APFM Section 2 Module 4: Coverage Decision/Utilization Management
Module Description
Target Audience
Pharmacists, Pharmacy Technicians, Managed Care Professionals
Learning Objectives
At the completion of this activity, participants should be able to:
- Discuss best practices of implementing utilization management tools.
- Summarize the benefits and challenges of common utilization management tools.
- Review the components of a coverage decision.
- Discuss utilization management strategies used in coverage decision-making.
Faculty:
Jennifer Cashman, PharmD
Director, Drug Use Management
Kaiser Permanente
Ann Tran-Pugh, PharmD, FCSHP
Residency Program Directory PGY-2 Drug Information
Pharmacy Project Manager III
Kaiser Permanente
Financial Relationship Disclosures:
Faculty/Reviewer/Planner | Reported Relevant Financial Relationships |
Jennifer Cashman, PharmD Faculty | None |
Anne Tran-Pugh, PharmD, FCSHP Faculty | None |
- AMCP Staff have disclosed no relevant financial relationships.
- If applicable, relevant financial relationships have been mitigated and documented.
- Content has undergone a peer review to ensure content validity.
Accreditation:
ACPE UAN:0233-0000-23-026-H04-P • Activity Type: Knowledge-Based
Contact Hours: 0.75
Release Date: August 04, 2023 • Expiration Date: July 31, 2026
CPE credit will be processed through the AMCP Learn portal and reported directly to CPE Monitor. Please allow 72 hours for processing and posting in your NABP account.
To receive credit for an online activity you must:
- Review the full content of the activity.
- Successfully complete the post-test (required to pass with a score of 70% or higher, it may be taken a maximum of three times).
- Complete a specific activity evaluation.