Managed Care Considerations in the Management of Amyotrophic Lateral Sclerosis (ALS): A Closer Look at the Emerging Role of Oral Therapy Options

A continuing medical education activity provided by NAMCP and AAMCN

This activity is an archive from the live session from the 2023 Spring Managed Care Forum. If you participated in the live session, you are not eligible for continuing education credits from this archive.

This activity is valid from June 1, 2023 to August 1, 2024

Instructions for CME/NCPD: Complete the pre-test, listen to the audio and view the slides, complete the post test, complete the evaluation form and hit submit. You will be asked to enter your name and email address on the pre-test, evaluation and post-test. If you close your internet browser without completing the post test, you will have ONE more opportunity to complete. A score of 70% must be achieved on the post test to receive continuing education credits. If you do not pass the post test after two attempts, you will not be eligible to try again. Once you complete the evaluation form and score 70% or higher on your post test, you will automatically be given your certificate.

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Audience: This activity is intended for healthcare professionals practicing in managed care environments.

This activity is supported by an educational grant from
Mitsubishi Tanabe Pharma America

Amyotrophic lateral sclerosis (ALS), more commonly known as Lou Gehrig’s disease, is a progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord. An estimated 20,000 people in the United States are living with ALS. It is a progressive disease in which the motor neurons eventually die. Mortality is usually the result of respiratory failure. Although most patients with ALS die within 3 to 5 years after symptoms first appear, about 20% of patients with ALS will live 5 years, 10% will live 10 years, and about 5% will live 20 years or more. Currently, there is no cure for ALS. Fortunately for patients with ALS, the treatment paradigm has expanded in recent years, giving medical directors and clinicians many more options in managing symptoms and delaying progression in the ALS patient population. Additionally, these treatments have now changed administration methods, giving clinicians and managed care professionals more options for ALS patients and members. With new options expanding the treatment armamentarium in ALS, a knowledge gap has been created, making it imperative that managed care physician medical directors, practicing physicians, pharmacists, payers, nurses, and other healthcare professionals who manage ALS patient populations have a solid understanding of differing options to optimize both costs and patient outcomes in their therapeutic application.

Upon completion of this activity, participants will be able to:

  • Assess the clinical and economic burden of amyotrophic lateral sclerosis (ALS), including factors that contribute to poor prognosis and increased costs

  • Identify the pathophysiology, risk factors, and disease burden of ALS, including clinical manifestations and key health disparities

  • Explore the evolving role of oral therapy administration in the management of patients with ALS

  • Evaluate the value of appropriate, evidence-based drug therapy for slowing disease progression, improving survival, and minimizing direct expenditures in other categories

  • Examine challenges and opportunities in using shared decision-making and supporting patient adherence

  • Implement benefit design strategies that improve access to therapy and manage costs with evidence-based clinical care for ALS


Faculty: Hiroshi Mitsumoto, MD, DSc
Wesley J Howe Professor of Neurology
Eleanor and Lou Gehrig ALS Center
Department of Neurology
Columbia University Medical Center


(Relevant Financial Relationships with Ineligible Companies in the Last 24 Months):
Dr. Mitsumoto has served on an advisory board for Eli Lilly. He has received grant/research support from Mitsubishi Tanabe Pharma America and Tsumura & Co. His presentation has been reviewed for any bias.
Planning Committee: Bill Williams, MD has no relevant financial relationships with an ineligible company in the last 24 months to disclose.

Jeremy Williams has no relevant financial relationships with an ineligible company in the last 24 months to disclose.

Jacqueline Cole, RN, MS, CMCN has no relevant financial relationships with an ineligible company in the last 24 months to disclose.

NAMCP and/or the presenter has copyright or has received permissions for use of materials provided in this activity.

Accreditation & Designation
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the National Association of Managed Care Physicians (NAMCP) and American Association of Managed Care Nurses (AAMCN). The National Association of Managed Care Physicians is accredited by the ACCME to provide continuing medical education for physicians.

NAMCP designates this enduring material for a maximum of 1 AMA PRA Category 1 credit(s)TM. Each
physician should claim credit commensurate with the extent of their participation in the activity.

The American Association of Managed Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Nurses who complete this activity and achieve a passing score will receive 1 hour in nursing continuing professional development.

This activity has been approved by the American Board of Managed Care Nursing for 1.0 contact hours toward CMCN recertification requirements.

This activity is supported by an educational grant from
Mitsubishi Tanabe Pharma America

NAMCP and/or this website does not provide medical advice, diagnosis or treatment. NAMCP does not endorse or imply endorsement of the content on any linked website. This website is to be used as an informational resource. With any health related concern, consult with your physician or healthcare professional.

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