PitchSend

Investor Presentaiton

August 16, 2023 Page 4 of 4 activities performed to best serve our Medicaid members. It would benefit all parts of OHA and other agencies to have a centralized pharmacy purchasing resource that can manage multiple pharmacy claims databases and ensure all Oregon agencies stay ahead of market changes that happen quickly and covertly within the pharmacy space. RECOMMENDATION 2 Assign staff without a conflict of interest to monitor CCO and PBM compliance. Agree or Disagree with Recommendation Agree Target date to complete implementation activities 07/01/2024 Name and phone number of specific point of contact for implementation Trevor Douglass Narrative for Recommendation 2 OHA agrees with this recommendation; however, staffing challenges have led to leveraging staff who have knowledge and expertise in the PBM contracting and pharmacy space. It was noted by OHA staff and confirmed by DOJ that a potential conflict of interest existed if OPDP/ArrayRx staff—who currently have this expertise-were to review CCOS' PBM materials. After the first CCO PBM readiness review, OHA did take steps to mitigate the conflict of interest by removing OHA's Director of Pharmacy Policy, Programs and Purchasing from all subsequent reviews. However, the remaining staff member—the OPDP/ArrayRx Operations Manager-still has a conflict of interest. It should be noted that other divisions within OHA and other Oregon agencies struggle to identify independent pharmacy analytic, policy, and purchasing resources, which suggests these resources are needed statewide. OHA intends to pursue adding resources to ensure availability of staff without a conflict of interest. For any questions, please contact: • • • - Trevor Douglass, DC, MPH – Pharmacy Policy, Programs and Purchasing Director - [email protected] David Inbody - Medicaid Coordinated Care Organization Operations Manager - [email protected] April Gillette, MPH, CVT, CPHQ - Governance & Process Improvement Director - [email protected] Sincerely, Dan Bah Baby Dave Baden Interim Director EC: Kristine Kautz, OHA Deputy Director Janell Evans, Interim OHA Chief Financial Officer Dana Hittle, OHA Medicaid Director Shawna McDermott, Interim OHA Health Systems Division Director Chris DeMars, OHA Office of Delivery System Innovation Director

View entire presentation