As payers scramble to meet new CMS Prior Auth requirements, one payer has a solution that lays the groundwork to meet the CMS requirements AND saves millions in the process.

This webinar will cover:

  • The existing bureaucratic and business hurdles inherent in current prior authorizations processes
  • How BCBSMN’s solution created seamless efficiency on top of the existing system
  • The time and cost savings realized immediately for payers and providers

This session is for:

  • CM/UM Healthcare leaders
  • Anyone who manages Prior Authorizations
  • Payer call center leaders looking for savings and efficiency

Key session takeaways:

  • Learn approaches that can drive millions in administrative savings and meet elements of the CMS prior auth rule along the way
  • Understand how to implement efficiencies years before the CMS ruling takes effect

Featured Speakers

Mark Steffen, MD, MPH

Vice President and Chief Medical Officer
Blue Cross Blue Shield of Minnesota

Dr. Mark Steffen oversees medical management strategies that encompass the organization’s medical policies, clinical programs, community health, and health equity initiatives. Dr. Steffen is also responsible for leading health care quality and affordability initiatives within the company’s medical management programs.

Michael Kolber

Partner at Manatt
Phelps and Phillips, LLP

Michael Kolber is a healthcare regulatory partner at Manatt, Phelps & Phillips, LLP, in New York, where he advises insurers, health plans and others on state and federal regulatory issues in commercial insurance, Medicare and Medicaid managed care. Prior to joining Manatt, Michael was an attorney at the U.S. Department of Health and Human Services Office of the General Counsel, where he worked on implementation of the Affordable Care Act.

Bobbi Maddox

Care Management Business Capability Architect
Blue Cross and Blue Shield of Minnesota

As Business Capability Architect for Utilization Management at Blue Cross and Blue Shield of Minnesota, Bobbi Maddox supports medical management strategies related to the organization’s medical policies and clinical programs. Bobbi has led the design and delivery of strategic initiatives supporting advances in health care technology for Blue Cross programs including the implementation of innovative platforms for case, disease and utilization management and an integrated online prior authorization portal for providers.

Bobbi graduated from the College of St. Scholastica with a bachelor’s in social work. She is a wife and mother of four boys. Bobbi came to Blue Cross in 2006 and has worked in case management, care navigation, disease management, operating model transformation and project management. Prior to coming to Blue Cross, Bobbi worked in direct care in the post-acute care setting.

Michael Lunzer

Founder and President
Itiliti Health

Michael is a serial entrepreneur with a track record of delivering ROI through companies that leverage technology to optimize sectors plagued with inertia. He co-founded and successfully exited several companies including Warm Health, a virtual assistant care communication platform acquired by Altegra health.

NOW AVAILABLE ON-DEMAND

Register now for this webinar