Going Beyond a “Hunch”: How Analytics and Predictive
Modeling Can Identify and Prevent Drug Abuse CM3
Jim Andrews, EVP of Pharmacy Services, Healthcare Solutions Inc.
David Smith, Divisional VP of Risk Management, Family Dollar Stores Inc.
Thursday, Nov. 20 | 8: 30 - 9: 45 a.m.
The prescription drug landscape is ever-changing, with generic uncertainty and the introduction of
many new drugs. Meanwhile, the threat of drug abuse and misuse are well-documented problems,
with narcotic opioids accounting for more than 60% of the drugs prescribed to injured workers. But
analytics and predictive modeling can identify and stem potential abuse problems. Hear how Family
Dollar implemented utilization management programs and early intervention to address claimant prescription use while reducing drug expenditures – and how you can adopt the same approach.
• Interpret how predictive modeling can identify potential prescription abuse
• Examine how coordination between claims payers and pharmacy benefit
managers can fight drug abuse and misuse
• Appraise how to balance safety and prescription cost savings
• Apply knowledge of narcotic prescription impact on claims costs and
Cost-Effective Expedited Processes and Communications CM4
Francine Johnson, VP Regulatory Business Consulting and Analysis, Coventry Workers’ Comp Services
Dr. Bernyce Peplowski, SVP, National Medical Strategy and Innovation, U.S. Health Works Medical Group
Moderator: Ken Eichler, Director, Regulatory and Outcome Initiatives, Work Loss Data Institute/ODG
Thursday, Nov. 20 | 10: 45 a.m. - 12 p.m.
Expediting quality care improves medical and functional outcomes, return-to-work and cost
savings. This interactive session will show you how to expedite quality care to injured workers,
with a discussion of timesaving strategies that streamline communications and reduce adversarial
interactions between injured workers, medical providers, payers, reviewers and employers.
• Formulate easy-to-implement steps and tools that expedite and improve
treatment, clinical outcomes and return-to-work
• Integrate Evidence Based Guidelines and protocols
• Define tools to facilitate utilization review and authorizations, case
management, return-to-work and dispute resolution
Manager, Workers’ Compensation
Chuck E. Cheese’s
“NWCDC is an awesome experience!
I come home each year with a greater knowledge
and understanding of the issues trending in our
area of expertise and have met numerous contacts
who have become lifelong friends.”
SAVE $275.00 WHEN YOU REGISTER BY SEPT. 26