2021-10-11 Advisory Group on Pharmacy Policy and Operations

• Kemi Alli
• Anthony Armstrong
• Mary Blankson
• Anthony Fortenberry

• Jennifer Kreidler-Moss, Chair
• Marisa Rowen
• Nicole Thibeau
• Vicki Young

Welcome

NACHC Governance Structure

Role within the Committee Structure of NACHC; The Committees are committees of the Board, this group makes recommendations to the Board.

There is a duty to:

• Keep mission in mind (see Mission Statement), and the recently approved strategic goals of NACHC.
• Maintain confidentiality of NACHC information until and unless the NACHC Board decides to share info

No-one should speak for the Board, Committee or Subcommittee without authority to do so.  The group makes recommendations as a group, not individuals.  Do not speak for NACHC without authority to do so.

Questions and Answers for Jacki

Policy Updates

Pharma's strategy is to sue and keep things tied up.

Best to craft a proactive strategy that has the viability and savings that CHCs need, not to respond to every change that is proposed.

N Thibeau - Difficult to help patients when things are changing and the impacts seriously affect service (having to lay off employees when even COVID caused so much stress on the system, but this is causing greater effect.  Gilead change.

K Alli - Is there a way to create new legislation to solve some of the dilemmas without touching the existing legislation, that layers on top to fix the problems. Can we create the program that we want?

G Williams - This would give us the opportunity to design the system we want.

J Kreidler-Moss - Align with allies in the field.  Maybe we need to talk about the unpopular option of NOT basing financial models on 340B. 

Review of Minutes

Priorities Discussion

Next meeting is November 8^th from 12 noon to 1:00 pm ET

Scheduling Note: Jennifer Kreidler-Moss' birthday - Vacheria is getting married on the 6th and will be on honeymoon on the 8th.

1. Anthony Armstrong to share data
2. Kathy will compile and list of participants/bios and share Done
3. Kathy will compile draft Minutes Done
4. Vacheria will share latest Medicare Bill for comment  TBD
5. Andrea will establish a site on Confluence.  Done.

CHC engaged a team to develop a (  ) and testing it since April to manage the program.

V Tutson - Might be helpful to tell the story, not only say there were savings and here is the number.  

G Williams - How intensive was it to provide data to the third party to create these visualizations? Not labor intensive on staff.

If we share data, can it somehow be used against CHCs?

N Thibeau - Can she share with her policy team the things that we talk about it our meeting.  

J Leifer - There was nothing that was discussed in this conversation that could not be shared.  V Tutson agreed.

1. Decision Tweak or Reinvent?
2. We need new models that offer stability, we need to tell that story with data, and we need to do this without burdening CHC staff.
   1. We need to pull apart models - beyond 340B - to build models for CHCs.
   2. No CHC should have to build its own systems, let's share systems and ideas like Anthony's to tell the data story.

A Armstrong: Also important to also include data needs, differences, availability for in-house pharmacies vs contract pharmacy. I personally only have contract pharmacy experience

V Tutson - Explore ways in targeted conversations later in this group for how we can use data 

K Alli - Next conversation; how do we share (data) on what we do with the 340B savings.

• Anthony will continue to converse with the third party that created the data.