Areas of Expertise
ERISA/understanding health plan benefit design
Educate policymakers about existing state law regarding ERISA and the extent to which active legislation and regulatory oversight/enforcement pertain to plans. Additionally, provide education on how PBMs and brokers function with health plans.
Medicaid agencies
Provide consultation and assistance regarding (and not limited to):
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Cost of dispensing surveys
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State plan amendments and engagement with the Centers for Medicare & Medicaid Services
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NADAC benchmark inner workings
Offices of the Insurance Commissioner, PBM regulation enforcement
Provide guidance, testimony, and other information to state departments of insurance and state legislatures on best practices for implementing and enforcing PBM regulations.
General drug supply chain, drug pricing and pharmacy operations knowledge
Provide guidance, testimony, and other information to state legislatures and other state policymakers to provide a bigger picture of drug pricing along the supply chain, primarily to legislative audiences such as bill hearings and working groups.
Communications strategy and grassroots support
Provide direct grassroots advocacy within the state by NCPA’s grassroots team. Grassroots would be targeted for specific asks of state policymakers. NCPA communications team can provide guidance on best communications strategies for local/state advocacy campaigns.
Featured Experts
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ERISA/understanding health plan benefit design
- Robert T. Smith from the law firm Katten Muchin Rosenman
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Experts with experience and understanding of PBMs and health plan benefit design.
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Medicaid agencies
- John Coster, PhD, RPh, former director, Center for Medicaid and CHIP Services Division of Pharmacy
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Offices of the Insurance Commissioner, PBM regulation enforcement
- Jason Rapert, consultant, former Arkansas state senator and former president of the National Council of Insurance Legislators
- Other experts on auditing best practices
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General drug supply chain, drug pricing and pharmacy operations knowledge
- Scott Pace, PharmD, JD, Impact Management Group
- Andy Becker, PharmD, Vice President Pharmacy Strategy and Analytics at Sav-Mor Pharmacy Services
- Trenton Thiede PharmD, MBA, with matters related to third-party payor audits, PBM contracts and pharmacy provider agreements.
- Additional experts
Who can apply
The NCPA State Panel of Experts is available to state pharmacy associations who are seeking targeted expertise to address complex or time-sensitive issues.
Contact
For questions about the NCPA State Panel of Experts or the application process, please contact [email protected].
Acknowledgment
NCPA is grateful for the generous support of Compliant Pharmacy Alliance (CPA), whose partnership makes the State Panel of Experts program possible.