NCPDPunscripted

Pooja Babbrah sits down with Mara Mitchel, Senior Vice President of Pharmacy at Oscar Health, to discuss how health plans need a seat at the table when it comes to pharmacy innovation, improving transparency and creating a more connected, member-first care experience. Mara dives into the importance of health plan engaging in NCPDP initiatives, including NCPDP Telecommunication Standard Version F6©, electronic prior authorization and the Pharmacy Product Locator. Tune in to hear why collaboration and empowering consumers with accessible information are essential to improving access to care.

Have a guest or topic recommendation? Text us!

In this episode, Pooja Babbrah sits down with Morgan Bojorquez, Associate Vice President of Business Development within Humana’s Pharmacy Division, to explore how the organization is approaching innovation in pharmacy.

Morgan shares how Humana identified opportunities to use existing standards in new ways, including its New Rx Insights initiative, which uses the prescribing workflow to help close gaps in care. He discusses what they have learned from implementing the program, the role of pharmacists in the future of collaborative care, and how expanding use cases and combining existing standards could drive further innovation.

Have a guest or topic recommendation? Text us!

Prior authorization continues to create challenges for physicians, staff and patients, despite increased attention, regulation and new technology. In this episode of NCPDPunscripted, Heather McComas, Director II, Policy Development, Administrative Simplification Initiatives, and Tyler Scheid, Associate Director of Policy Development, from the American Medical Association, discuss the current state of prior authorization, what has changed and what still needs to happen to make the process work better.

Have a guest or topic recommendation? Text us!

Healthcare policy is moving fast, from electronic prior authorization and transparency to AI, PBM reform and rural health. Jennifer Steger, Vice President, and Colton Henning, Senior Director, of Monument Advocacy join NCPDPunscripted to break down the latest federal and state developments and what they mean for pharmacy.

Have a guest or topic recommendation? Text us!

In this episode of NCPDPunscripted, Pooja Babbrah sits down with Julia Vu, PharmD, NCPDP’s Executive Vice President of Public Policy and Professional Affairs. They discuss Julia’s transition from Elsevier to NCPDP, the evolving CMS Health Tech Ecosystem, the future of prior authorization, AI agents, pharmacist access to interoperable data and what cross-industry collaboration could mean for healthcare.

Have a guest or topic recommendation? Text us!

In this episode of NCPDPunscripted, Pooja Babbrah sits down with Kelly Strachan, Model Lead and Health Insurance Specialist at CMS, and Aurelia Chaudhury, Technical Advisor, Division for Drug Innovation at the Center for Medicare and Medicaid Innovation (CMMI), to discuss the CMS GLP-1 Bridge Demonstration and its early progress. They explore how CMS collaborated with pharmacies, PBMs/Health Plans, providers and NCPDP members to launch the program, the role of standards in reducing friction, and what the agency is learning as it works to expand access to GLP-1 therapies for Medicare Beneficiaries.

Have a guest or topic recommendation? Text us!

Kim Boyd, Principal at Leavitt Partners, joins NCPDPunscripted to discuss the Pharmacy Interoperability and Clinical Services Alliance (PICSA) and its work to modernize pharmacy care and empower pharmacists as clinicians. The conversation explores challenges around billing, credentialing and clinical data exchange, as well as how collaboration, standards and real-world pilots can help create a more connected and consistent approach to pharmacy care. 

Have a guest or topic recommendation? Text us!

Electronic prior authorization is evolving rapidly, with AI and new CMS proposed rules poised to transform how patients access medications. In this episode of NCPDPunscripted, Pooja Babbrah sits down with Anu Kaur, PharmD, RPh, SFC™, Technology Solutions Management Consultant and Clinical Pharmacist at Conduent, to discuss the future of prior authorization, the role NCPDP standards play in enabling faster, more transparent prior authorization workflows, and how AI can help reduce administrative burden while keeping patients at the center of care.  

Have a guest or topic recommendation? Text us!

 Scott Biggs, Director at IQVIA joins NCPDPunscripted to discuss the pharmacy trends reshaping healthcare, from direct-to-consumer models (DTC) and obesity medications to pharmacy closures and the growing role of pharmacists. Tune in for a data-driven conversation on where the industry is headed and the opportunities organizations should be preparing for next. 

Have a guest or topic recommendation? Text us!

Pharmacists are playing an increasingly important role in delivering clinical services, but challenges around interoperability, credentialing, and data exchange continue to limit their full integration into the healthcare ecosystem. 

In this episode of NCPDPunscripted, Pooja Babbrah welcomes Brigid Groves, PharmD, MS, Vice President of Professional Affairs at the American Pharmacists Association (APhA), for a conversation about the future of pharmacy. Together, they explore the importance of team-based care, opportunities for pharmacy participation in TEFCA, and how AI and technology can help remove administrative burdens, giving pharmacists more time to focus on patient care. 

Have a guest or topic recommendation? Text us!