2023 AHIP/OPM FEHB Carrier Virtual Conference

Plan Performance Assessment

The Plan Performance Assessment team will provide data highlights from the 2022 Scoring Cycle, as well as other insights over the seven years of results. In addition, updates on future directions being explored for Plan Performance Assessment will be shared.

• Learn more about Edward M. DeHarde, MS
  Edward M. DeHarde, MS

  ,

  Deputy Associate Director, Healthcare and Insurance (HI)
  , U.S. Office of Personnel Management
• Learn more about Carla Fletcher
  Carla Fletcher

  ,

  Program Analyst, Healthcare and Insurance (HI)
  , U.S. Office of Personnel Management
• Learn more about Joseph Kahn
  Joseph Kahn

  ,

  Program Manager, Healthcare and Insurance (HI)
  , U.S. Office of Personnel Management

Pharmacy Benefit Manager (PBM) Oversight

Pharmaceuticals account for approximately 30% of the FEHB premium. This session will feature an industry leader in PBM oversight and benefit optimization and discuss the critical role of the Carrier in overseeing the PBM function. Speakers in this session will discuss how the implementation of near real-time pharmacy claim reviews with an FEHB Carrier has improved financial performance, strengthened vendor partnerships, and brought transparency to the pharmacy benefit.

• Learn more about Jarrod Grossman, PharmD
  Jarrod Grossman, PharmD

  ,

  Vice President, Pharmacy and Analytics
  , HealthPlan Data Solutions, Inc.
• Learn more about Janice Rhee, PharmD, MBA,
  Janice Rhee, PharmD, MBA,

  ,

  Data Analyst, Healthcare and Insurance (HI)
  , U.S. Office of Personnel Management
• Learn more about Dele Solaru, PharmD, MBA
  Dele Solaru, PharmD, MBA

  ,

  Chief Pharmacy Officer Healthcare and Insurance (HI)
  , U.S. Office of Personnel Management
• Learn more about Nick Trego, PharmD
  Nick Trego, PharmD

  ,

  Vice President, Account Management
  , HealthPlan Data Solutions, Inc.

Employer Group Waiver Plans (EGWPs)

• Learn more about Edward M. DeHarde, MS
  Edward M. DeHarde, MS

  ,

  Deputy Associate Director, Healthcare and Insurance (HI)
  , U.S. Office of Personnel Management

Postal Service Health Benefits Program

The Postal Service Reform Act of 2022 directs OPM to create a new Postal Service Health Benefits Program. This session will provide an update on OPM's implementation status.

• Learn more about Maggie Martel
  Maggie Martel

  ,

  Program Manager, Healthcare and Insurance (HI)
  , U.S. Office of Personnel Management
• Learn more about Sylvia Pulley
  Sylvia Pulley

  ,

  Acting Deputy Associate Director, Healthcare and Insurance (HI)
  , U.S. Office of Personnel Management

Evidence-Based Pain Management and Opioid Prescribing

The drug overdose epidemic continues to impact thousands of Americans each year. Ensuring clinicians are prepared with evidence-based strategies to treat pain, including the use of prescription opioids, and to provide care for opioid use disorder, if present, is paramount. Speakers in this session will discuss the recently released report on clinical practice guidelines for prescribing opioids for pain.

• Learn more about Christina A. Mikosz, MD
  Christina A. Mikosz, MD

  ,

  Lead Clinical Practice Team, Health Systems and Research, Branch, Division of Overdose Prevention, National Center for Injury Prevention and Control
  , Centers for Disease Control and Prevention
• Learn more about Dele Solaru, PharmD, MBA
  Dele Solaru, PharmD, MBA

  ,

  Chief Pharmacy Officer Healthcare and Insurance (HI)
  , U.S. Office of Personnel Management

Conference Wrap-Up/Adjournments

• Learn more about Edward M. DeHarde, MS
  Edward M. DeHarde, MS

  ,

  Deputy Associate Director, Healthcare and Insurance (HI)
  , U.S. Office of Personnel Management