PBM Oversight & 3rd Annual Medicare Compliance Summits 2015

Key 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.