Now Part of The RISE Medicare Product & Pharmacy Strategy Summit
The RISE Part D Master Class is now combined with the Medicare Product Design Master Class in a brand-new, dual-track event
Master the New Economics of Part D at the Brand-New RISE Product & Pharmacy Strategy Summit
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 our brand-new, dual-track event 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
Thinking About Attending? Here's Why You Should
See a few reasons attendees joined us at the 2025 event:
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Navigate Regulatory Changes: Learn about the Inflation Reduction Act (IRA) updates, 2025 compliance requirements, and CMS audit criteria.
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Enhance Compliance & Controls: Gain insights into building strong internal compliance frameworks and managing audit risks.
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Optimize Drug Pricing & Contracting: Explore effective strategies for drug contracting, formulary management, and cost control.
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Leverage Data & Innovation: Discover how to integrate Social Determinants of Health (SDoH) and innovative practices into decision-making.
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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
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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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