Soyal Momin
Manager, Research Development and Consulting
Provider Network Management/Health Intelligence Group
Areas of Expertise:
Creation of ideas and questions relative to business issues, develop tools to be used as part of medical and provider management programs, collaborate with academic institutions, disseminate information through conferences, journals and other mechanisms as well as consult with other health plans/organizations. Primary work area includes physician practice pattern analysis, program evaluation, population assessment, application of episode treatment group model, pharmacy data analysis, and risk assessment & adjustment (predictive modeling).
Education/Credentials:
Master of Science in Pharmacy Administration,The University of Rhode Island, Rhode Island, 1999
Master of Business Administration,B.K. School of Business Management, Ahmedabad, India, 1996
Master of Science in Pharmaceutics, L.M. College of Pharmacy, Ahmedabad, India, 1993
Bachelor of Science in Pharmacy, L.M. College of Pharmacy, Ahmedabad, India, 1991
Awards:
Dr. Michael G. Lundy Memorial Award for Excellence in Research, Development, or Analysis, BlueCross BlueShield of Tennessee
1&2Q2006 -Generic Switch Study
4Q2005 - Health Related Quality of Life and Compliance with Diabetic Care
2Q2005 - Building a Foundation for the Management of Specialty Pharmaceuticals
1Q2005 - Migraine Care Management
4Q2004 - AMI Beta Blocker Pharmacy Care Management Initiative
2006 Pinnacle Award – Sustainability, BlueCross BlueShield of Tennessee
Finalist, 2004 Pinnacle Award – Employees are Central to Our Success, BlueCross BlueShield of Tennessee
Use of Genotyping to Remove Therapeutic Barriers and Promote Cost-Effective Care of Chronic Hepatitis C, BCBSA Best of Blue Award in Medical and Pharmacy Management, Chicago, Illinois, October 2002
Business Affiliations/Boards:
Member, ViPs Advisory Board
Faculty, Institute for International Research (IIR)
Member, FEP MCSource Business Users Workgroup
Member, Academy of Managed Care Pharmacy
Member, International Society for Pharmacoeconomics and Outcomes Research
Member, American Association of Pharmaceutical Scientists
Member, Academy Health (formerly Academy for Health Services Research)Published Works:
Amanda Honish, William Westerfield, Avery Ashby, Soyal Momin, Ray Phillippi. Health-Related Quality of Life and Treatment Compliance with Diabetes Care. Disease Management 2006; 9(4)
Melissa Godfrey, William Westerfield, Soyal Momin, Robert Giles, Terence Shea. Brand to Generic: Motivating Plan Members to Switch, Drug Benefit Trends June 2006
Effects of Demographics on the Cost of Pharmaceuticals in a Private Third-party Prescription Program. Journal of Managed Care Pharmacy, Fall 2000
Effects of Plan Characteristics on the Cost of Pharmaceuticals in a Private Third-party Prescription Program. Journal of Pharmaceutical Marketing and Management 2000; 13(3)
Application of Simplex Analysis for Development of Dispersible Tablets of Cyproheptidine Hydrochloride. Indian Journal of Pharmaceutical Sciences 1994; 24: 103
Role of pharmacists in the stability of pharmaceuticalsThe Indian Journal of Hospital Pharmacy 1993; 30(4): 127
Speeches/Presentations:
An Analysis of Utilization and Cost of Obesity Treatment Among Insured Populations: Patterns of Bariatric Surgeries, Pharmaceutical Use, and Other Services within Several Large BlueCross BlueShield Plans, BCBS HSR Strategy Meeting, Seattle, WA, June 2006
Predictive Modeling and Care Management at BlueCross BlueShield of Tennessee, 3rd Annual IIR Predictive Modeling Conference on Harnessing the Power of Predictive Modeling: Fostering Collaboration and Advancing Predictive Applications, Orlando, FL, February 2006
Predictive Modeling and Care Management at BlueCross BlueShield of Tennessee, MEDai Users Conference, Orlando, FL, February 2006
Application of Predictive Modeling to Identify, Stratify, and Triage Members in Care Management Programs: A Health Plan Case Study,Panel Presentation at AcademyHealth Annual Research Meeting, Boston, MA, June 2005
Predictive Modeling at BlueCross BlueShield of Tennessee,World Research Group Conference on Predictive Modeling Implementation, Orlando, FL, March 2005
Next Generation Care Management at BlueCross BlueShield of Tennessee,2nd Annual IIR Predictive Modeling Conference on Innovative Strategies for Predictive Modeling, Fort Lauderdale, FL, February 2005
A Calculation of MCSource ROI at BlueCross BlueShield of Tennessee,ViPs Interact Users Conference, Baltimore, MD, November 2004
Next Generation Care Management at BlueCross BlueShield of Tennessee,IIR Conference on Advanced Strategies for Predictive Modeling for Health Plans and Employers, Boston, Massachusetts, June 2004
Effectiveness of Obesity Treatment Interventions: A Proposal for Multi-plan Study,Annual Blue Cross and Blue Shield Health Services Research Strategy Meeting, San Diego, California, June 2004
Controlling Specialty Pharmaceutical Spending: Evaluating Where to Start, IIR Conference on Innovative Strategies for Managing Specialty Pharmaceuticals, Dallas, Texas, October 2003
Transitioning to DCGs from ACGs, DxCG User Conference, Chicago, Illinois, September 2002
DCGs – Going Beyond the Basics, ViPs Users Conference, Baltimore, Maryland, April 2002
Development of a Specialty Physician Practice Pattern Analysis, AHSR Annual Meeting, Atlanta, Georgia, June 2001
Impact of Pharmacy Benefit Design on Total HealthCare Cost and Importance of Case-Mix Adjustment, AHSR Annual Meeting, Atlanta, Georgia, June 2001
Effect of Onsite Concurrent Medical Review on Inpatient Average Length of Stay (ALOS), AAHP Building Bridges Conference, Seattle, Washington, April 2001
Do People Employed in the Healthcare Industry Utilize More Healthcare Services than the General Population? A Case-Mix Approach, Johns Hopkins ACG Users Conference, Baltimore, Maryland, September 2000
Effects of Plan Characteristics on the Cost of Pharmaceuticals in a Private Third-Party Prescription Program, International Society of Pharmacoeconomics and Outcomes Research Annual Meeting, Crystal City, Virginia, May 1999
