2016 Event Archives

CMS Comprehensive Addiction & Recovery Act of 2016 (CARA) Stakeholder Teleconference Meeting

Section 704 of the Comprehensive Addiction and Recovery Act of 2016 (CARA) authorizes a program to prevent prescription drug abuse in Medicare Parts C and D. Specifically, this section allows for a drug management program for “at-risk” beneficiaries for prescription drug abuse. Beneficiaries subject to the requirements of the drug management program may have their access to prescribers and pharmacies limited for frequently abused drugs. The teleconference gathered input from stakeholders prior to rulemaking on important topics that will significantly influence the implementation of this program.

Agenda - As of 11/10/2016 (PDF)    |    Participant Instructions (PDF)

 

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CMS 2016 Medicare Advantage & Prescription Drug Plan Fall Conference

The conference provided important new information for Medicare Advantage & Prescription Drug Plan Sponsoring Organizations during an all-day event designed for staff-level operations, mid-level management, and senior executives.

Updated Agenda - As of 08/17/2016 (PDF)    |    Updated Conference Guide - As of 09/02/2016 (PDF)    |    Participant Instructions (PDF)    |    Updated Presentations as of 11/04/2016 at 5:00pm * (ZIP)    |    Transcripts (ZIP)

*Presentation Note: Session 4 has been updated as of 11/04/16 at 5:00pm.

Video Presentations:
Morning Session
Video 1: Welcome (Moderator)
Video 2: Opening Remarks
Video 3: Options for Adjusting Star Ratings for Audits and Enforcement Actions: Listening Session
Video 4: Medicare Advantage Application Operational Changes (Panel)
Video 5: Improving Operations Through Audits

Afternoon Session

Video 6: Online Provider Directory Review
Video 7: Care Coordination Measure Development
Video 8: Reducing Inappropriate Billing of Qualified Medicare Beneficiaries (QMBs)
Video 9: Overview of the Comprehensive Addiction and Recovery Act (CARA)
Video 10: Anti-Discrimination Rules and Regulations
Video 11: Open Q&A Session
Video 12: Closing Remarks

 

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CMS 2016 Programs of All-Inclusive Care for the Elderly (PACE) Conference & Webcast

The conference, delivered by both CMS and industry experts, promoted innovative and dynamic thought by focusing on programs, research, and outcomes of All-Inclusive Care for the Elderly. This forum communicated the latest information on several recent guidance documents and operational issues, and shared effective practices that have been developed by PACE organizations.

Updated Day 1 Agenda as of 07/05/16 (PDF)    |    Updated Agenda Day 2 as of 07/01/16 (PDF)   |    Updated Conference Guide as of 07/06/06 at 3pm (PDF)    |    Participant Instructions (PDF)    |    Updated Presentations as of 07/28/16 at 10:30am (ZIP)*

*Presentation Note: Session 8 has been revised as of 07/08/16 at 11:45am. Session 1 has been revised as of 07/28/16 at 10:30am.

Video Presentations:
Day 1 (July 7th) – Morning Session
Video 1:  Day 1 – Welcome and Introductions
Video 2:  Day 1 – Opening Remarks
Video 3:  Quality Reporting – Today and Tomorrow
Video 4:  PACE – A Vision for the Future
Video 5:  Building a Relationship with Your Account Manager

Day 1 (July 7th) – Afternoon Session
Video 6:  State Roles and Responsibilities Related to PACE Eligibility
Video 7:  Change of Ownership (CHOW)
Video 8:  Financial Considerations
Video 9:  PACE Innovation Act (Update)
Video 10:  Day 1 – Open Q&A Session
Video 11:  Day 1 – Closing Remarks

Day 2 (July 8th)
Video 12:  Day 2 – Welcome and Introductions
Video 13:  Day 2 – Opening Remarks
Video 14:  Applications and Waivers
Video 15:  Oversight and Audits – 2016 and Beyond
Video 16:  Day 2 – Open Q&A Session
Video 17:  Day 2 – Closing Remarks
 

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CMS 2016 Medicare Advantage and Prescription Drug Plan Audit & Enforcement Conference & Webcast

The conference provided insight into how MA and Part D sponsors can best prepare for a CMS program audit. Sessions included subject matter experts providing best practices of high performing organizations, common findings from audits, and enforcement consequences.

Agenda (PDF)    |    Conference Guide (PDF)    |    Participant Instructions (PDF)    |    Presentations as of 09/12/16 (ZIP)*

*Presentation Note: Session 7 has been added as of 09/12/16 at 5:30PM.

Video Presentations:

Morning Session:
Video 1: Welcome (Moderator)
Video 2: Opening Remarks
Video 3: Welcome and Introductions
Video 4: 2016 Audit Process Enhancements
Video 5: The Independent Auditor Process for Audits and Sanctions

Afternoon Session:
Video 6: Sponsor Experiences from CMS Program Audits
Video 7: Compliance Program Overview
Video 8: Section 504; Equal Access for All Beneficiaries
Video 9: Consequences of Untimely Coverage Determination and Redetermination Decisions
Video 10: Best Practices & Annual Report
Video 11: Open Q&A Session
Video 12: Closing Remarks

 

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CMS 2016 Medicare Advantage & Prescription Drug Plan Spring Conference & Webcast 

The conference provided important new information for Medicare Advantage & Prescription Drug Plan Sponsoring Organizations during an all-day event designed for staff-level operations, mid-level management, and senior executives. 
 

Agenda - As of 5/4/16 (PDF)    |    Conference Guide - As of 5/4/16 (PDF)    |    Presentations - As of 5/11/16 (Zip) (ZIP)*    |    Participant Instructions (PDF)    |    Transcripts (ZIP)

*Presentation Note: Session 3 has been revised as of 5/11/16

Video Presentations:

Morning Session
Video 1:  Welcome
Video 2:  Opening Remarks
Video 3:  Building Effective Relationships with Your Account Managers
Video 4:  Encounter Data Update
Video 5:  Reporting of National and Contract Level Quality Scores by Race and Ethnicity

Afternoon Session
Video 6:  PDBM Chapter 6, The Part D Formularies Awaken
Video 7:  Effective Strategies for Addressing Overutilization and Abuse of Prescription Drugs in Medicare Part D
Video 8:  PBM Migration: Lessons Learned in Part D
Video 9:  Combatting Fraud, Waste and Abuse in Medicare Parts C and D
Video 10:  Open Q&A Session
Video 11:  Closing Remarks