A Case Study Examining How KePRO Uses MEDecision Technology to Maintain Costs and Improve Provider Satisfaction

This presentation will begin on September 16, 2009 at 12:30 PM Eastern Daylight Time.

 
Windows Media Player
 Windows Media Audio (16k)
 
Real Player
 Real Media Audio (16k)
 
 
  Event Description:

Join MEDecision’s Andrew Schuyler, M.D., Chief Medical Officer and EVP of Product Marketing
and Medical Services; and Alice Stollenwerk Petrulis, M.D., Chief Medical Officer, KePRO, for
a Webinar examining how KePRO implemented MEDecision’s Nexalign™ iEXHANGE® to
reduce the overall cost-per-review and increase provider satisfaction through rapid
turnaround. In this case study presentation, the speakers will discuss how the health plan
combined the technology with its internal information to offer provider networks an
innovative solution that generates significant cost, time and resource savings for both
parties.

Topics to be discussed include:
  • Deploying existing information and technical automation to improve care management
    processes.
  • Leveraging a detailed analysis of successful auto-approval procedures.
  • Enhancing provider relationships and satisfaction through increased communication.
  • Achieving a significant cost savings through automation.
 
Speakers


Andrew P. Schuyler, M.D., DBFM, FAAFPExecutive Vice President and Chief Medical Officer, MEDecision Dr. Andrew Schuyler became MEDecision’s executive vice president and chief medical officer in April, 2008. He previously served as executive medical director for Horizon Blue Cross Blue Shield of New Jersey where he was responsible for concurrent medical management, medical policy and appeals, along with process redesign and development of integrated medical management. Prior to joining Horizon in 2004, Dr. Schuyler spent 17 years in managed care administration, including time with the former US Healthcare and Aetna, where he last served as senior medical director. His previous clinical and academic experience includes six years as associate director of a family practice residency training program affiliated with the University of Medicine and Dentistry of New Jersey, and four years in the private practice of family medicine. Dr. Schuyler completed his undergraduate studies at Williams College, earned his medical degree at Cornell University Medical College, and completed a combined Family Medicine and Psychiatry residency/fellowship at Columbia University.
  Alice Stollenwerk Petrulis, M.D., FACP
Chief Medical Officer, KePRO


Dr. Alice Petrulis serves as KePRO’s Chief Medical Officer, leading the medical team to design and implement clinically driven population health management solutions for public program and commercial clients. In the past year, Dr. Petrulis has been invited to be a featured speaker at four national conferences to address the impact that case management and disease management have had on care management, and offers insight on how both will continue to influence the health care industry going forward.

In addition to her care management expertise, Dr. Petrulis is highly respected throughout the national healthcare quality improvement arena. She recently served as the Co-Chair of the National Quality Forum’s Ambulatory Practice Steering Committee, which reviews quality measures that organizations like CMS and insurance companies use. She is currently a member of the Forum’s Care Coordination Steering Committee. She incorporates quality improvement activities into KePRO’s integrated care management solutions, ensuring that members are receiving evidence-based care to optimize their health outcomes, while reducing client costs. She has spoken at numerous national conferences about quality improvement initiatives and the success of those efforts she led.

Dr. Petrulis became the KePRO’s Chief Medical Officer in December 2005. She oversees all of the KePRO family of companies’ medical directors, and provides clinical leadership relative to the company’s population health management and quality improvement initiatives. She also assists and promotes business development and strategic planning activities, and recruits physicians for our review panels and as medical directors.

Previously, she served as the Medical Director, Post-Acute Care Services of Ohio KePRO, a KePRO company, for five years. She spearheaded the efforts to ensure the medical integrity of Ohio KePRO’s provider and patient quality improvement interventions, tools, and presentations. Dr. Petrulis also served in the organization’s lead medical role for long-term care, home health care, and outpatient physician office projects, including the Centers for Medicare & Medicaid Services’ DOQ-IT initiative.

Dr. Petrulis is Board certified in internal medicine and nephrology, and licensed in Ohio.
She received her Bachelor of Arts degree from Washington University (in St. Louis, MO), and
her medical degree from The Ohio State University. She is also an adjunct Professor of
Medicine at Case Western Reserve University in Cleveland.

Dr. Petrulis has authored numerous articles and presentations, and has been published in the
New England Journal of Medicine, the Journal of General Internal Medicine, and the Journal of the American Medical Association, to name a few.
  Test Your System
 Help
  Download Real Player
  Download Windows Media Player