1. ACHP Live Interview High-Cost Drugs: Challenges and Opportunities June 15, 2015

2. Logistics To join the session by phone only, please call the number below and enter the access code. −US Toll Free: 1-855-797-9485 −Access Code: 647 421 659 If you experience issues with audio during today’s discussion, please: −Inform Jennifer Sulkin via the WebEx chat function or contact ACHP at 202-785-2245 if issues persist. When submitting questions, we ask that you use the CHAT function and direct your questions to the HOST. All participants have been placed on mute upon entry. Please DO NOT place your phones on hold being this may cause interruptions. A recording of today’s discussion and the slide presentation will be available on ACHP’s website. Visit www.achp.org for more information.www.achp.org

3. Kavita Patel, M.D., M.S. Fellow and Managing Director, Brookings Institution Center for Health Policy Dr. Patel is a Fellow and Managing Director at the Center for Health Policy at the Brookings Institution where she leads research on delivery system reforms, healthcare cost, physician payment and healthcare workforce productivity. Additionally, Dr. Patel is a practicing primary care physician at Johns Hopkins Medicine and a clinical instructor at UCLA's Geffen School of Medicine. Dr. Patel was previously a Director of Policy for The White House under President Obama and a senior advisor to the late Senator Edward Kennedy. Her prior research in healthcare quality and community approaches to mental illness have earned national recognition and she has published numerous papers and book chapters on healthcare reform and health policy. She has testified before Congress several times and she is a frequent guest expert on CBS, NBC and MSNBC as well as serving on the editorial board of the journal Health Affairs. Dr. Patel can be reached at KPatel@brookings.edu.KPatel@brookings.edu

4. Ceci Connolly Managing Director, PwC’s Health Research Institute Ceci Connolly is the Managing Director of the Health Research Institute at PricewaterhouseCoopers, a research organization dedicated to objective analysis on the issues, policies and trends important to health organizations and policymakers. She is a veteran journalist, and as the national health correspondent for the Washington Post, chronicled enactment of the Affordable Care Act and was co-author of Landmark: The Inside Story of America’s New Health Care Law and What It Means for Us All. In her role at the Health Research Institute, Connolly oversees a team of analysts and writers who track major developments and emerging issues across the healthcare spectrum. Ceci can be reached at ceci.connolly@us.pwc.com.ceci.connolly@us.pwc.com

5. Leslie Fish, Pharm.D. Vice President of Clinical Programs, Fallon Health Dr. Fish is the Vice President of Clinical Programs at Fallon Health and has more than 25 years of experience in the health care field as a practicing pharmacist with particular expertise in oncology and cardiology, a consultant, educator, researcher and writer. She is on the faculty of the John Meyers Primary Care Institute Managed Care Residency Program and has taught at the University of Massachusetts Medical School, Massachusetts College of Pharmacy and Allied Health Sciences and Northeastern University School of Pharmacy, Boston. She has served on the editorial board of several journals and is an active member of the Academy of Managed Care Pharmacy where she serves on the Professional Practice Committee. Dr. Fish is on the state’s Drug Utilization Review board in Massachusetts and has been recognized for her work as the winner of the National Osteoporosis Award (1997), Innovations in Pharmacy Award (1999) and the American Medical Group Association’s Acclaim Award (2001). Dr. Fish can be reached at leslie.fish@fchp.org.leslie.fish@fchp.org

6. Eileen Wood, R.Ph., M.B.A. Vice President of Clinical Integration and Chief Pharmacy Officer, Capital District Physicians’ Health Plan Eileen Wood has more than 30 years of experience as a pharmacist and health care industry leader. Eileen joined CDPHP in 2005 and is responsible for the pharmacy benefit, clinical pharmacy programs, health care performance management, and quality management teams. Prior to joining CDPHP, Eileen served as vice president of clinical services and director of pharmacy services for Seton Health System in Troy, NY, part of the Ascension Health System. Eileen began her career in an independent community pharmacy practice, and her experience includes progressive hospital pharmacy and management experience in oncology, surgery, laboratory, cardio-pulmonary, medical imaging, and other clinical services management. Eileen can be reached at Eileen.Wood@cdphp.com.Eileen.Wood@cdphp.com

7. ACHP Live Interview High-Cost Drugs: Challenges and Opportunities June 15, 2015

8. ACHP High-Cost Drugs: Challenges and Opportunities Ceci Connolly Managing Director, PwC’s HRI June 15 th, 2015

9. PwC Health Research Institute Why are specialty drugs costs becoming a big issue? 361% growth Source: PwC’s Health Research Institute: Behind the Numbers 2015 and analysis of CVS Caremark data. Only 4% of patients use specialty drugs, but those drugs account for 25% of total US drug spending. One specialty drug costs more than a company's annual drug spending budget. The difference in price between two therapies was approximately 4000 times the cost of gold! – Dr. L. Saltz, colorectal oncology, Memorial Sloan Kettering Cancer Center The difference in price between two therapies was approximately 4000 times the cost of gold! – Dr. L. Saltz, colorectal oncology, Memorial Sloan Kettering Cancer Center

10. PwC Health Research Institute Specialty drug approvals continue to race ahead Source: PwC Health Research Institute research based on data from the FDA, Express Scripts, Catamaran, and Thomson Reuters

11. PwC Health Research Institute Physician reimbursement Mortgaging drug costs Improving transparency Paying for drugs requires new finance models Exclusivity on ROS Outcomes based contracts Reforming Medicaid’s Best Price Reference pricing Ceiling price Alternative models

12. Panelists 12 Kavita Patel, M.D. (Moderator) Ceci ConnollyLeslie Fish, Pharm.D. Eileen Wood, R.Ph., M.B.A.

13. QUESTIONS? REMINDER: When submitting questions we ask that you use the CHAT function and direct your questions to the HOST.

14. Phone: 202-785-2247 Fax: 202-785-4060 www.achp.org 1825 Eye Street, NW Suite 401 Washington, DC 20006 THANK YOU