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Presentation

PW 2014 Presentation: Utilization Management Optimization: A Panel Discussion with Cambia Health Solutions and OptumHealth

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MELANIE WESTRICK, DIRECTOR, UTILIZATION MANAGEMENT, CLINICAL SERVICES, CAMBIA HEALTH SOLUTIONS, INC.
STEPHEN NIEMI, VICE PRESIDENT, CLINICAL OPERATIONS, OPTUMHEALTH

Care management is becoming far more critical to healthcare organizations looking to manage costs, improve health outcomes and differentiate themselves through clinical service. Hear from organizations using Pega’s Care Management solution to provide personalized and efficient utilization management, ensuring managerial transparency and laying the foundation for end-to-end member-centric care management.

In this session you will learn:

  • About the power and flexibility of Pega-powered UM for medical, pharmaceutical and behavioral health services
  • How CMF is delivering ICD-10 compliance and why it has been selected for new projects
  • Next steps for these leaders as they expand Pega to case and disease management

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