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Contact:

Patty Jamison
Healthcare Web Summit
(209) 577-4888
pattyj@mcol.com

Maximizing the Use of Pharmacy Data for a Medicare Population
A Free Health Industry Audio Conference from DST Health Solutions

Wednesday, February 21, 2007 at 1PM EST
http://www.healthwebsummit.com/dstacg022107.htm

A Free Health Industry Audio Conference from DST Health Solutions

Topic: Maximizing the Use of Pharmacy Data for a Medicare Population
Presenter: Dr. Jonathan Weiner, Professor of Health Policy and Management, The Johns Hopkins University, Bloomberg School of Public Health
Date: Wednesday, February 21st, 2007
Time: 1:00 p.m. to 2:00 p.m. Eastern
Place: Your office! (Audio Conference dial-in instructions and session presentation will be emailed to attendees in advance of session)
Cost: None

To Register: http://www.healthwebsummit.com/dstacgreg.htm

Deadline to register: Friday, February 16th, 2007. After this date, you can request a Post-Summit CD by going to: http://www.healthwebsummit.com/dstacgreg.htm

ABSTRACT

Risk-based reimbursement from CMS presents both opportunities and challenges for Medicare contracting Prescription Drug Plans (PDPs). The current Rx-HCC payment methodology relies on diagnosis codes derived from the historical medical claims records. However, PDPs do not have access to the beneficiary's current medical diagnoses to help them to manage risk. And to date, there have been few viable pharmacy-based predictive models for managing or identifying high-risk individuals.

The industry standard Johns Hopkins ACG Risk Measurement System now includes Rx-PM, a predictive model based only on prescription data inputs. The ACG System can help PDPs and other type of health plans to:

Better manage and strategically predict how they will fare under CMS's risk adjusted payment systems.
Use prescription information to identify appropriate candidates for disease management and care management programs that will meet and exceed requirements for the "Medication Therapy Management" (MTM) programs mandated by CMS.

Medicare Advantage plans or others having both pharmacy and medical claims can use the ACG System to effectively and efficiently combine these two data streams. ACGs offer several state-of-the-art methodologies for identifying high-risk individuals using diagnosis (ICD) information. The integrated ACG software tool that combines both ICD & NDC claims data will allow a plan to maximize its ability to incorporate predictive risk and case-mix information into numerous high impact clinical, management and fiscal applications.

LEARNING OBJECTIVES

In this presentation, you will learn how to:

Use pharmacy data to provide a more complete understanding of conditions under active treatment that can potentially impact CMS reimbursement.
Identify patients using predictive modeling scores for Medication Therapy Management Programs and other care management programs
Combine medical and pharmacy claims for the greatest insight into patient risk and treatment patterns.

WHO SHOULD ATTEND

Health Care Senior Business Leaders including:

Chief executive officers
Chief financial officers
Chief medical officers
Chief information officers
Chief actuaries and corporate statisticians
Director of pharmacy programs

FACULTY

Dr. Jonathan Weiner Professor of Health Policy and Management, The Johns Hopkins University Bloomberg School of Public Health Baltimore, Maryland

Dr. Weiner is an internationally known health care researcher, educator, lecturer and consultant. His areas of expertise include managed care, health policy and quality of care. He is the co-developer of the Johns Hopkins ACG^(R) Case-Mix System and the director of the ACG Research and Development team. ACGs are widely used by healthcare organizations, governmental agencies, academic institutions, consulting organizations and technology integrators across the United States and in many other countries.

REGISTRATION

Register online at http://www.healthwebsummit.com/dstacgreg.htm. Slots for this event are limited. Please register promptly. All registrations are subject to review and approval by DST Health Solutions. If you have questions, contact Patty Jamison at the Healthcare Web Summit Office at 209.577.4888 for more information. We look forward to your participation in this event!

Deadline to register: Friday, February 16th, 2007. After this date, you can request a Post-Summit CD by going to: http://www.healthwebsummit.com/dstacgreg.htm

HealthCare Web Summit Events: Audio Conferences & Web Seminars

Healthcare Web Summit conference events include single day audio conferences and webinars as well as week-long online conference events that give you the critical industry information you need on-line, without having to leave your home or office, or having to adjust your schedule! Experience e-learning, gain market intelligence, identify solutions, interact with faculty, network and share experiences with attendees, gather data resources and more. For more info, visit: www.healthwebsummit.com. For sponsorship info, visit: http://www.healthwebsummit.com/sponsors.htm or call 209.577.4888

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