Monday, Oct. 26 | 1-5:30pm, reception to follow
$525 member, $625 non-member fee
Overview
Pharmaceutical market access professionals are expected to navigate increasingly complex payer environments—but often lack a clear understanding of how health plans evaluate financial risk, design benefits, and make coverage decisions.
This 4-hour interactive Masterclass provides a practical, payer-informed view of health plan economics across Commercial, Medicare, and Medicaid lines of business. Through a combination of actuarial insights, executive perspectives, and real-world examples, participants will gain a clearer understanding of the financial, operational, and strategic factors that shape access decisions.
Faculty
Greg Warren FSA, FCA, MAAA
Partner and Consulting Actuary
Axene Health Partners, LLC
Sudhakar Natarajan, FSA, MAAA
Senior Director
Optum Advisory Services
Jim Davidson, PharmD., MBA
Senior Pharmacy Consultant
Milliman
Why you should attend
• Actuary-led instruction across all major lines of business
Participants will hear directly from actuaries responsible for pricing, forecasting, and risk management in Commercial, Medicare, and Medicaid plans—bringing transparency to how financial decisions are modeled and evaluated.
• Integrated payer leadership perspective
Pharmacy and medical executives will provide context on how actuarial insights translate into formulary management, utilization management, and broader coverage strategy decisions.
(e.g., how tools like prior authorization, rebates, and benefit design influence cost and access decisions)
• Cross-functional view of the health plan enterprise
The program highlights how actuarial teams interact with pharmacy, clinical, finance, and product functions to shape benefit design and access pathways.