Utilization Management Master Class for Health Plans 2016

Key Topics

• Reducing Medical Costs by Avoiding Commonly Prescribed Yet Ineffective Treatments
• Special Pre-Conference Workshop: Mastering the Basics of NCQA’s Rigorous UM Program Standards
• Keys to Streamlining Your Appeals Processing & Determinations to Improve Compliance
• Strategies for Overcoming Your Health Plan’s Drug Utilization Challenges
• Removing Operational Silos and Integrating Care Teams to Optimize Performance on UM Quality Measures
• Thinking Outside the Box: Innovative Cost-Saving Medical Management Strategies
• Critical Steps to Integrating and Improving Behavioral Health UM
• Three Case-Studies Focusing on: UM & CM Care Transitions, Reducing Emergency and In-Patient Readmissions, and Minimizing Costs and Managing Genetic Testing Utilization

Who should Attend

Senior attendees from medicaid and commercial plan with responsibilities in:

• Case Management
• Utilization Management
• Clinical Operations
• Healthcare Services
• Quality Improvement
• Medical Services
• Compliance Monitoring
• Appeals
• Internal & External Audit