2020 Managed Care Compliance Conference

Rx Data Driven Compliance Monitoring: Opioid Prescribing, Dispensing, and Utilization

  • Rx Data Driven Compliance Monitoring: Opioid Prescribing, Dispensing, and Utilization

    Fran Grabowski, Digital Risk Solutions Healthcare Director, PwC. Benjamin Wright, Risk Assurance Healthcare Compliance Director, PwC. Sandhi Ton, Manager, Risk Management Analytics, SCAN Health Plan.

    January 27, 2020

    • Regulators are increasing focus on how plans are responding to the opioid crisis and compliance has a growing role in developing the strategy and controls related to provider prescribing practices, pharmacy dispensing, and member drug utilization

    • Incorporating insights gained through the fact-based analysis of trends and outliers is a solid base from which to launch an aggressive attack on the crisis

    • Advanced analytics, such as network analysis, can further help plans understand overlap between providers, pharmacies, and members, allowing the identification of unexpected connections and potential bad actors

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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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