
David G. Mitchell, PharmD, MBA, CSP, FCPhA, of UC Davis Health, explains how AI-assisted prior authorizations have reduced denials and staff time without replacing pharmacist judgment.
Jeff Lemieux discusses health system partnerships that work to control costs in a managed care setting.
Jeff Lemieux, Senior Vice President, Center for Health Policy and Research, AHIP, states that health plans are beginning to move away from fee-for-service toward new partnerships that ensure quality improvements and keep costs down. Plans are using measures like total cost of care and quality metrics.