact, a very large number of financial firms and a few regulators did correctly identify the looming problems that led to the financial crisis and took reasonable steps to avoid excessive losses. Almost all of the media attention has been on the firms and regulators who mi

    • fin-crisis-essay-2011-leblanc

      38 The causes to the global financial crisis are multiple and interdependent. What is reasonably clear however, is that the directors on boards of significant financial institutions in the US and UK did not possess level of understanding of risk necessary to properly oversee management and the complex products and risk

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      By Carlos Fuentes

    • How to Turn Suspects Into Prospects
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    • hsn-2011-iss65-lawrence

      Article from: Health Watch January 2011 – Issue 65Navigating New Horizons … an Interview with Jack BrunerBy Sarah LawrenceIt’s a well-known fact that many college graduates go on to work in fields that have little, if anything, to do with the degree they’ve earned. While many actuaries would never dream of switching oc

    • hsn-2012-iss69-wrobel

      Article from: Health Watch May 2012 – Issue 69Health Watch May 2012 19 Health Actuaries and the Short-term Prediction Problem By Kurt Wrobel The health actuarial profession has a very real structural problem that is not often discussed—the inherent challenges in making predictions where the results are known in a sho

    • hsn-2013-iss72-cymerys

      Article from: Health Watch May 2013 – Issue 72In the past 50 years, health care costs in the United States have more than tripled, rising steadily from 5 percent of the gross domestic product in 1960 to 18 percent in 2012. Driven by those increasing costs, commercial health insurance premiums have become dramatically m

    • Introduction to Non-US Life Insurance Products Distribution

      It is no surprise the way life products are distributed varies by country. The reasons and incentives to buy life insurance are different due to culture, tax regime, marketing, etc. This article gives a brief introduction to...
      By Rong Rong

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    • mono-2012-as12-1-keith

      ERM Culture Alignment to Enhance Competitive Advantage Dr. Abrahim Althonayan, Henry Killackey and Joanna Keith 2012 Enterprise Risk Management Symposium April 18-20, 2012 2012 Casualty Actuarial Society, Professional Risk Managers’ International Association, Society of ActuariesDr. Abrahim Althonayan, Henry Killackey

    • mono-2012-as12-1-wang-summary

      Enterprise Risk Management and Capital Budgeting Under Dependent Risks: An Integrated Framework Jing Ai, Ph.D. and Tianyang Wang, Ph.D. Presented at the: 2012 Enterprise Risk Management Symposium April 18-20, 2012 2012. Wang, Tianyang and Ai, Jing 1 Enterprise Risk Management and Capital Budgeting Under Dependent Risk

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      A discussion on using behavioral economics to nudge customers, colleagues and even significant others, for good.

      By Amanda Hug with insights from Michael Wong


    • prof-jrm-note-erm-capital

      Note on Enterprise Risk Management for Capital and Solvency Purposes in the Insurance Industry Published 31 March 2009 International Actuarial Association Association Actuarielle Internationale Acknowledgements Many people and organisations have been involved with the development of this Note. First and foremost the me

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    • rsa00v26n178if

      _________________________________ *Copyright 2000, Society of Actuaries Note: The chart referred to in text can be found at the end of the manuscript. HMs. McNamara, not a member of the sponsoring organizations, is Vice President of Human Resources at Wellpoint Health Networks in Thousand Oaks, CA. RECORD, Volume 26,

    • rsa00v26n181ts

      ________________________________ *Copyright 2000, Society of Actuaries †Ms. Thomson, not a member of the sponsoring organizations, is an Associate at Salomon Smith Barney in New York, NY. Note: The charts referred to in the text can be found at the end of the manuscript. RECORD, Volume 26, No. 1* Las Vegas Spring Meet

    • rsa00v26n3134pd

      ________________________________ *Copyright 2001, Society of Actuaries †Ms. Companik, not a member of the sponsoring organizations, is the actuarial manager of AdvancePCS in Irving, TX. Note: The chart referred to in the text can be found at the end of the manuscript. RECORD, Volume 26, No. 3* Chicago Annual Meeting O

    • rsa00v26n3145pd

      _________________________________ *Copyright 2001, Society of Actuaries †Ms. Johnson, not a member of the sponsoring organizations, is Compliance Specialist at Milliman & Robertson, Inc. in Minneapolis, MN. ‡Mr. Wilder, not a member of the sponsoring organizations, is Director of Public Policy at the American Academy

    • RSA01V27N336IF

      _________________________________ *Copyright 2002, Society of Actuaries †Mr. Kenneth Jacobsen, not a member of the sponsoring organizations, is senior vice president and national health practice leader with the Segal Company in Atlanta, GA Note: The chart(s) referred to in the text can be found at the end of the manus

    • RSA01V27N372PD

      _________________________________ *Copyright 2002, Society of Actuaries †Mr. Michael Taylor, not a member of the sponsoring organizations, is a consultant and health and welfare principal with Towers Perrin in Boston, MA. Note: The chart(s) referred to in the text can be found at the end of the manuscript. RECORD, Vol

    • rsa02v28n117of

      _________________________________ *Copyright 2002, Society of Actuaries RECORD, Volume 28, No. 1* Colorado Springs Spring Meeting May 30-31, 2002 Session 17OF Financial Management Through Hard Times Track: Financial Reporting Moderator: FREDERICK W. JACKSON Panelists: FREDERICK W. JACKSON DAVID A. RAINS ANDREW D. RALL

    • rsa02v28n147pd

      _________________________________ *Copyright 2002, Society of Actuaries Note: The chart(s) referred to in the text can be found at the end of the manuscript. RECORD, Volume 28, No. 1* Colorado Springs Spring Meeting May 30–31, 2002 Session 47PD Risk Management at the Corporate Level Track: Product Development/Reinsura

    • rsa05v31n153of

      _________________________________ *Copyright 2005, Society of Actuaries †Mr. Alex Korogodsky, not a member of the sponsoring organizations, is senior manager at Ernst & Young in New York, NY. Note: The charts referred to in the text can be downloaded at: http://handouts.soa.org/conted/cearchive/NewOrleans-May05/053_bk

    • rsa05v31n157sem

      _________________________________ *Copyright 2005, Society of Actuaries †David A. Chalfin, not a member of the sponsoring organizations, is vice president at New York Life Insurance, New York, N.Y. ††Samuel R. Coleman, not a member of the sponsoring organizations, is managing director at Citigroup Global Markets, New

    • RSA81V7N416

      RECORD OF SOCIETY OF ACTUARIES 1981 VOL. 7 NO. 4 THE FINANCIAL CRISIS IN LIFE INSURANCE DISTRIBUTION SYSTEMS Moderator: JOHN E. TILLER, JR. Panelists: JAMES C. H. ANDERSON, JACK PECKINPAUGH * i. The crisis a. Does it exist? b. What is it? c. What are its roots? 2. Recruiting and training a. What is the impact of curren

    • RSA82V8N428

      RECORD OF SOCIETY OF ACTUARIES 1982 VOL. 8 NO. 4 MANAGING THE GROUP HEALTH LINE: TECHNICAL APPROACHES TO ANALYZING, MONITORING AND PROJECTING GROUP HEALTH EXPERIENCE Modera_rs: ROBERT _ DOBSON AND PH_L_ A. DORAN A teaching session dealing with techniques for improving management information in the group health line, to

    • RSA85V11N116

      357 RECORD OF SOCIETY OF ACTUARIES 1985 VOL. 11 NO. 1 ROLE OF THE VALUATION ACTUARY IN PRODUCT DEVELOPMENT Moderator: HAROLD D. SINGH Panelists: ALLAN D. AFFLECK KENT R. JOHNSON ALEXANDER G. SCHEITLIN Recorder: RICHARD LAU o Financial reporting systems as a source of information for product development. o Interaction o

    • RSA85V11N210

      RECORD OF SOCIETY OF ACTUARIES 1985 VOL. 11 NO. 2 ROLE OF THE ACTUARY IN DEFINING INVESTMENT POLICY AND STRATEGY Moderator: DAVID W. COOK Panelists: MATTHEW S. EASLEY JOHN L. MAGINN* RICHARD M. STENSON Recorder: CHRISTOPHER R. PERRIN o How should investment policy be developed? o Role of the actuary and the investment

    • RSA85V11N216

      RECORD OF SOCIETY OF ACTUARIES 1985 VOL. 11 NO. 2 i ROLE OF THE VALUATION ACTUARY IN PRODUCT DEVELOPMENT Moderator: ARNOLD A. DICKE Panelists: JOHN T. GLASS JAN L. POLLNOW ALAN K. RYDER Recorder: DONALD G. MACDONALD o Relationship of pricing and valuation actuaries in Canada. o Financial reporting system as an informat

    • RSA85V11N219

      RECORD OF SOCIETY OF ACTUARIES 1985 VOL. 11 NO. 2 ROLE OF THE VALUATION ACTUARY IN TIIE UNITED STATES, CANADA, AND THE UNITED KINGDGM Moderator: JOHN A. FIBIGER Panelists: ALLAN D. AFFLECK T. C. JENKINS* HORACE W. MCCUBBIN Recorder : CHESTER LEWANDOWSKI o Overview of the valuation actuary's role in each country o Produ

    • RSA85V11N325

      RECORD OF SOCIETY OF ACTUARIES 1985 VOL. 11 NO. 3 FOREIGN OWNERSHIP OF INSURANCE COMPANIES Moderator: JOHN B. YANKO Panelists: RICHARD P. BURROWS* WILLIAM F. MCGAHAN** Recorder: JOHN C. VIEREN o Reporting relationship o Organizational structure/changes o Accounting concerns/techniques o "Communication" o Personnel impa

    • RSA87V13N4B7

      RECORD OF SOCIETY OF ACTUARIES 1987 VOL. 13 NO. 4B INTEGRATING THE ACTUARIAL/INVESTMENT FUNCTION Moderator: GREGORY J. CARNEY Panelist: GRAHAM R. MCDONALD RICHARD S. ROBERTSON IRWIN T. VANDERHOOF Recorder: GREGORY J. CARNEY o Initial concerns from each side o Needed initial and ongoing coordination o Effect of company

    • rsa96v22n225pd

      *Copyright 1997, Society of Actuaries RECORD, Volume 22, No. 2* Colorado Springs Meeting June 26–28, 1996 Session 25PD Technology and the Small-Company Actuary Track: Computer Science/Smaller Insurance Company Key words: Computer Systems; Futurism Moderator: JAMES F. TOOLE Panelists: CARY DAVID GOGGIN WILLIAM M. WHITE

    • rsa96v22n3120pd

      RECORD, Volume 22, No. 3* Orlando Annual Meeting October 27–30, 1996 Session 120PD Strategic Management of Insurance Company Risk Track: Financial Reporting/Investment/Product Development Key words: Risk Theory Moderator: CRAIG R. RAYMOND Panelists: HELEN GALT MARY GOTTSCHALK† C. NELSON STROM Recorder: CRAIG R. RAYMOND

    • rsa96v22n323pd

      RECORD, Volume 22, No. 3* Orlando Annual Meeting October 27–30, 1996 Session 23PD Effective Use of Services Available to Small-Company Actuaries Track: Smaller Insurance Company Key words: Corporate Strategy Moderator: CRAIG K. NORDYKE Panelists: FRANK J. BARRETT† ROBERT F. GRIEB‡ DOUGLAS J. KNOWLING JEFFREY G. STEVENS

    • rsa96v22n380cs

      RECORD, Volume 22, No. 3* Orlando Annual Meeting October 27-30, 1996 Session 80CS Achieving Successful Organizational Integration Track: Product Development Key words: Mergers and Acquisitions Moderator: IRVING R. BURLING Facilitator: DAVID A. WHITSETT† Recorder: IRVING R. BURLING Summary: It is a time of consolidation

    • rsa96v22n390pd

      RECORD, Volume 22, No. 3* Orlando Annual Meeting October 27–30, 1996 Session 90PD General Accepted Accounting Principles (GAAP) Implementation Issues Track: Financial Reporting Key words: Financial Reporting, GAAP Moderator: ROBERT M. BEUERLEIN Panelists: JAMES B. MILHOLLAND MARY ANN H. PELTIER RONALD T. TAKEMOTO Recor

    • rsn-2017-iss8-santos


    • spg0508erm

      1 Enterprise Risk Management Specialty Guide August 30, 2005 2 Table of Contents Page Foreword ......................................................................................................................3 Executive Summary........................................................................................

 
Credit:
 
Credits
CPD:  1.80  EA:  

 
Presenter:  
Alejandro Miguel Cires, FSA, MAAA; Gregory L. Warren, FSA, FCA, MAAA; Denise Wolff
 
Moderator:   
Gregory L. Warren, FSA, FCA, MAAA
 
Session description:  

Presenters for this session will describe the pros and cons of various 'advanced' contracting strategies between pharmaceutical manufacturers and payers. This will include a discussion of the criteria that must be in place for a successful contract, as well as describe three to four types of contracts being used in the market today.

At the conclusion of the session, attendees will be able to: 

  • Define what an 'advanced' contract is between a pharmaceutical manufacturer and payer;
  • Explain pros and cons of various approaches; and
  • Describe financial mechanisms in place to determine the payments in an 'advanced' contract.

Country Relevance: Non-Nation-Specific

Experience Level:     Intermediate  
Coordinators:
Coordinator
 
Jason Bradley Gomberg, FSA, MAA; Gregory L. Warren, FSA, FCA, MAAA
 

 
Sponsor:
Product Development Section
 
Facilitators:
Facilitator
 
 

 
Resource Links:
 

 
Audio Link:  
 
    

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Legend

Communication

Demonstrating the listening, writing and speaking skills required to effectively address diverse technical and nontechnical audiences in both formal and informal settings.

Professional Values

Adhering to standards of professional conduct and practice where all business interactions are based on a foundation of integrity, honesty and impartiality.

External Forces & Industry Knowledge

Identifying and incorporating the implications of economic, social, regulatory, geo-political and business changes into the design and delivery of actuarial solutions.

Leadership

Initiating, innovating, inspiring, creating or otherwise acting to influence others regardless of level or role toward a common goal.

Relationship Management & Interpersonal Collaboration

Creating mutually beneficial relationships and work processes toward a common goal.

Technical Skills & Analytical Problem Solving

Applying the actuarial knowledge, skills and judgment required to provide value-added services.

Strategic Insight & Integration

Anticipating trends and strategically aligning actuarial practice with broader organizational business goals.

Results-Oriented Solutions

Providing effective problem solving that addresses relevant interests and needs.