APFM Section 3 Module 3: Utilization Management Administration

Module Description

Utilization management can be resource-intensive and require significant administrative operations. This module will explore electronic prior authorization and gold carding and their significance in utilization management operations. Learners will be able to identify sources of administration burden and strategies to address them. Lastly, this module will identify the different types of smart logic systems along with their benefits and challenges in utilization management operations.

 

Target Audience

Pharmacists, Pharmacy Technicians, Managed Care Professionals

Learning Objectives

At the completion of this activity, participants should be able to:

  • Define electronic prior authorization and its significance in utilization management operations.
  • Describe gold carding and its role within utilization management.
  • Identify sources of administration burden and strategies to address them.
  • Recognize the different types of smart logic systems and their benefits and challenges in utilization management.

 

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

Faculty:

Goldina Erowele, PharmD, MBA
Pharmacy Advisor/Consultant
KJC Media Health 

Financial Relationship Disclosures:

Faculty/Reviewer/PlannerReported Relevant Financial Relationships
Goldina Erowele, PharmD, MBA
Faculty		Cigna Healthcare, Employer
  • 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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