APFM Section 2 Module 4: Coverage Decision/Utilization Management

Module Description

This module will discuss the various utilization management tools used in the formulary development stage and their strengths and weaknesses. It will also summarize the different components of a coverage decision and how utilization management strategies are used in this decision-making process.

 

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.

 

Course summary
Course opens: 
10/01/2024
Course expires: 
12/31/2027
Cost:
$0.00
Part of: 
Advanced Principles of Formulary Management

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/PlannerReported 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.

Price

Cost:
$0.00
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