Angela Reed is a principal and consultant in the San Diego Health Practice. She joined the firm in 2013. She has worked in pharmacy benefits management since 2008.
Angela previously worked for a nationally recognized, full-service Pharmacy Benefit Manager (PBM) in a variety of roles within operations. In her current role, Angela leads a team of pharmacy benefits professionals that provide consulting services to self-funded payers, with a particular focus on supporting health plans and public sector clients in optimizing their pharmacy benefit strategies. Angela’s team consists of pharmacists, consultants, actuaries, project managers, and analysts that help clients manage and oversee their PBM relationships. Examples of her team’s experience and capabilities include:
Auditing and monitoring
Contracting
Financial analysis (PBM market check)
Reporting
Request for proposal
Publications and Presentations
Pharmacy benefits carve-in versus carve-out (Milliman White Paper, 2016)
Mitigating disruption and reducing plan costs: Keys to a successful PBM implementation (Milliman White Paper, 2018)
PBM Best Practices Series: Performance guarantees (Milliman White Paper, 2020)
Succeeding in the Part D PBM RFP and contracting process (Milliman Medicare Topics Webinar Series, 2021)
Professional Designations
Certified Employee Benefits Specialist, International Foundation of Employee Benefit Plans (IFEBP)
Education
BS, Business Administration, California State University, San Marcos
06 October 2021 - by Matthew Hayes, Angela Reed, Michelle N. Angeloni
In this webinar, we dive into key elements for success in the Part D PBM process, including valuing the impact to net plan liability, understanding the pros and cons of network and formulary strategies, and understanding how to evaluate the ability for each PBM to offer the operational expertise needed to compliantly and effectively manage Part D benefits.
06 November 2020 - by Greg O. Callahan, Angela Reed
This paper explores performance guarantees best practices plan sponsors can leverage to hold their pharmacy benefit managers accountable for operational performance.
This paper looks at the pharmacy benefit manager (PBM) implementation process and identifies key items to consider for a successful PBM implementation, including pre- and post-implementation activities.
