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Optimizing Care Management and Risk Adjustment Scoring through Enhanced Pharmacy Benefits

With the Supreme Court decision upholding the constitutionality of the individual mandate provision of the Patient Protection and Affordable Care Act (ACA), the pace of implementation is moving at warp speed toward the law’s January 1, 2014 effective date. The ACA’s new programs, new data collection requirements, financial transfers and Exchange mechanisms all translate to untested, challenging and higher risk environments for health plans. The need to optimize Care Management and Risk Adjustment Scoring is more critical now than ever.

You will learn:

  • Improve opportunities for quality, safety, rating and risk adjustment accuracy 
  • Expanded pharmacy benefits can actually lower overall healthcare costs
  • Clinical pharmacy programs offered by health plans, and their partner PBMs, will perform better with the more complete medication histories
Learning Objectives
This session is designed to help you:
  1. Understand the relationships between pharmacy benefits and plan risk rating
  2. Use expanded pharmacy benefits to lower overall healthcare expenditures
  3. See the value of capturing as much pharmacy use data as possible
  4. Attract and retain membership in your health plan
Who Should Attend
Interested attendees would include:
  • C-Suite Executives
  • Innovation Executives and Staff
  • Product Development
  • Business Development Executives and Staff
  • Medical Directors
  • Strategy and Planning Executives and Staff
  • Business Informatics
  • Underwriting
  • Risk
  • Health Reform Implementation Executives and Staff
  • Medical Directors
  • Business Intelligence Staff
  • Health Benefits Management Executives and Staff
  • Communications Executives and Staff
  • Pharmacy Executives and Staff
  • Other Interested Parties

Attendees would represent organizations including:

  • Healthcare Cooperatives
  • Health Plans
  • Employers
  • Hospitals and Health Systems
  • Provider Networks and Accountable Care Organizations
  • Third Party Administrators
  • Pharmaceutical Organizations
  • PBMs
  • Other Healthcare Providers
  • Benefit Consulting Organizations
  • Solutions Providers
  • Other Interested Parties
Optimizing Care Management and Risk Adjustment Scoring through Enhanced Pharmacy Benefits
  Registration is Complimentary for qualified applicants. Applications will be accepted by the Summit co-sponsor according to their criteria. Applicants approved for registration will be notified by Summit within approximately seven business days of application or sooner.  
Register Now Click here to register (Registration deadline is October 11, 2012 at 5 PM Eastern.) We look forward to your participation in this event!
Past Event CD-Roms 
Did you miss a past webinar event? We'll ship the complete audio recording and presentation slides to you on a CD-ROM. Recent titles include:
Topic   Event   CD-ROM
Readmissions   Reducing Hospital Readmissions: New Considerations and Approaches
Wednesday, September 19th, 2012
Place Order
Mobile Health   The 2012 mHealth Paradox - Overcoming market barriers
Tuesday, September 18th, 2012
Place Order
Readmissions   Readmissions Web Summit
Thursday, August 23rd, 2012
Place Order

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