The RISE Part D Master Class

Save the Date for October 2026

Master the New Economics of Part D

Plans face fewer national players, higher dispensing fees, tougher PBM choices, tariff pressure on generics, a thinner demo toolkit, and SSI cuts that strain vulnerable members. Premium pressure is real. 

Use The RISE Part D Master Class to steady revenue, safeguard Stars, and strengthen operations in a market that’s leaner, tougher, and less forgiving.

You will learn: 

  • Regulatory and compliance: Final Rule and Call Letter priorities, MTM expectations, UM impact on access, mid-year change guardrails, audit readiness
  • Pharmacy strategy: Formulary design under constraints, GLP-1 and gene therapy cost control, network and access standards
  • Finance and actuarial: Bids and liability modeling with $2,000 OOP cap, smoothing operations, reinsurance shifts, manufacturer discounts
  • Stars performance: Actions that move adherence, MTM, and CMR completion
  • Cross-team delivery: Align pharmacy, actuarial, compliance, and ops on timelines, KPIs, and governance
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What's New. What's Next. Why It Matters.

Learn from a Patient Perspectives Panel

with the Camden Coalition to stress-test plan design and communications

Hear the Policy and Advocacy Outlook

to prepare for upcoming negotiations and the 2026 reset

Participate in Structured Roundtables

to benchmark with peers

Thinking About Attending? Here's Why You Should

See a few reasons attendees joined us at the 2025 event:

  • Navigate Regulatory Changes: Learn about the Inflation Reduction Act (IRA) updates, 2025 compliance requirements, and CMS audit criteria.

  • Enhance Compliance & Controls: Gain insights into building strong internal compliance frameworks and managing audit risks.

  • Optimize Drug Pricing & Contracting: Explore effective strategies for drug contracting, formulary management, and cost control.

  • Leverage Data & Innovation: Discover how to integrate Social Determinants of Health (SDoH) and innovative practices into decision-making.

  • Boost Star Ratings Performance: Understand key Part D measures and medication therapy management fundamentals impacting Star Ratings.

You'll Be in Good Company

Take a look at who you'll be sitting next to at this event. 

Organizations That Attend

  • Health Plans: Medicare Advantage, Multi-Line, Commercial, & Medicaid 
  • Accountable Care Organizations
  • Community-Based Organizations, Government Agencies, & Advocacy Groups
  • Physician Practices, Medical Groups, & Hospitals
  • IPA Management or MSO Companies
  • Integrated Delivery Networks
  • Not-For-Profit Organizations & Health Care Foundations
  • Pharmacy Benefit Managers
  • Pharmaceutical Manufacturers
  • Prescription Drug Plans
  • Consultants & Vendors That Provide Platforms and Solutions
  • Auditors
  • Academia & Employer Groups

Job Functions You'll Network With

  • Medical directors and other executives from health plans and hospital networks that work with CMS and offer Part D benefits with the following job functions:

    • Compliance
    • Pharmacy operations
    • Finance
    • Vendor management
    • FDR/ delegation oversight
    • Coverage determinations, appeals, and grievances review
    • Medicare auditing
    • Information technology
    • Claims and prescription drug event management

    Pharmacy Benefit Managers (PBMs):

    • Claim approvals/denials
    • Compliance
    • Claim and prescription drug event management
    • Pharmacy operations

    Other Professionals:

    • CMS audit consultants
    • CMS audit validation consultants
    • Compliance auditors
    • Legal consultants
    • Data management/ software providers
    • Health law attorneys

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