Impact of State-mandated Formularies
Date: September 20, 2017
Time: 3:00-4:00 pm Eastern
Associate Member Host: Express Scripts
Presenter: Krista Ward, Sr. Director – Medicaid

What is the impact on prescription drug utilization and plan costs on a health plan that implements a state-mandated Preferred Drug List (PDL) policy, compared to those of a Medicaid managed care health plan in another state without a PDL?  Join Krista Ward, Sr. Director, Medicaid at Express Scripts as she shares research findings examining these differences and implications for health plans on both sides of the equation.

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Managing Risk in the Treatment of Chronic Pain      
Date: October 11, 2017
Time: 3:00- Eastern
Associate Member Host: Millennium Health
Presenter: Maria Chianta, PharmD Director of Clinical Affairs, Managed Markets Millennium Health

Utilizing opioid therapy for the management of chronic pain must involve careful patient selection and evaluation of risk versus benefit including the risks of misuse, abuse, diversion, overdose and substance use disorders.  Chronic opioid therapy should also be accompanied by an ongoing, multifaceted monitoring plan.  Through discussion of current literature and case study application, this program outlines the necessary steps to evaluate risk, stratify patients, and create a monitoring plan based on individual risk level.  Relevant tools and resources are provided for practical application and creation of risk management plans in clinical practice.

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Reducing Medical Billing Waste and Abuse with Technology and Expertise
Date: December 13, 2017
Time: 3:00-4:00 pm Eastern
Associate Member Host: MultiPlan
Presenter: Christopher Dorn, Vice President, Payment Integrity at MultiPlan

With the increasing complexity of medical bills, a high volume of waste and abuse is undetected by solutions that rely only on automated claim review. Simple coding errors that can be found by technology account for only a fraction of claim issues.  Incorporating an expert prepayment review doubles your opportunity to avoid paying for inappropriately billed charges while still observing prompt-pay requirements. This webinar will discuss successful solutions that combine technology with human expertise to root out waste and abuse in medical bills.

MultiPlan is committed to helping healthcare payers manage the cost of care, improve their competitiveness and inspire positive change. Leveraging sophisticated technology, data analytics, and a team rich with industry experience, the company interprets clients’ needs and customizes innovative solutions that combine its payment integrity, network-based and analytics based services. MultiPlan is a trusted partner to over 700 healthcare payers in the commercial health, government and property and casualty markets, and saves these companies more than $14 billion annually. MultiPlan is owned by Hellman & Friedman and other investors. For more information, visit multiplan.com.

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Invest Early to Save Big! How to Promote Healthy Early Childhood Development While Reducing Costly Care
Date: January 17, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: HealthySteps
Presenter: Johanna Lister, JD, MPH, Senior Policy Specialist, HealthySteps & Alice Ricks, MPP, MPH, Senior Policy Analyst, HealthySteps

There is no smarter investment than an investment in a young child: decades of research demonstrate the tremendous short- and long-term benefits and cost savings achieved by effective early childhood programs. HealthySteps is an interdisciplinary primary care program that serves young children and their families in pediatric and family practice settings, with proven results. By partnering with providers to bring the HealthySteps program to their members, Medicaid health plans can achieve the triple aim of better care, better health, and lower costs. Watch this brief video story about HealthySteps and then join us to learn why a growing number of states across the country are implementing HealthySteps to attain their population health goals.  

The mission of HealthySteps is to transform pediatric practice to improve the health, well-being, and school readiness of babies and young children in low-income families. HealthySteps is headquartered at ZERO TO THREE, which is the leading non-profit organization working to ensure that babies and toddlers benefit from the early connections that are critical to their well-being and development.