Panel discussion: executive strategies to drive utilization management efficiency

Tuesday, July 23rd, 2024 | 12:00 PM - 1:00 PM CT

Utilization management is central to every organization's clinical and financial goals. Yet despite technological advancements, it’s still siloed and inefficient, further aggravating staffing shortages.

Join this session to hear health system executives discuss the challenges and steps taken to alleviate some of the associated burdens that result from inefficiencies. They will cover the crucial role of clinical staff, processes, workflows and technology, and the impact of a multi-faceted approach. These executives will share what worked and what they would have done differently. They will also discuss the future role of technology in utilization management.

Learning points:

Understand how AI and an integrated workflow can be applied to prioritize cases, automate first- and second-level reviews, support authorizations/appeals and help bridge clinical decisions with payment outcomes.
Hear about lessons learned and best practices on the way to clinical and financial results.
Get a sneak peek into the future direction for provider plans and technology capabilities.

Presenters:

Abdoul Ba, MBA

Senior Director, Utilization Management, Sutter Health

Stacey Bussel, DNP, RN, CCM

Director, Enterprise Care Management, Parkview Health System

Lori Dittler, MSN, RN, ACM

Director, Case Management, Central System Utilization Management, Memorial Hermann Health System

Moderator:

Laura McIntire, RN, BSN, MA

General Manager, Strategic Clients, Optum