The AIS Guide to Blue Cross and Blue Shield Plans: 2010

Major New HIPAA Rules Issued: Learn What Steps You Need to Take Soon - August 18 Webinar


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MEDICARE PART D NEWS, monthly news and strategies to help you increase Part D enrollment and boost revenues while complying with complex CMS and state enforcement actions and regulations. You’ll also get valuable updates on how Part D will be impacted by health reform. 12 issues annually ($467 per year); includes print copy and e-mail delivery.
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MEDICARE PART D: A COMPREHENSIVE ANALYSIS OF CMS RULES distills from thousands of pages of CMS regulations and guidance the major rules, guidelines and deadlines you need to comprehend the complex Medicare drug benefit program. It includes nine detailed chapters on sponsors, eligibility and enrollment, formularies, CMS enforcement and much more. ($124)
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CMS’s PART D AUDIT FINDINGS: A ROADMAP FOR PLAN SPONSORS, a collection of summaries of CMS’s recent audit reports that will help Part D plans avoid becoming agency targets. It highlights the top five audit hot spots and other areas that CMS and Medicare Drug Integrity Contractors have been focusing on — and will likely continue to focus on — during audits. ($84) PDF version also available.
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REFORM-DRIVEN CHANGES TO RETIREE HEALTH COVERAGE: STRATEGIES FOR PART D PLANS AND EMPLOYERS, a 90-minute Webinar first held on July 28, 2010. Learn how upcoming changes for retiree coverage, as mandated in the new health reform law, can benefit employers and Part D plans. Employee benefits experts from The Segal Company — Stuart Wohl, senior vice president and retirement health practice lead, and George Bognar, lead pharmacy benefits consultant — will detail the changes in the retiree drug subsidy (RDS) and the Part D coverage gap, and ways Part D plans can make the most of these opportunities. CD or On-Demand Recording available. ($329)
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HEALTH REFORM’S IMPACT ON MEDICARE ADVANTAGE AND PART D: STRATEGIES TO IMPLEMENT NOW, a 90-minute Webinar first held on April 26, 2010. Find out how MA reform will impact plans and their partners, and what steps you should take now and in the future to deal with the huge changes ahead — from two experts on the reform law and its implications for health plan business strategies, Bruce Merlin Fried, a partner in the national Health Care and Public Law & Policy Strategies groups at law firm Sonnenschein Nath & Rosenthal LLP, and John Gorman, founder and CEO of Gorman Health Group, LLC. CD and On-Demand Recording available. ($329)
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MAJOR NEW REPORTING RULES FOR MA AND PART D PLANS: WHAT SPONSORS NEED TO KNOW NOW, a recording of a 90-minute audioconference held on November 17, 2009. Learn the details and implications for Medicare Advantage and Part D programs of CMS’s proposed new regs. Steve Arbaugh of ATTAC Consulting Group and Wendy Krasner of Manatt, Phelps & Phillips, LLC, provide practical guidance on what plans need to start doing immediately to avoid sanctions and penalties, and limit the significant administrative burdens ahead. ($329)
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MEDICARE PART D REFORM: STRATEGIES TO PREPARE FOR POTENTIALLY ENORMOUS CHANGES IN 2010, a recording of a 90-minute audioconference held on August 6, 2009. With Medicare Part D a major focus of pending health care reform legislation, there is an urgent need for Part D plan sponsors to work with their PBMs and other first-tier entities to prepare for possible changes. Susan Hayes of Pharmacy Outcome Specialists and Steve Arbaugh of ATTAC Consulting Group provide details of what to do now to prepare for the potential impact of various health care reform proposals on Part D. ($329)
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MEDICARE PART D: A COMPREHENSIVE ANALYSIS OF CMS RULES distills from thousands of pages of CMS regulations and guidance the major rules, guidelines and deadlines you need to comprehend the complex Medicare drug benefit program. It includes nine detailed chapters on sponsors, eligibility and enrollment, formularies, CMS enforcement and much more. ($124)
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THE TOP 5 PART D AUDIT RISKS: HOW YOU CAN AVOID BECOMING A CMS TARGET, a recording of a 90-minute audioconference held on May 28, 2009. Dorothy DeAngelis and Richard Merino of FTI Consulting outline the areas CMS is now stressing in its Part D audits, and what preventive steps you should take to reduce your chances of strict penalties and sanctions. ($329)
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COMPLYING WITH CMS’S NEW ‘LOCK-IN PRICING’ RULE: IMMEDIATE STEPS PART D SPONSORS MUST TAKE, a recording of a 90-minute audioconference held on March 19, 2009. Learn to read and renegotiate contracts with PBMs, and develop mechanisms for implementing the “negotiated price” provision, to reduce your risk of severe sanctions and significant monetary penalties — from Steve Arbaugh of ATTAC Consulting Group and Susan Hayes of Pharmacy Outcome Specialists. ($329)
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RECONCILING PART D ENROLLMENT DATA: STRATEGIES TO AVOID BECOMING AN ENFORCEMENT TARGET, a recording of a 90-minute audioconference held on January 13, 2009. Learn the details of effective strategies to improve your enrollment and membership reconciliation processes and ensure that they are in compliance with CMS requirements, from three experts with Global Pharmaceutical Solutions (GPS) — Managing Partner Erin Costell, and Senior Consultants Marye Issacs and Julian Nadolny. ($329)
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