Past Agenda
Explore the full schedule of sessions, workshops, and networking opportunities from our last master class to get an idea of what you will hear.
Thursday - October 16, 2025
8:00 AM
8:00 AM – 6:30 PM
Exhibit Hall Open
8:00 AM
8:00 AM – 4:00 PM
Information Desk Open
8:00 AM
8:00 AM – 9:30 AM
Networking Breakfast
9:30 AM
9:30 AM – 9:45 AM
Welcome and Opening Remarks
Speaker
Matthew Hayes
FSA, MAAA, Principal & Consulting Actuary at Milliman
9:45 AM
9:45 AM – 10:35 AM
Financial Outlook for 2027 – How Plans Can Remain Financially Resilient While Navigating the New Part D Environment
In this session, a Part D actuarial expert will break down the most pressing financial challenges — from rebate erosion to risk score recalibration — and outline practical strategies to mitigate them.
Speaker
Matthew Hayes
FSA, MAAA, Principal & Consulting Actuary at Milliman
10:35 AM
10:35 AM – 11:00 AM
Networking Break
11:00 AM
11:00 AM – 11:55 AM
High-Touch, High-Tech: Lessons from SCAN Health Plan’s Pharmacy Program
- Discover how SCAN Health Plan is transforming its pharmacy program through strategic partnerships, technology integration, and a patient-first approach
- Unpack the tactics behind their enhanced Medication Therapy Management (MTM) strategy, collaborations with independent pharmacies, and the use of advanced technology to improve member experience and outcomes
- Walk away with actionable insights to replicate these successes in their own organizations
Speaker
Bahar Davidoff
Vice President, Pharmacy at SCAN Health Plan
Speaker
Jessica Abraham
Director of Population Health at USC School of Pharmacy
Speaker
Kerri Musselman
Director Clinical Transformation, Pharmacy at PQS by Innovaccer
11:55 AM
11:55 AM – 1:20 PM
Networking Lunch
12:05 PM
12:05 PM – 12:20 PM
Tools and Tech
1:20 PM
1:20 PM – 2:10 PM
Compliance Pitfalls: Avoiding Common Mistakes and Preparing for Heightened Oversight
- Dive into case examples of top CMS audit findings and get insights into new areas of focus
- Prepare for increased scrutiny on IRA-related compliance and how CMS may evaluate your communication strategies and systems readiness for beneficiary education and cost transparency
- Discuss ways to operationalize compliance improvements, including tools and systems for tracking real-time compliance performance and building internal dashboards
Speaker
Ana Handshuh
Principal at CAT5 Strategies
Speaker
Melissa Wong
Partner at Holland & Knight LLP
1:20 PM – 2:10 PM
Managing High-Cost Drugs and the Specialty Pipeline
- Explore strategies to manage the rising costs of GLP-1s and gene therapies while maintaining clinical and financial sustainability
- Improve forecasting accuracy by understanding how new benefit structures and reinsurance thresholds impact plan liability
- Discuss how to balance affordability and access while supporting adherence and optimizing the member experience
2:10 PM
2:10 PM – 3:00 PM
Driving Star Ratings Through Part D Performance: What Plans Can Do Now to Improve Outcomes
- Explore strategies to protect your ratings as CMS continues to recalibrate cut points, weighting, and measure specifications, putting even high-performing plans at risk
- Explore proven strategies to improve pharmacy measure performance through targeted member engagement, provider partnerships, and real-time analytics
- Examine which Part D measures move the needle, including adherence, MTM, and CMR completion
Speaker
Katharine Iskrant
Practice Leader at Healthy People
Speaker
Tina Dueringer
CEO, Principal Advisor at Dueringer Advisors, Inc.
3:00 PM
3:00 PM – 3:20 PM
Networking Break
3:20 PM
3:20 PM – 4:05 PM
Breaking Silos: Cross-Functional Collaboration in Part D Success
Part D success depends on strong coordination between multiple internal departments as IRA requirements take hold. This session features real-world case studies on what works (and what doesn’t) when teams align around shared goals.
- Learn from real-world examples of how plans tackled formulary changes, OOP cap implementation, and audit readiness together See how data and timelines get derailed or streamlined when teams work in silos vs. in sync
- Walk away with actionable tactics to improve internal coordination and reduce risk across department
3:20 PM – 4:05 PM
State of the Industry: Navigating the Evolving Medicare Part D Regulatory Landscape
- Stay ahead of CMS priorities with a clear understanding of the latest policy shifts—including updates to Medication Therapy Management (MTM) requirements, pharmacy access standards, and marketing regulations
- Explore key takeaways from the CMS Final Rule and Call Letter, and what they mean for plan compliance and operations in 2025 and beyond
- Gain actionable insights into the implementation of the Inflation Reduction Act (IRA), including the $2,000 out-of-pocket cap, the OOP smoothing program, and the timeline for drug price negotiations along with their direct implications for plan design and strategy
Speaker
Tom Kornfield
Founder and CEO at MAST Solutions
4:05 PM
4:05 PM – 4:15 PM
Closing Remarks
Speaker
Matthew Hayes
FSA, MAAA, Principal & Consulting Actuary at Milliman
4:15 PM
4:15 PM – 4:50 PM
Roundtables
Participate in a facilitated roundtable discussion and deep dive with peers on timely topics in the industry.
4:15 PM
4:15 PM – 5:00 PM
See Product Design Agenda
5:00 PM
5:00 PM – 6:00 PM
Networking Cocktail Reception
Friday - October 17, 2025
8:00 AM
8:00 AM – 12:50 PM
Exhibit Hall Open
8:00 AM
8:00 AM – 11:00 AM
Information Desk Open
8:00 AM
8:00 AM – 9:00 AM
Networking Breakfast
9:00 AM
9:00 AM – 9:10 AM
Welcome Remarks and Day One Takeaways
Speaker
Tina Dueringer
CEO, Principal Advisor at Dueringer Advisors, Inc.
9:10 AM
9:10 AM – 10:00 AM
Through Their Eyes: Patient Perspectives on Medicare Part D
In partnership with the Camden Coalition
This session brings real voices to the forefront, individuals navigating Medicare Part D who will share firsthand experiences with affordability, access, plan communications, and the real-world impact of benefit design.
- Hear directly from beneficiaries about what’s working and what’s not in their Medicare Part D experience, from choosing plans to affording medications
- Gain practical insights into how plan design, communication, and pharmacy access impact member trust, adherence, and satisfaction
- Walk away with actionable takeaways to improve member engagement and better align your strategy with the needs of the people you serve
Speaker
Amanda Rice
Speaker
Cynthia Gibbs-Daniels
Speaker
Nohora Gutierrez
Speaker
Tina Dueringer
CEO, Principal Advisor at Dueringer Advisors, Inc.
10:00 AM
10:00 AM – 10:45 AM
Looking Ahead: What’s Next for Part D Policy and Advocacy?
As the regulatory environment continues to evolve, so must your plan's policy readiness and advocacy strategy. This interactive session will help you anticipate what’s coming, pressure-test your assumptions, and leave with actionable insights to future-proof your approach.
- Get ahead of upcoming policy shifts by understanding what the next rounds of drug price negotiations could mean for your formulary, financials, and pharmacy strategy
- Assess the implications of the 2025 elections and how potential Medicare reforms could reshape the Part D landscape regardless of who’s in power
- Engage in a candid discussion on how the industry and Congress are responding to the IRA—and what levers may still be in play to influence future changes
Speaker
Debjani Mukherjee
Principal Research Scientist at NORC
10:45 AM
10:45 AM – 11:05 AM
Networking Break
11:05 AM
11:05 AM – 11:50 AM
Deep Dive Session – Creating Actionable Change in Formulary Design
Formulary management has always been central to Part D success — but the landscape has shifted. With the IRA reshaping liability, CMS drug price negotiations altering rebate dynamics, and an unprecedented specialty pipeline driving spend, health plans can no longer rely on yesterday’s tiering and utilization playbooks.
Designed for Part D formulary and pharmacy leaders tasked with executing strategy under new pressures, this extended session will enable you to leverage tiering and utilization management levers, apply real-world evidence to decision-making, and align formulary moves with actuarial, PBM, and provider strategies.
Speaker
Jordan Cates
Consulting Actuary at Milliman
Speaker
Matthew Hayes
FSA, MAAA, Principal & Consulting Actuary at Milliman
11:50 AM
11:50 AM – 12:50 PM
Networking Lunch
12:50 PM
12:50 PM – 1:40 PM
Deep Dive Part II
Walk away with a formulary optimization framework balancing cost, access, and compliance.Walk away with a formulary optimization framework balancing cost, access, and compliance.
Speaker
Jordan Cates
Consulting Actuary at Milliman
Speaker
Matthew Hayes
FSA, MAAA, Principal & Consulting Actuary at Milliman
1:40 PM
1:40 PM – 2:00 PM
Closing Remarks
Speaker
Matthew Hayes
FSA, MAAA, Principal & Consulting Actuary at Milliman
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