Moderated by Daniel Blaney-Koen, JD, an attorney with the American Medical Association Advocacy Resource Center, the April 7 session examines the clinical rationale for urine drug monitoring, explains why appropriate monitoring does not always occur and discusses financial incentives for over-testing. “Best practices call for guidelines-driven, patient-centered care and proactive patient identification,” said Gavin. “Particularly in light of the opioid epidemic, payers and providers need to develop clear drug monitoring strategies to ensure patient safety.”
Joining Gavin on the panel is Jo-Ellen Abou Nader, senior director with Express Scripts, and Elaine Jeter, MD, medical director for Palmetto GBA, which administers Medicare health insurance for the Centers for Medicare & Medicaid Services. Panelists also discuss how pharmacy benefit managers work with payers to use UDM to detect fraud and waste and examine states’ UDM utilization review regulations.
“Rules for the provision of drug monitoring and options available to providers and payers vary widely by state,” said Gavin. “A clear understanding of the regulatory environment is critical to ensuring drug monitoring is a useful tool to ensure patient safety.”
The 4th Annual National Rx Drug Abuse Summit takes place April 6-9, 2015 at The Westin Peachtree Plaza in Atlanta. The largest national collaboration of professionals seeking to address Rx drug abuse, misuse and diversion, the Summit unites stakeholders from government agencies, education, and healthcare fields.
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