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Automating Prior Authorization: Removing Barriers to Utilization Management

Event Date: 12/4/2018

Event Overview

Tuesday, December 4, 2018
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: eviCore

This vendor spotlight is hosted on our ReadyTalk platform

 

In this webinar, eviCore will share how can health plans can continue to benefit from utilization management programs while preserving provider relations and growing networks.  Health Plan Alliance members will learn about the key causes for provider pushback related to prior authorization, and how automating processes can generate benefits in terms of provider satisfaction, the success of health plan utilization management programs, and ultimately the growth of the plan. We will introduce the eviCore intelliPath™ electronic prior authorization solution (intelliPath ePA), which streamlines the submission, request and tracking of prior authorizations. By streamlining the administrative processes for providers and integrating with provider EHRs, intelliPath ePA reduces provider and plan administrative costs as well as denials, appeals and overturns associated with PA issues. 

  • Identify the drivers of high administrative costs and dissatisfaction for providers associated with medical prior authorization 
  • See how a solution that is integrated with the provider EHR and UM systems can help avoid unnecessary and costly denials, appeals and overturns 
  • Understand the steps you can take in partnership with eviCore and your provider network to implement an automated solution today

 

Notice to Participants:
Please note that this webinar is a Vendor Spotlight and will be a capabilities-focused presentation. While this vendor is not under contract with the Health Plan Alliance, we believe this webinar will provide you the opportunity to learn more about this vendor and the programs and services it provides. Offering this webinar does not imply that the Health Plan Alliance endorses this vendor. The webinar is merely for informational purposes only. Should you wish to share feedback and/or have questions about this vendor, please contact Jaime González, the Alliance’s Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.

Documents
Attendees

Below is a list of all delegates registered to date for this event

  • Olamide Akanbi
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Compliance Coordinator at Paramount Health Care
  • Anita Baker
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager, UM at Avera Health Plans (DAKOTACARE)
  • Susan Balezentis
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Regional Medical Director at FirstCare Health Plans
  • Ira Bell
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Senior Medical Director at FirstCare Health Plans
  • Barbara Berger
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP Care Management Services at FirstCare Health Plans
  • Dee Bialecki-Haase
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Medical Officer at Paramount Health Care
  • Gail Blackwell
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • ICS Community Engagement Manager at Presbyterian Health Plan
  • Carly Bressler-Archambeau
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Clinical Contract Administrator at Sentara Health Plans (Optima)
  • Joyce Brown
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Sr. Clinical Support Specialist at Health First Health Plans
  • Gray Clarke
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medical Director at Presbyterian Health Plan
  • Lisa Crow
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP, Population Health at Community First Health Plans
  • Linda Cummings
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Lead Clinical Quality Examiner at MetroPlus Health Plan
  • Cynthia Davis
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Care Management at FirstCare Health Plans
  • Kristi DePriest
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager, Medical Management at Samaritan Health Plans
  • Susan Dillard
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • HealthCare Manager at CommunityCare
  • Amy Earhart-Connell
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Supervisor of the Acute and Catastrophic Transition Team at Health First Health Plans
  • Jenifer Elinski
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager at Health Alliance Plan (HAP)
  • Lori Fossier
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager, Utilization Management at Health Alliance Medical Plans
  • Justin Fowler
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director UM at Community Health Plan of Washington
  • Victoria Garren
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Administrative Assistant to CMO at FirstCare Health Plans
  • Damaris Gautier
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medical Director - Office of the CMO at Scott & White Health Plan
  • Marina Genin
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Improvement Lead at MetroPlus Health Plan
  • Jaime Gonzalez
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Business Development Officer at Health Plan Alliance
  • Tania Gordon
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • HEDIS Manager/Lead at MetroPlus Health Plan
  • John Haley
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Operating and Financial Effectiveness Officer at CHRISTUS Health Plan
  • Sarah Harbin
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Health Care Data Analyst at Health Alliance Medical Plans
  • Brenda Hart
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager of Specialty Pharmacy at Neighborhood Health Plan of Rhode Island
  • Laurie Hawks
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medical Policy Administrator at Health First Health Plans
  • Susan Herbert
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Health Plan Integration & Development at Adventist Health System (FHHS)
  • Lisa Holland
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Dir. Population Health Clinical Programs at Health New England
  • Eric Hummel
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Senior Director Operations Medical Management at Geisinger Health Plan
  • Eileen Johnson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Population Health Analyst at PreferredOne
  • Wendy Karsten
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • CEO at Care N' Care Insurance Company, Inc.
  • Danielle Killgore
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Operations Coordinator at Samaritan Health Plans
  • Barb Koerperich
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Health Care Services at Medical Associates Health Plans
  • Lisa Kuhls
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • IT Development and Project Manager at Medical Associates Health Plans
  • Roxanne Lee
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager-Referral Management Team at Health Alliance Plan (HAP)
  • Heidi Lower
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager of Utilization Managment at Medical Associates Health Plans
  • Tom MacLean
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • COO - Clinical Operations at Presbyterian Health Plan
  • Rhonda Maddern
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Utilization Management at Mount Carmel Health Plan (MediGold)
  • Priti Mody-Bailey
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Medical Officer/VP at Community First Health Plans
  • Kelsey Nguyen
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Pharmacy at FirstCare Health Plans
  • Dawn Peterson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Utilization Management and Risk Adjustment Solutions at Health Alliance Medical Plans
  • Karen Phillippi
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP, Health Services at Mount Carmel Health Plan (MediGold)
  • Cathy Rinker
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager Medical Management at Geisinger Health Plan
  • Kelly Rogers
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Executive Director Care Integration at Adventist Health System (FHHS)
  • Jim Romero
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medical Director at Presbyterian Healthcare Services
  • Becky Senf
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • AVP Quality Improvement at FirstCare Health Plans
  • Paige Sopko
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Data Analyst at Paramount Health Care
  • Louis Sorbo
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Product Development Specialist at Health New England
  • Claudia Sumrall
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Behavioral Health at FirstCare Health Plans
  • Mike Takach
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Pharmacy Director at Community Health Options
  • Megan Thomas
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager, Pharmacy Admin at Scott & White Health Plan
  • Adolfo Valadez
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • CMO at FirstCare Health Plans
  • Jasmine Vazquez
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • IT Business Systems Analyst at Health New England
  • Jenny Vu
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • UM Supervisor at Valley Health Plan
  • Jonathan Murray
  • SPEAKER
  • Senior Vice President, Digital Utilization Management Solutions at eviCore healthcare
  • Dennis Nelson
  • SPEAKER
  • VP Client Relationship Executive at eviCore
  • Rob Keefe
  • SPONSOR
  • VP, Payer Clients at eviCore healthcare
  • Jim Knickle
  • SPONSOR
  • Vice President, Strategic Development at eviCore healthcare
  • Amy Krane
  • SPONSOR
  • VP, Marketing Provider Solutions at eviCore healthcare
Speakers