Utilization Management Committee

Members:

William Handelman, M.D, Chairman

Arthur Landry, M.D.

David D Thompson, Jr., M.D.

Robert Chmieleski, M.D.

Bertram Grossman, M.D.

Paul Safer, M.D.

Richard Berning, M.D.

Richard Kayne, M.D.

Overall Responsibilities:

  • Develop and monitor programs through review of pertinent data.
  • Identify practitioners and design programs to address specific issues.
  • Programs include:
    • Established office visit program (EOV)
    • Evaluation and management new patient program (NP)
    • Evaluation and management consult program (CON)
  • Monitor the use of Health Net initiatives related to IPA physicians and where possible institute IPA directed guidelines for the use and implementation of the initiatives.
  • Develop programs aimed at identification, notification and education of physicians related to over and under utilization of health care services.