BCBSA 2016 National Summit Recap

In this episode, we interview Dr. Michael Cantor, Chief Medical Officer at CareCentrix, about the trending topics and key takeaways from the Blue Cross Blue Shield 2016 National Summit.

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Under the CareCentrix Utilization Management (UM) Program: 1) UM decision making is based on appropriateness of care & service and existence of coverage; 2) CareCentrix does not specifically reward practitioners or other individuals for issuing denials of coverage or service care; and 3) Financial incentives for UM decision makers do not encourage decisions that result in under-utilization.

CareCentrix maintains a drug-free workplace.