LVBCH & Pharmacy Update

You are invited to attend an "LVBCH & Pharmacy Update" sponsored by the Lehigh Valley Business Coalition on Healthcare. The event will be held on Wednesday, February 27, 2019 at the Crowne Plaza in Reading, PA. Additional information about the event is presented below. 

Registration Information

This is a FREE event for LVBCH members, however, you must register to attend this event.  Registrations will NOT be accepted at the door. 

Objectives

By attending this event, participants will learn:

• The latest trends related to biosimilars and specialty drugs
• What employers can do and other strategies moving forward
• LVBCH membership benefits related to pharmacy and beyond

Program Schedule

Featured Presenters

John Adler 
President, ELMC Rx Solutions
elmcgroup.com/elmcrxsolutions/

John has 22 years of experience in pharmacy benefit management working for PBMs, audit & analytics firms, and consulting firms. He established his current company seven years ago and became part of the ELMC group in 2017.  He is currently a consultant for Taft Hartley Funds including the Delaware Valley Health Care Coalition (DVHCC), BCBS health plans, business coalitions, TPAs, insurance captives, and individual public and private sector plans.  In his role as a PBM RFP, contract, and risk management expert, John has been invited to speak at national conferences for the International Federation of Employee Benefit Plans (IFEBP), Self-Insurance Institute of America (SIIA), the American Federation of Teachers (AFT), and the Society of Professional Benefit Administrators (SPBA).  John has been published and quoted in a number of publications, including Employee Benefit News, Human Resource Executive, Risk & Insurance, and A. M. Best Week Magazine on PBM contracting issues and risk management/cost containment strategies.

Ken Miller 
Director, Clinical Program Management & Clinical Account Executive, Express Scripts
express-scripts.com

Ken joined Express Scripts in 2007. Prior to coming aboard, he served in a number of clinical and business roles within the healthcare industry. His experience allows him to understand his clients’ benefit philosophies and identify opportunities to best support member health and safety.

Ken strives to be a best-in-class clinical resource. After reviewing a client’s benefit plan, Ken suggested implementing coverage rules that would help manage trend and provide members with clinical oversight. Due to Ken’s expert consultation, the plan put the coverage rules in place and saved close to $500,000 within the first year. 

Jessica Morton
Account Executive, Commercial Division, Express Scripts
express-scripts.com

Jessica joined Express Scripts in 2009 as an account manager. Prior to coming aboard, she served as a senior account manager for URAC (American Accreditation Healthcare Commission, Inc.) in Washington, D.C. Before that, Jessica was an account manager at WellPoint. With more than 10 years of experience in the healthcare industry, Jessica is an established account executive at Express Scripts. Jessica firmly believes in partnering with her clients to reach their goals.

In 2018, a long-time Express Scripts client experienced significant budget reductions as a client in the mortgage industry. In order to counter these losses, Express Scripts needed to deliver significant savings without increasing member cost share. Jessica took the lead and recommended an aggressive combination of waste-reducing products, including Step Therapy, Drug Quantity Management, and Prior Authorization. Jessica’s recommendations have saved the client more than $1.2 million for the year.

Carl Seitz
President, LVBCH 
www.lvbch.com

Carl Seitz brings 30 years of management experience in nonprofit healthcare to his role as President of the Lehigh Valley Business Coalition on Healthcare (LVBCH).  Before joining LVBCH, he spent two decades at St. Luke’s University Health Network.  Carl Seitz has extensive experience in employee health and is knowledgeable about insurance and contracting.  Most recently, he was employed as Director of Occupational Medicine for St. Luke’s University Health Network in Bethlehem, PA.  Throughout his 20 years at St. Luke’s, his various responsibilities have included occupational medicine, urgent care, primary care, internal medicine, sports medicine, rural health and college health.

Prior to joining St. Luke’s, Carl worked for Hazelton-St. Joseph Medical Center as director of Physical Medicine and Rehabilitation.  He earned his master’s degree in Healthcare Administration from Wilkes University in Wilkes Barre, PA.  Carl served as Vice President of the Lehigh Valley Industrial Park IV/V and is a member of the National Associates of Occupation Health Professionals and the Northeastern Pennsylvania Manufacturers and Employers Association.

Carl resides in Dallas, PA with his wife Anne. They have two grown children; Carl Allen and Nicole.