Topics
- Setting the Stage for Success: PBM Selection and Contracting
- Regulatory Update: Part D and PBM Oversight Mandates for 2016 and Beyond
- Featured Case Study: Our Journey Back from CMS Sanctions
- Building Your PBM Monitoring Toolbox: Essentials for Improved Compliancy and CMS Audits
- Operative Metrics for Stronger PBM Oversight Initiatives
- Achieving Precise PBM Administration of your Medication Therapy Management Program
- Executing PBM Oversight and Monitoring of At-Risk Areas
- Part D Staff Training and Instituting the Appropriate Department Structure
- Ensuring Your Plan Will Stand Up to CMS’ New Scrutiny on Provider Networks
- What CMS Won’t Tell You: How to Stay Ahead of The Sweeping Audit Protocol and Regulatory Changes This Year and on the Horizon
- The Essential Steps to Being Ready for the New CPE Audit
- Case Studies: CMS Program, RADV, SNP MOC, and SIU Audits— Important Lessons Learned
- How Three Plans Resolved Their Biggest Compliance Challenge This Year
- Keys To Optimizing Your FDR And Vendor Oversight at Minimum Expense
- Re-Examining Your Medicare Sales and Marketing Oversight
- What Does CMS Want Your FWA Operation to Look Like?
Who should Attend
Senior attendees from Medicare, Part D and Commercial plans, hospitals and health systems, provider groups, and healthcare consultancies with responsibilities in:
- Pharmacy
- Compliance
- Internal/External Audit
- FDR Oversight
- Medicare Operations
- Legal Affairs
- Vendor Management
- Risk Management
- Fraud, Waste & Abuse/Enforcement
- Appeals and Grievances
To help us better serve you, please mention priority code: CLC12.
