The RISE Part D Master Class
The RISE Part D Master Class provides the opportunity for health plan executives to combine learnings on essential Part D issues, best practices for contracting, formulary design, and achieving member experience quality measures. Gain insights on essential Part D and Part B drug issues, such as the Senior Savings Model, closure of the coverage gap, and CMS audit readiness.
This five-star conference is the best opportunity for health plan executives to discuss new opportunities in formulary management, regulatory updates, and compliance measures such as audit readiness and fraud, waste, and abuse prevention. Hear from our industry-leading speaking faculty and gain a comprehensive understanding and practical strategies for enhancing plan effectiveness and optimizing outcomes for your members
Stay tuned for details on next year's event.
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:
Pharmacy Benefit Managers (PBMs):
Other Professionals:
There is a reason attendees return to this event year after year. They attended in 2024 to:
Understand the new payment structure and the impact on premiums, subsidies, and cost-sharing
Review the compliance aspects of the IRA that will take effect in 2025
Outline best practices for building robust internal controls for your compliance framework
Explore innovative approaches in formulary management for controlling costs
Highlight contracting strategies to achieve favorable drug pricing
Discover how to integrate SDoH data into formulary decision-making processes
Outline the challenges of balancing risk in strategic decision-making for Part D plans
Discuss the fundamentals of medication therapy management in the context of Part D
Understand the criteria CMS uses to evaluate Medicare Part D plans during audits
Explore the specific Part D measures that are weighted most heavily in the Star Ratings calculations
Pamela Mortland, Director of Pharmacy Services, Senior Whole Health
Mary Rutherford, Clinical Pharmacist, Passport Health Plan
Chaz Washington, Medicare Pharmacy Operations Manager, Molina Healthcare
Lilia House, Compliance, Fresenius Medical Care North America
