Manage Resources and Control Costs in Care Management to Improve Quality Outcomes
Amidst the focus on risk sharing and value based contracts, as well as high pharmacy costs, health plans must optimize resource use in order to minimize unnecessary costs and services while providing quality care for their members.
At the 2nd Annual Health Plan Utilization Management Summit learn strategies for health plans to ensure their benefits are administered properly, and ways to better control clinical and pharmacy costs for members.
Featured Speaking Faculty
Medical Senior Director, Enterprise Utilization Management
Medical Director Utilization Management and Appeals
Lehigh Valley Health Network
Staff Vice President, Behavioral Health Utilization Management
Anthem BlueCross BlueShield
Assistant Vice President, Utilization Management, Clinical Operations, Complaints & Grievances
UPMC Health Plan
Director, Case Management/Social Services/Orders Management Unit/RAC
Northwestern Lake Forest Hospital
Our 2018 Agenda Topics Include:
- Adherence to NCQA quality standards for care
- Payer-Provider Collaboration
- Complex Case Management
- Drug Management and Pharmacy Utilization
- Behavioral Health Integration
- And more!
2017 Speaking Organizations:
- Baptist Health South Florida
- Blue Cross Blue Shield of Minnesota
- Cigna-Healthspring Inc.
- Highmark Inc.
- Komoto Healthcare
- Molina Healthcare of Ohio
- UPMC Health Plan
- United Healthcare of Nevada
Feedback from our Inaugural Summit:
Great collaboration from both providers and payers.
–Karen DePasquale Senior Director, Health Management UPMC Health Plan
Great info that sparked ideas for me to take back to my health plan.
–Shelean Sweet Director, UM - Pre-Service Review United Healthcare - Nevada