Ron Lyon Email & Phone Number

Consulting on behalf of both public and private payers related to pharmacy benefits and disease management.Health care analytics that support consulting, auditing and interventions for preferred clients, including:• Fraud, waste, and abuse• Care gap identification and notification engine available for licensing• Operational efficiency• Utilization reporting that includes integrated medical claims• PBM contract evaluation, procurement, and implementation• 340b program evaluation, design, and implementation• Specialty medication programs• Clinical program evaluation

Hampton, Va

Hampton, Va

Teaching* Course coordinator for Drug Information and Managed Care* Co-instructor for Biostatistics, and Research MethodsFormal committees* University-level: Library* Oversight of Curriculum, Academic Affairs, Professional Conduct and Grievance Committees* Elected by faculty to serve on Executive CouncilResearchPrimarily focused on formal evaluations of clinical programs, benefit design impact, and pharmacoeconomics.

Responsible for all pharmacy services including operations, formulary, clinical and quality management for multiple public sector programs with over 1.5 million lives• Developed and implemented a next-generation care gap notification service that uses over 17,000 alert rules to notify providers of potential care gaps with an estimated ROI that exceeds 22 to 1• Integrated care gap notification service with our care management services• Created and managed all pharmacy related analytics and physician education programs• Managed 340b programs• Developed provider, code set (e.g., ICD) and drug fact databases for our analytics departmentThese programs use both medical and pharmacy data to help support better collaborative care, including medical home and pay-for-performance programs.

Developed new business lines that leveraged our vast stores of integrated health care data: • Physician-Patient Care Alerts used computer algorithms to identify and notify physicians of patient-specific care gaps• Strategic Informatics provided advanced analytics to support health benefit, clinical and pharmaceutical consulting

• Pharmacy practice revenue growth exceeded 30% annually during period of limited growth for other practices• Moved practice beyond employers into health plans, workers' compensation and pharmaceutical companies• Expanded scope of practice to include claims and rebate audits, formulary management, home-delivery vendor evaluation and selection, on-site pharmacy, specialty pharmacy, Medicare Part D and clinical management consulting• All PBM procurements resulted in transparent, pass-through contracts

• Responsible for all pharmacy services including operations, formulary, clinical, customer service and quality management for over 2.5 million lives• Reduced drug cost trends to less than national averages (6% vs. 15%; 9% vs. 14%; 10% vs. 11%)• Reduced average drug cost per patient per quarter by ~8%• First major health plan to limit use of Vioxx and Celebrex, use of Cox-IIs (e.g., Celebrex, Vioxx) decreased by ~30%• Doubled rebate returns while increasing generic utilization to 5% higher than the national average• Created the Prescribing Value program, a prescribing analysis and education tool sent to over 10,000 physicians each quarter reducing their drug cost trend to 5% less than the average• Used integrated medical, laboratory and prescription data to screen for potential drug therapy problems and notify physicians of ~20,000 potential problems each month with over a 60% change rate• Used alerts as "smart" variables for predictive modeling with a doubling of predictive power• Negotiated the first transparent PBM contract with Medco

• Responsible for clinical and professional services for Medicaid, Medicare and private payer clients with over 1.5 million lives• Led project to migrate claims processing system to ComCoTec (nka Catamaran)• Built formulary management and prior authorization systems on top of claims processing system• Helped clients achieve drug cost increases that averaged only 6.8% annually over nine years compared to 15% for HMOs• Created a suite of information technology solutions that became the MedIntelligence product line including drug therapy problem notification, key performance indicators, client analytical tools, prescriber education and prior authorization management• Assumed executive responsibility for both Customer Service and Account Management departments in order to improve customer satisfaction and exceed performance standards

• Managed seven (7) pharmacies for a mixed-model health maintenance organization• Achieved no increase in drug costs over a 3 1/2 year span while other HMOs averaged over 15% annually• Selected and installed pharmacy computer systems with a budget of only $500 per pharmacy• Selected by corporate to head the pharmacy system selection team for the small staff-model HMOs

• Responsible for all pharmacy services for a two (2) hospital and clinic system• Achieved no increase in drug costs over a 3 year span while other hospitals averaged over 15% annually• Reduced the medication administration error rate from 12% (national average) to 6%• Accredited by JCAH with no deficiencies or recommendations for improvement cited

• Directed all aspects of the drug information services including P&T Committee functions• Taught drug literature evaluation, drug information services, basic statistics and therapeutics to Pharm.D. students and residents

M.S., Pharmacy Practice

B.S., Pharmacy