EHN 2022AnnualReport 9DIGITAL - Flipbook - Page 27
Cost & Utilization Committee
The Cost & Utilization Committee is responsible for overseeing the financial performance of EHN’s valuebased contracts and providing reporting and education to the practices and providers of EHN. Additionally,
the committee is tasked with developing initiatives to meaningfully reduce the cost of health care, increase
network utilization, and improve value for beneficiaries of the clinically integrated quality program.
2022 HIGHLIGHTS
• Network generic prescribing scorecards generated and discussed during committee meetings, focusing
on high-cost medications and ways to reduce prescribing rates. Continuous work around clinic education
on generic drug names and therapeutic alternatives.
• Quarterly generic prescribing scorecards distributed and discussed with primary care and specialty
practices with focused interactions with high utilizers.
• Produce up-to-date dashboards to highlight out-of-network utilization by payor, service category, and
inpatient specialty. Developing plans to encourage members who visit out-of-network providers to seek
care in network.
• Continuous review of network revenue per-member, per-month performance to keep network on budget
for the year. Month-over-month variance in membership and dollar value reviewed and discussed.
COMMITTEE MEMBERS
Theresa Platz, MD, Chair
FAMILY MEDICINE, EVERGREENHEALTH
Lennart Tan, MD
CYTOPATHOLOGY, INCYTE DIAGNOSTICS
Neal Perlmutter, MD, Vice Chair
CARDIOLOGY, OVERLAKE MEDICAL
CENTER & CLINICS
Elisa Vila, RPh, CACP
EXECUTIVE DIRECTOR, PHARMACY SERVICES,
EVERGREENHEALTH
Daniel Burdick, MD
NEUROLOGY, EVERGREENHEALTH
Christy Chan, MD
FAMILY MEDICINE, EVERGREENHEALTH
Arinola Dada, MD
RHEUMATOLOGY, OVERLAKE MEDICAL
CENTER & CLINICS
Chester Gall, MD
INTERNAL MEDICINE, OVERLAKE MEDICAL
CENTER & CLINICS
Ann Peterson, CHFP
AMBULATORY SERVICES FINANCIAL OFFICER,
EVERGREENHEALTH
COST & UTILIZATION COMMITTEE
SUPPORT STAFF
Alica Quaco (Lead)
Gregg Aoyama
Arakady DeRoest
Dave Gainer
Sahana Ingale
David LaMarche
John Nelson
Heather Sellers
Miranda Tomuro
Cindy Trettevik
Scott Stuart, MD
INTERNAL MEDICINE, EVERGREENHEALTH
2022 Annual Report
25