2020 Managed Care Compliance Conference

How to Identify and Handle a Contracted Over-Prescriber

  • How to Identify and Handle a Contracted Over-Prescriber

    Mark Horowitz, Senior Manager, National Fraud Control Unit, Kaiser Foundation Health Plan. Joaquin Basauri, Senior Investigator, National Special Investigations Unit, Kaiser Foundation Health Plan. Carolyn Barton, VP Compliance & Regional Compliance Officer, Ethics and Compliance Office, Kaiser Foundation Health Plan of Washington.

    January 28, 2020

    • How to identify an over-prescriber and internally escalate the case with the right health plan disciplines

    • How to address patient abandonment concerns and network adequacy

    • How to navigate the contract termination, external reporting, and PBM controls processes

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About SCCE

The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

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About HCCA

The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

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