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Agenda

Strategies for Compliance in an Evolving Healthcare Landscape

November 20-21, 2019
  • Scottsdale, AZ

Agenda

Want more agenda details? Download the brochure.

DAY ONE WEDNESDAY, NOVEMBER 20, 2019

8:00

Registration and Continental Breakfast

9:00

Chairperson’s Welcome and Opening Remarks

John Wells
Independent Consultant;
Former Vice President & Chief Medicare Compliance Officer
Aetna

9:15

Overview of the New Parts C & D Enrollee Grievances, Organization, Coverage Determinations and Appeals Guidance

Yvonne Tso, PharmD, MBA
Vice President
Medicare Compliance Solutions

10:00

Lessons Every PBM Needs to Know from an Independent Validation Auditor

Anne Crawford, RN, MS
Senior Vice President, Compliance Solutions
ATTAC Consulting Group

Anne Marie Youlio, PharmD, RPh, CPh
Program Lead, Pharmacy
ATTAC Consulting Group

10:45

Networking and Refreshment Break

11:15

Navigating the Evolving State Law Pharmacy Benefit Management Compliance Landscape

Tadena Simpson
Senior Counsel
EnvisionRx Options

12:00

Networking Luncheon

1:15

Audit — An Important Tool in Optimizing Pharmacy Benefits

Marci Guillemette, MBA, CPhT
Associate Director, Health Plan & Commercial Audit
OptumRx

2:00

CMS Audit Update

During this roundtable, hear from industry experts who have undergone a CMS audit, lessons learned and best practices for audit responses.

Yvonne Tso, PharmD, MBA
Vice President
Medicare Compliance Solutions

2:45

Networking and Refreshment Break

3:15

Regulatory Updates on Prescription Drug Pricing and Distribution —
How It Impacts Compliance and Program Oversight

Robert Shelley
Founding Principal
Leaf Health

4:00

Fraud Waste and Abuse — Keeping Up with the Latest Patterns

Natasha Davis
Senior Pharmacy Benefits Program Manager
North Carolina State Health Plan

4:45

Close of Day One

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

DAY TWO THURSDAY, NOVEMBER 21, 2019

8:00

Continental Breakfast

8:45

Chairperson’s Review of Day One

John Wells
Independent Consultant;
Former Vice President & Chief Medicare Compliance Officer
Aetna

9:00

NCPDP Update on New Prescription Requirements —
Preparing for the January 2020 Implementation Deadline

Phillip D. Scott
Senior Vice President, Business Development
NCPDP

9:45

Supporting the SUPPORT Act with PDMPs

Kevin Borcher, PDMP
Program Director
Nebraska Health Information Initiative (NEHII)

10:30

Networking and Refreshment Break

11:00

Formulary-Level Opioid Point-of-Sale (POS) Safety Edits and Programs

Anne Marie Youlio, PharmD, CPh
Program Lead
ATTAC Consulting Group

11:45

Roundtable Discussion —
A Look into the Future at the 2020 Compliance Landscape

Anne Crawford, RN, MS
Senior Vice President, Compliance Solutions
ATTAC Consulting Group

John Wells
Independent Consultant;
Former Vice President & Chief Medicare Compliance Officer
Aetna

12:30

Close of Conference

Agenda

Want more agenda details? Download the brochure.

Want more agenda details? Download the brochure.

DAY ONE WEDNESDAY, NOVEMBER 20, 2019

8:00

Registration and Continental Breakfast

9:00

Chairperson’s Welcome and Opening Remarks

John Wells
Independent Consultant;
Former Vice President & Chief Medicare Compliance Officer
Aetna

9:15

Overview of the New Parts C & D Enrollee Grievances, Organization, Coverage Determinations and Appeals Guidance

Yvonne Tso, PharmD, MBA
Vice President
Medicare Compliance Solutions

10:00

Lessons Every PBM Needs to Know from an Independent Validation Auditor

Anne Crawford, RN, MS
Senior Vice President, Compliance Solutions
ATTAC Consulting Group

Anne Marie Youlio, PharmD, RPh, CPh
Program Lead, Pharmacy
ATTAC Consulting Group

10:45

Networking and Refreshment Break

11:15

Navigating the Evolving State Law Pharmacy Benefit Management Compliance Landscape

Tadena Simpson
Senior Counsel
EnvisionRx Options

12:00

Networking Luncheon

1:15

Audit — An Important Tool in Optimizing Pharmacy Benefits

Marci Guillemette, MBA, CPhT
Associate Director, Health Plan & Commercial Audit
OptumRx

2:00

CMS Audit Update

During this roundtable, hear from industry experts who have undergone a CMS audit, lessons learned and best practices for audit responses.

Yvonne Tso, PharmD, MBA
Vice President
Medicare Compliance Solutions

2:45

Networking and Refreshment Break

3:15

Regulatory Updates on Prescription Drug Pricing and Distribution —
How It Impacts Compliance and Program Oversight

Robert Shelley
Founding Principal
Leaf Health

4:00

Fraud Waste and Abuse — Keeping Up with the Latest Patterns

Natasha Davis
Senior Pharmacy Benefits Program Manager
North Carolina State Health Plan

4:45

Close of Day One

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

DAY TWO THURSDAY, NOVEMBER 21, 2019

8:00

Continental Breakfast

8:45

Chairperson’s Review of Day One

John Wells
Independent Consultant;
Former Vice President & Chief Medicare Compliance Officer
Aetna

9:00

NCPDP Update on New Prescription Requirements —
Preparing for the January 2020 Implementation Deadline

Phillip D. Scott
Senior Vice President, Business Development
NCPDP

9:45

Supporting the SUPPORT Act with PDMPs

Kevin Borcher, PDMP
Program Director
Nebraska Health Information Initiative (NEHII)

10:30

Networking and Refreshment Break

11:00

Formulary-Level Opioid Point-of-Sale (POS) Safety Edits and Programs

Anne Marie Youlio, PharmD, CPh
Program Lead
ATTAC Consulting Group

11:45

Roundtable Discussion —
A Look into the Future at the 2020 Compliance Landscape

Anne Crawford, RN, MS
Senior Vice President, Compliance Solutions
ATTAC Consulting Group

John Wells
Independent Consultant;
Former Vice President & Chief Medicare Compliance Officer
Aetna

12:30

Close of Conference