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An Integrated Platform for Intelligent Care Management Services

  • January 18, 2022
  • 3:00 PM – 4:00 PM ET
  • Online
about

Integrated care is a key focus of next-generation care management programs, relying on clinical, social, and behavioral data to paint a complete picture of a member and pinpoint where care gaps and barriers exist.  Analytic technologies use this data to identify members who are most impactable and intervenable, while digital technologies enable personalized approaches to outreach and care coordination.

The result is being able to engage in the right way with the right members and drive high-value improvements in clinical and financial outcomes.  However, many health insurance providers struggle with finding a single platform that integrates the analytics and technologies required to achieve these transformational results.

This webinar will focus on how care management can be optimized within a platform that unites integrated analytics and digital technology.  Discussion will center on best practices where integrated care models intersect with integrated platforms, including:

  • Using analytics to identify at-risk members who are most willing and able to engage
  • Creating a 360-degree member profile to identify medical, behavioral, and social needs
  • Incorporating digital innovations to automate manual workflows and tasks
  • Delivering automated omnichannel communication to meet member needs and preferences.

Attendees will learn:

  • Why next-generation integrated care management programs are essential to achieve success in a value-based market
  • How individualized risk prediction and intervenability analysis, omnichannel approaches to engagement, and digital care coordination interventions can be delivered on a single integrated platform
  • How leveraging innovative digital technologies enables clinicians to truly practice at the top of their license

Speakers


Leah Schelin (Moderator)
SVP and General Manager, Clinical and Pharmacy Services
EXL Health

Leah’s career spans more than 20 years in business development, partnerships, and digital health solutions in the managed care and pharmacy benefit management industries. In her most recent role, Leah negotiated agreements and partnered with Blue Cross and Blue Shield plans to solve for their integrated medical and pharmacy benefit challenges via Artemetrx, a SaaS solution commercialized by one of the nation’s leading pharmacy benefit consultants. Before that she served as General Manager for GoodRx, providing transparency solutions and integrating consumer discounts into the pharmacy benefit.

Leah is at her best when working closely with clients to understand their business challenges and requirements, then helping them to achieve measurable financial and clinical results. Leah is currently responsible for driving growth in the EXL Clinical and Pharmacy Services businesses by continuing the evolution from services to industry solutions, which enables EXL Health to be an essential partner for data led healthcare businesses.


Sue Willman, PharmD
Senior Vice President and General Manager, Clinical, Pharmacy and Data and Analytics Services, EXL Health

Sue is responsible for the strategy, development, launch and management products within EXL Health’s clinical, pharmacy and D&A service lines. She earned her doctorate of pharmacy from Creighton University, School of Pharmacy & Allied Health and is a two-time recipient of Medtronic’s Star of Excellence award, recognizing high achievement in quality, customer focus, and innovation.


Mary Beth Newman, MSN, RN, BC-CMGT, CCM
Senior Assistant Vice President
EXL Health

Mary Beth Newman is past president of Case Management Society of America (CMSA). She has 35 years of professional experience with a focus on building best practice, quality-driven care management programs. Mary Beth currently supports clinical product development at EXL Health.


Chris Stebbins
Vice President, Digital Transformation
EXL Health