Reduce ER utilization, lower revision rates, improve provider case selection, and create a value-based environment

Wednesday, 9/6/2023
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: TurningPoint Healthcare Solutions

On December 6th, 2022, the Centers for Medicare & Medicaid Services released a proposed rule calling for the comprehensive reform of prior authorization requirements. The authorization of routine medical services such as prescriptions, bloodwork, and radiology consultations can and should be enhanced for efficiency. However, when faced with some of the costliest and most complex conditions in healthcare, like musculoskeletal and cardiac surgeries, prior authorization can serve as a collaborative tool to reduce post-operative ER utilization, lower revision rates, improve provider case selection, and create a value-based environment that aligns the payer and provider around patient outcomes.

Join TurningPoint Healthcare Solutions' Dr. David Halsey, Chief Clinical Officer (Orthopedic Surgeon) and Dr. Erica Jones, Chief Medical Officer (Cardiologist) on September 6th, 2023, to discuss the future of patient-centric Utilization Management including real-world case studies from the 45 million lives TurningPoint currently manages. You'll learn the TurningPoint approach to condition management, that includes:

•  Clinical Quality & Safety Program: Eliminating dangerous, low-value care
• Provider Collaboration & Enablement: Aligning provider incentives to minimize abrasion
• Member Engagement & Education: Providing tools to help manage the member journey

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.