View Last Year's Agenda | The RISE Part D Master Class

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Part D Masterclass
August 8 – 9, 2023
New Orleans, LA

Past Agenda

Tuesday - August 8, 2023

9:00 AM 10:00 AM

8:00 AM 9:00 AM

7:00 AM 8:00 AM

6:00 AM 7:00 AM

Registration Desk Opens and Networking Breakfast

9:00 AM 7:00 PM

8:00 AM 6:00 PM

7:00 AM 5:00 PM

6:00 AM 4:00 PM

Exhibit Hall Open

10:00 AM 11:15 AM

9:00 AM 10:15 AM

8:00 AM 9:15 AM

7:00 AM 8:15 AM

Workshop Part 1: Overview of Part D Cost Saving Strategies

  • Discuss opportunities for educating members on cheaper alternatives such as the use of generic drugs 
  • Learn how to maximize results with formulary management tools 
  • Identify how to effectively negotiate with your PBM's 

Helen Liu, Pharm.D. | Vice President of Pharmacy Operations 
ATRIO Health Plans 

11:15 AM 11:25 AM

10:15 AM 10:25 AM

9:15 AM 9:25 AM

8:15 AM 8:25 AM

Networking Break

11:25 AM 12:20 PM

10:25 AM 11:20 AM

9:25 AM 10:20 AM

8:25 AM 9:20 AM

Workshop Part 2: Maximizing Savings Through Formulary Management

  • Review key factors in building an effective formulary  
  • Outline best practices for monitoring costs and competitive positioning 
  • Identify how to maximize savings for your members 

 

Peter Heinen, FSA, MAAA, Consulting Actuary 
Milliman 

Adam Feller, FSA, MAAA, CERA Senior Consulting Actuary 
Milliman 

12:20 PM 1:20 PM

11:20 AM 12:20 PM

10:20 AM 11:20 AM

9:20 AM 10:20 AM

Workshop Part 3: Innovations in Rebate Strategy

  • Discuss trends and approaches being taken to reduce spending  
  • Highlight what other plans are doing with their formulary strategy  
  • Explore implications and considerations related to policy and regulatory changes in Part D 

 

Peter Heinen, FSA, MAAA, Consulting Actuary 
Milliman 

Adam Feller, FSA, MAAA, CERA Senior Consulting Actuary 
Milliman 

1:20 PM 2:20 PM

12:20 PM 1:20 PM

11:20 AM 12:20 PM

10:20 AM 11:20 AM

Networking Lunch

2:20 PM 2:30 PM

1:20 PM 1:30 PM

12:20 PM 12:30 PM

11:20 AM 11:30 AM

Welcome and Opening Remarks

Matt Hayes, Principal and Consulting Actuary
Milliman

2:30 PM 3:15 PM

1:30 PM 2:15 PM

12:30 PM 1:15 PM

11:30 AM 12:15 PM

Navigating the Regulatory Landscape of Medicare Advantage

  • Review considerations related to the 2024 CMS Advance Notice 
  • Outline proposed changes to payment accuracy 
  • Discuss the implications of the proposed final rules on premiums 

Laura Sheriff, RN, MSN, CPC, CRC, Vice President of Operations, Risk Adjustment  
Southwestern Health Resources

Ryan Dodson, Chief Operating Officer, Co-founder 
New Vision Healthcare Solutions 

 

3:15 PM 4:00 PM

2:15 PM 3:00 PM

1:15 PM 2:00 PM

12:15 PM 1:00 PM

Deep Dive: Implications of the Inflation Reduction Act (IRA)

  • Understand the provisions of the IRA related to reducing the drug costs of vaccines and insulin 
  • Explore how the new rule on rebates will limit drug costs and impact health plans 
  • Receive guidance on the Low-Income Subsidy Program under Part D 

Omar Daoud, Senior Director of Pharmacy
Community Health Plan of Washington

Michelle Juhanson, VP, Chief of Staff II, Medicare Part D  
Magellan Rx Management 

Matt Hayes, Principal and Consulting Actuary
Milliman

4:00 PM 4:20 PM

3:00 PM 3:20 PM

2:00 PM 2:20 PM

1:00 PM 1:20 PM

Networking Break

4:20 PM 5:05 PM

3:20 PM 4:05 PM

2:20 PM 3:05 PM

1:20 PM 2:05 PM

Deep Dive: Impact of Member Experience on MAPD Ratings

  • Understand key interactions that drive member experience
  • Develop strategies to improve and maintain positive member experience
  • Discuss how quality measures can improve MAPD ratings

David Reid, Senior Director, Operational Performance, Risk & Support  
Florida Blue 

5:05 PM 5:50 PM

4:05 PM 4:50 PM

3:05 PM 3:50 PM

2:05 PM 2:50 PM

What You Need to Know About the Health Equity Index

  • Review the goals set out by CMS to highlight health equity 
  • Identify how your health plan can adapt its quality measures to align with the Health Equity Index 
  • Hear more on social risk factors (SRF's) and how they will be incorporated 

Ana Handshuh, Principal 
Cat5 Strategies 

 

Shannon Decker, Principal 
VBC One 

5:50 PM 6:00 PM

4:50 PM 5:00 PM

3:50 PM 4:00 PM

2:50 PM 3:00 PM

Closing Remarks

Matt Hayes, Principal and Consulting Actuary
Milliman

6:00 PM 7:00 PM

5:00 PM 6:00 PM

4:00 PM 5:00 PM

3:00 PM 4:00 PM

Networking Cocktail Reception

Join us for drinks, hors d’oeuvres, and face-to-face networking with peers.

Wednesday - August 9, 2023

9:00 AM 10:00 AM

8:00 AM 9:00 AM

7:00 AM 8:00 AM

6:00 AM 7:00 AM

Registration Desk Opens and Networking Breakfast

9:00 AM 1:50 PM

8:00 AM 12:50 PM

7:00 AM 11:50 AM

6:00 AM 10:50 AM

Exhibit Hall Open

10:00 AM 10:15 AM

9:00 AM 9:15 AM

8:00 AM 8:15 AM

7:00 AM 7:15 AM

Welcome Remarks and Day One Takeaways

Matt Hayes, Principal and Consulting Actuary
Milliman

10:15 AM 11:00 AM

9:15 AM 10:00 AM

8:15 AM 9:00 AM

7:15 AM 8:00 AM

Case study: A'cing the CMS Program Audit

  • Identify key strategies for audit preparations  
  • Explore opportunities for improving your compliance systems 
  • Hear about the implementation of Part D audit protocols 

Helen Liu, Pharm.D. | Vice President of Pharmacy Operations
ATRIO Health Plans

Nichole Hageman, Director of Medicare Compliance
Mutual of Omaha

11:00 AM 11:20 AM

10:00 AM 10:20 AM

9:00 AM 9:20 AM

8:00 AM 8:20 AM

Networking Break

11:20 AM 12:05 PM

10:20 AM 11:05 AM

9:20 AM 10:05 AM

8:20 AM 9:05 AM

Forming a Medication Therapy Management (MTM) Program

  • Understand how to use the MTM to impact Star ratings  
  • Discuss trends and developments with the implementation of MTM's 
  • Outline strategies for improving patient outcomes with MTM's 

Gary Melis, Clinical Pharmacist
Network Health

12:05 PM 12:25 PM

11:05 AM 11:25 AM

10:05 AM 10:25 AM

9:05 AM 9:25 AM

Networking Break

12:25 PM 1:05 PM

11:25 AM 12:05 PM

10:25 AM 11:05 AM

9:25 AM 10:05 AM

Strategies for Educating Members on Changes to Part D

  • Review training opportunities to help prepare your health plan  
  • Discuss how to efficiently use resources for reaching out to members 
  • Learn how to identify the key challenges that may impact your communities 

Nikki Hungate, MS, MHA, Director of Medicare and Government Programs Product Strategy  
MVP Health Care 

 

1:05 PM 2:05 PM

12:05 PM 1:05 PM

11:05 AM 12:05 PM

10:05 AM 11:05 AM

Networking Lunch

2:05 PM 2:50 PM

1:05 PM 1:50 PM

12:05 PM 12:50 PM

11:05 AM 11:50 AM

Compliance Directives on Part D

  • Review a Part D sample checklist 
  • Discover new ways to optimize your compliance strategies 
  • Discuss preventative efforts in the oversight of your Part D programs 

Hannah Thompson CPhT, CCEP, Sr. Government Affairs Policy Analyst
Prime Therapeutics

2:50 PM 3:00 PM

1:50 PM 2:00 PM

12:50 PM 1:00 PM

11:50 AM 12:00 PM

Closing Remarks

Matt Hayes, Principal and Consulting Actuary
Milliman

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