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Agenda

Strategies to Achieve Compliance in an Evolving Healthcare Landscape

November 13-14, 2018
  • Scottsdale, AZ

Agenda

Want more agenda details? Download the brochure.

DAY ONE Tuesday, November 13, 2018

7:45

Pre-Conference Workshop Registration and Continental Breakfast

8:45

Workshop Leader’s Welcome and Opening Remarks

9:00

PRE-CONFERENCE WORKSHOP Guidelines for Attaining Exemplary Part D Customer Service and Efficiently Resolving Enrollee Grievances

Workshop Objective:

This two-part interactive session provides participants tools to achieve high-quality customer service and distinguish their business from the competition.

Workshop Outline:

I. Achieve Stand-Out Customer Service: 10 Things Every Plan Sponsor and PBM Must Know

II. Investigate and Resolve Enrollee Grievances, While Improving Service Quality

Workshop Leader:

Lisa Venn, JD, MA
Owner
Advocate Alliance, LLC

There will be a 30-minute networking and refreshment break at 10:30 a.m.

12:00

Close of Pre-Conference Workshop and Luncheon for Workshop Attendees

12:00

Main Conference Registration

1:00

Chair’s Welcome and Opening Remarks

Angela Slaughter
Counsel
Aetna

Achieve Compliance in a Volatile
Political Environment

1:15

One Step Ahead —
Managing Risk Exposure to Prepare or Prevent Government Action

Giovanni Gallo
Co-CEO and Chief Development Officer
ComplianceLine

2:00

Medical Marijuana — Preparing for Future Federal Legislation

Phil Walls
Chief Clinical Officer
myMatrixx

2:45

Networking and Refreshment Break

3:30

Take a Deep Dive into PBM Transparency

Tadena Simpson
Senior Counsel
Envision Pharmaceutical Holdings

4:15

One Step Ahead — Preparing for a CMS Program Audit

Michelle Rigby, CFE, CHC
Director
BluePeak Advisors

5:00

Close of Day One

Networking, Wine and Cheese Reception immediately following the final session on day one

DAY TWO Wednesday, November 14th, 2018

8:00

Continental Breakfast

8:30

Chairperson’s Review of Day One

Angela Slaughter
Counsel
Aetna

8:45

KEYNOTE ADDRESS The State of the Healthcare Landscape —
Where We Have Been and Where We Are Going

John Gorman
Founder
Gorman Health Group

9:30

Address Potential Changes in Drug Manufacturer Rebates and “Safe Harbor” Status and the Impact to Medicare Advantage Plans

Robert Shelley
Founding Principal
Leaf Health

10:15

Networking and Refreshment Break

Develop Effective Strategies to Respond to
the Current Opioid Crisis

10:45

CASE STUDYCreating a Comprehensive Medication History —
A Look at NeHII’s Reconciliation Tool

Kevin Borcher
PDMP Program Director
Nebraska Health Information Initiative (NeHII)

11:30

CO-PRESENTATIONFraud Waste and Abuse — Monitoring Prescription Drug Programs

Adriana Ramírez, Esq.
VP, Corporate & Regulatory Affairs, Chief Compliance Officer
Abarca Health

Angeles Monroig Bosque, JD CHC
Compliance Officer
Abarca Health

12:15

Networking Luncheon

Examining the Future of
Pharmacy Benefit Compliance

1:15

Examine the Value of Integrated Medical and Pharmacy Benefits

Angela Slaughter
Counsel
Aetna

2:00

Explore PBM Compliance with Utilization Review Laws

Laurel Wala
Partner
The Phoenix Law Group, PLC

2:45

Close of Conference

Agenda

Want more agenda details? Download the brochure.

Want more agenda details? Download the brochure.

DAY ONE Tuesday, November 13, 2018

7:45

Pre-Conference Workshop Registration and Continental Breakfast

8:45

Workshop Leader’s Welcome and Opening Remarks

9:00

PRE-CONFERENCE WORKSHOP Guidelines for Attaining Exemplary Part D Customer Service and Efficiently Resolving Enrollee Grievances

Workshop Objective:

This two-part interactive session provides participants tools to achieve high-quality customer service and distinguish their business from the competition.

Workshop Outline:

I. Achieve Stand-Out Customer Service: 10 Things Every Plan Sponsor and PBM Must Know

II. Investigate and Resolve Enrollee Grievances, While Improving Service Quality

Workshop Leader:

Lisa Venn, JD, MA
Owner
Advocate Alliance, LLC

There will be a 30-minute networking and refreshment break at 10:30 a.m.

12:00

Close of Pre-Conference Workshop and Luncheon for Workshop Attendees

12:00

Main Conference Registration

1:00

Chair’s Welcome and Opening Remarks

Angela Slaughter
Counsel
Aetna

Achieve Compliance in a Volatile
Political Environment

1:15

One Step Ahead —
Managing Risk Exposure to Prepare or Prevent Government Action

Giovanni Gallo
Co-CEO and Chief Development Officer
ComplianceLine

2:00

Medical Marijuana — Preparing for Future Federal Legislation

Phil Walls
Chief Clinical Officer
myMatrixx

2:45

Networking and Refreshment Break

3:30

Take a Deep Dive into PBM Transparency

Tadena Simpson
Senior Counsel
Envision Pharmaceutical Holdings

4:15

One Step Ahead — Preparing for a CMS Program Audit

Michelle Rigby, CFE, CHC
Director
BluePeak Advisors

5:00

Close of Day One

Networking, Wine and Cheese Reception immediately following the final session on day one

DAY TWO Wednesday, November 14th, 2018

8:00

Continental Breakfast

8:30

Chairperson’s Review of Day One

Angela Slaughter
Counsel
Aetna

8:45

KEYNOTE ADDRESS The State of the Healthcare Landscape —
Where We Have Been and Where We Are Going

John Gorman
Founder
Gorman Health Group

9:30

Address Potential Changes in Drug Manufacturer Rebates and “Safe Harbor” Status and the Impact to Medicare Advantage Plans

Robert Shelley
Founding Principal
Leaf Health

10:15

Networking and Refreshment Break

Develop Effective Strategies to Respond to
the Current Opioid Crisis

10:45

CASE STUDYCreating a Comprehensive Medication History —
A Look at NeHII’s Reconciliation Tool

Kevin Borcher
PDMP Program Director
Nebraska Health Information Initiative (NeHII)

11:30

CO-PRESENTATIONFraud Waste and Abuse — Monitoring Prescription Drug Programs

Adriana Ramírez, Esq.
VP, Corporate & Regulatory Affairs, Chief Compliance Officer
Abarca Health

Angeles Monroig Bosque, JD CHC
Compliance Officer
Abarca Health

12:15

Networking Luncheon

Examining the Future of
Pharmacy Benefit Compliance

1:15

Examine the Value of Integrated Medical and Pharmacy Benefits

Angela Slaughter
Counsel
Aetna

2:00

Explore PBM Compliance with Utilization Review Laws

Laurel Wala
Partner
The Phoenix Law Group, PLC

2:45

Close of Conference