Health Plan Best Practices - Implementing Retinal Disease Quality Improvement Initiatives with Payer/Provider Collaborations

Thursday, August 27, 2026: 2:00pm-3:30pm ET

Learn About:

1. Areas of payer-provider alignment that can inform QI strategy.
2. Administrative and utilization management barriers that may delay care.
3. Stakeholder-aligned opportunities to improve retinal disease screening, access, and care coordination.

Expert Faculty Presenters

Steven S. Kheloussi, PharmD, MBA, FAMCP Principal Consultant Kheloussi Consulting, LLC Click here for biography Margaret Chang, MD, MS Vitreoretinal Specialist and Senior Partner Retina Consultants Medical Group (CA) Click here for biography Darin Goldman, MD Vitreoretinal Surgeon Retina Group of Florida Click here for biography Estay Greene, PharmD, MBA Vice President Pharmacy Management BlueCross BlueShield of South Carolina Click here for biography Jonathan Jonisch, MD Retina Specialist Vitreoretinal Consultants of NY (VRC) Assistant Clinical Professor of Ophthalmology Hofstra-Northwell School of Medicine Click here for biography Michael Kobernick, MD, MS, MS-PopH, CPE Senior Medical Director – Health Plan Business Blue Cross Blue Shield of Michigan Lecturer Jefferson College of Population Health Click here for biography Michael Shannon, MD Endocrinologist Summit Pacific Medical Center Medical Director Ventegra Click here for biography

Target Audience
The primary target audience for this initiative includes medical directors, pharmacy directors, clinical pharmacists, specialty pharmacists, and quality directors, as well as network physicians affiliated with managed care organizations (MCOs), health systems, and other payer organizations. Other managed care professionals include nurses, case managers, policy administrators, utilization managers, C-suite executives, and IT professionals.

Statement of Need/Program Overview
This webcast will explore best practices for improving retinal disease screening, access, and care coordination through stronger collaboration between health plans and retinal specialists. The expert faculty will examine administrative and utilization management barriers that can delay timely retinal care, highlight opportunities for payer-provider alignment, and discuss practical quality improvement strategies that support earlier detection and more effective management of retinal disease. Attendees will gain actionable insights for implementing collaborative approaches that enhance patient outcomes and optimize care delivery.

Educational Objectives
After completing this activity, participants should be able to demonstrate improved ability to:

• Review stakeholder-aligned opportunities to improve retinal disease screening, access, and care coordination
• Assess administrative and utilization management barriers that may delay timely retinal care
• Identify near-term, medium-term, and long-term areas of payer-provider alignment that can inform QI strategy

Accreditation Information

Joint Accreditation Statement In support of improving patient care, this activity has been planned and implemented by Medical Education Resources (MER) and Impact Education, LLC. MER is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician Continuing Medical Education
Medical Education Resources designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Continuing Pharmacy Education
Medical Education Resources designates this continuing education activity for 1.5 contact hours (0.15 CEUs) of the Accreditation Council for Pharmacy Education.

UAN: JA0003680-9999-26-280-L01-P
Type of Activity: Knowledge-based

Please note: Pharmacists have up to 30 days to complete the evaluation and claim credit for participation so that information can be submitted to CPE Monitor as required.

Continuing Nursing Education
Medical Education Resources designates this live activity for a maximum of 1.5 ANCC nursing contact hours. Nurses will be awarded contact hours upon successful completion of the activity.

Medical Education Resources is a provider of continuing nursing education by the California Board of Registered Nursing, Provider #CEP 12299, for 1.5 contact hours.

DISCLOSURE OF FINANCIAL INTEREST
Medical Education Resources ensures balance, independence, objectivity, and scientific rigor in all our educational activities. In accordance with this policy, MER identifies all financial relationships with its instructors, content managers, and other individuals who are in a position to control the content of an activity. Reported relevant financial relationships are mitigated by MER to ensure that all scientific research referred to, reported, or used in a CE activity conforms to the generally accepted standards of experimental design, data collection, and analysis. MER is committed to providing learners with high-quality CE activities that promote improvements or quality in health care and not the business interest of an ineligible company. The authors reported the following financial relationships with ineligible companies whose products or services may be mentioned in this activity:

The content managers reported the following financial relationships with ineligible companies whose products or services may be mentioned in this activity:

DISCLAIMER
The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of Medical Education Resources, Impact Education, LLC, and/or Regeneron Pharmaceuticals, Inc. The authors have disclosed if there is any discussion of published and/or investigational uses of agents that are not indicated by the FDA in their presentations. Before prescribing any medicine, primary references and full prescribing information should be consulted. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. The information presented in this activity is not meant to serve as a guideline for patient management.

FEE INFORMATION
There is no fee for this educational activity.