Event Archives
Event Archives
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Final MAPD Program Audit Protocol Training
This training provided technical assistance on the final audit protocols that CMS will use to conduct the Medicare Part C and Part D Program Audits (CMS-10717) beginning in 2022. This training occurred in three parts and is designed for staff-level operations, mid-level management, and industry stakeholders, as CMS provided important information on how to prepare for Program Audits of Medicare Advantage and Prescription Drug Plan Sponsoring Organizations.
Presentations:
- Session 1: Organizations Determinations, Appeals and Grievances (PDF)
- Session 2: Formulary Administration (PDF)
- Session 2: Coverage Determinations, Appeals and Grievance (PDF)
- Session 3: Compliance Program Effectiveness (PDF)
- Session 3: Special Needs Plans Care Coordination (PDF)
Recordings:
• Session 1: August 17, 2021
• Session 2: August 24, 2021
• Session 3: August 26, 2021
Transcripts:
• Session 1: August 17, 2021 (PDF)
• Session 2: August 24, 2021 (PDF)
• Session 3: August 26, 2021 (PDF)
Disclaimer: Event Archive materials contain information that may have changed or is subject to being changed without notice. The information presented on these Event Archive pages is not intended to replace statutes, regulations, policy or guidance currently in place.
CMS 2019 Medicare Advantage & Prescription Drug Plan Fall Conference & Webcast
The conference provided important information for Medicare Advantage & Prescription Drug Plan Sponsoring Organizations during a one-day event designed for staff-level operations, mid-level management, and senior executives. Subject matter experts discussed topics such as: IRE Transparency, Medicare-Medicaid Integration, Improper Payments, One-Third Financial Audits, Communication Accessibility, and Opioid Safety Edits.
Agenda (PDF) | Conference Guide (PDF) | Presentations (ZIP) | Participant Instructions (PDF) | Survey Instructions (PDF) | FAQ Document (PDF) | Video Transcripts (ZIP)
Video Presentations:
Morning Session
Video 1: Conference Welcome and Opening Remarks
Video 2: IRE Transparency Initiative
Video 3: New Medicare-Medicaid Integration Policies for D-SNPs for 2021
Video 4: Keynote Address
Afternoon Session
Video 5: Updates from OFM Part C & D Improper Payment Activities
Video 6: One-Third Financial Audits Overview
Video 7: Communication Accessibility for Individuals with Disabilities
Video 8: Plan Experience with the 2019 Opioid Safety Edits and the Drug Management Program
Video 9: Open Q&A Session
Video 10: Closing Remarks
CMS 2019 Medicare Advantage & Prescription Drug Plan Spring Conference & Webcast
The conference provided important information for Medicare Advantage & Prescription Drug Plan Sponsoring Organizations during a one-day event designed for staff-level operations, mid-level management, and senior executives. Subject matter experts shared important new information on topics such as: All Payer Policy & MAQI, eMedicare, Medicare Advantage VBID, and CY 2020 C&D Final Rule.
Agenda as of 4/5/19 (PDF) | Conference Guide (PDF) | Participant Instructions (PDF) | Survey Instructions (PDF) | Presentations (ZIP) | FAQ Document (PDF) | Video Transcripts (ZIP)
Video Presentations:
Morning Session
Video 1: Conference Logistics & Remarks/Video Welcome
Video 2: All Payer Policy & Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI)
Video 3: eMedicare
Video 4: Medicare Advantage Value Based Insurance Design Update
Afternoon Session
Video 5: Keynote Address
Video 6: New Medicare-Medicaid Integration Policies in CY 2020 C&D Final Rule
Video 7: Open Q&A Session
Video 8: Closing Remarks
CMS 2018 MA & PDP Fall Conference & Webcast
CMS experts came together during an all-day event to provide important information for the Medicare Advantage and Prescription Drug Plan Sponsoring Organizations, CMS staff and other CMS partners, staff-level operations, mid-level management and senior executives regarding updates to existing Medicare policies and technology.
Agenda - Updated as of 8/29/18 (PDF) (PDF) | Conference Guide (PDF) (PDF) | Presentations - Updated as of 2PM 9/5/18 (PDF) (ZIP)* | Participant Instructions (PDF) | Participant Survey Instructions (PDF) (PDF)
*Please Note: Presentation 6 was updated as of 2pm.
Video Presentations:
September 6 - Morning Session:
Video 1: - Opens in a new window : Welcome/Remarks
Video 2: - Opens in a new window : Medicare Communications and Marketing Guidelines & Provider Directory Updates
Video 3: - Opens in a new window : OACT Intro
Afternoon Session:
Video 4: - Opens in a new window : Best Practices for Classifying Grievances, Appeals and Coverage Requests
Video 5: - Opens in a new window : Meet the Center for Medicare Directors
Video 6: - Opens in a new window : Keynote Address
Video 7: - Opens in a new window : Medicare Advantage and the Quality Payment Program
Video 8: - Opens in a new window : Tackling the Opioid Crisis in Medicare Advantage & Part D
Video 9: - Opens in a new window : Open Q & A Session
video 10: - Opens in a new window : Closing Remarks
CMS 2018 Medicare Advantage and Prescription Drug Plan Audit & Enforcement Conference & Webcast
This conference provided insight into how Medicare Advantage and Prescription Drug Plans can best prepare for a CMS performance audit. It was an opportunity to join CMS experts and learn about best practices of high performing organizations, common findings from audits, and enforcement consequences.
Agenda (PDF) | Conference Guide - Updated as of 5/4/18 (PDF) | Participant Instructions (PDF) | Presentations (ZIP) | FAQ Document (PDF)* (PDF) | Video Transcripts (ZIP)
*Note that this document is effective as of 6/7/2018
Video Presentations:
May 10 - Morning Session
Video 1: Welcome/Remarks
Video 2: New Approach to 2019 Audits and Universes
Video 3: Enforcement Analysis Process
Video 4: Keynote Address
May 10 - Afternoon Session
Video 5: Sponsor’s Insights Related to Compliance Program Effectiveness
Video 6: A Conversation Around Classification of Part C and Part D Grievances and Coverage Requests
Video 7: Independent Validation Audits
Video 8: 2017 Program Audit & Enforcement Report
Video 9: PACE Updates
Video 10: Open Q&A Session
Video 11: Closing Remarks
CMS 2018 Medicare Advantage & Prescription Drug Plan Spring Conference & Webcast
The conference provided important 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. CMS Administrator Seema Verma and other subject matter experts shared important new information on topics such as: Medicare Advantage Benefit Flexibility, CARA/Opiods, The Da Vinci Project & Blue Button 2.0: Interoperability Initiatives in Medicare FFS and Medicare Advantage.
Agenda - Updated as of 4/30/18 (PDF) (PDF) | Conference Guide - Updated as of 5/4/18 (PDF) (PDF) | Participant Instructions (PDF) | Presentations (ZIP)* | Spring FAQ (PDF) | Video Transcripts (ZIP)
*SPECIAL NOTE: Session 6 is the keynote session. There is no presentation for this session.
Video Presentations:May 9 - Morning Session
Video 1: Welcome/Remarks
Video 2: Encounter Data
Video 3: Star Ratings Timeline
Video 4: Medicare Advantage Benefit Flexibility (Supplemental Benefits and Uniformity)
May 9 - Afternoon Session
Video 5: Talking to Beneficiaries about their Plan Choices
Video 6: CARA/Opioids
Video 7: Keynote Session
Video 8: Network Adequacy Review Roundtable Discussion
Video 9: The Da Vinci Project & Blue Button 2.0: Interoperability Initiatives in Medicare FFS and Medicare Advantage
Video 10: Open Q&A Session
Video 11: Closing Remarks
CMS 2017 Medicare Advantage & Prescription Drug Plan Fall Conference & Webcast
CMS experts came together to provide important new information for the Medicare Advantage and Prescription Drug Plan Sponsoring Organizations, CMS staff and other CMS partners, staff-level operations, mid-level management and senior executives regarding updates to existing Medicare policies, new policies, policy updates, and technology updates; provide enrollment and eligibility understanding for various Medicare beneficiaries; and how to fight fraud and abuse within the Medicare program.
Agenda - Updated as of 08/24/17 (PDF) | Conference Guide - Updated as of 09/01/17 (PDF) (PDF) | Participant Instructions (PDF) | Presentations - Updated as of 09/07/17 (ZIP) (ZIP)* (ZIP)
Video Presentations:
Morning Session
Video 1: Welcome/Remarks
Video 2: Keynote Address
Video 3: Parts C & D Past Performance Analysis
Video 4: Encounter Data
Afternoon Session
Video 5: Leadership Chat and Roundtable
Video 6: The Medicare Beneficiary Ombudsman and Medicare Plans: Working Together
Video 7: Appeals, Grievance, and Complaints: Identification and Processing
Video 8: Open Q&A
Video 9: Closing Remarks
*SPECIAL NOTE: Slides 2 & 11 of Session 3 (Leadership Chat and Roundtable) presentation have been updated. There is no presentation for Session 4.
CMS 2017 Programs of All-Inclusive Care for the Elderly Conference & Webcast
CMS experts provided new information on 2017 Programs for All Inclusive Care of the Elderly (PACE). The event was designed for staff-level operations, mid-level management, and senior executives as CMS provided important new information for PACE organizations and industry stakeholders.
Agenda - Updated as of 7/14/17 (PDF) | Conference Guide - Updated as of 7/17/17 (PDF) | Participant Instructions (PDF) | Presentations - Updated as of 7/19/17 (ZIP) (ZIP) | Transcripts (ZIP)*
Video Presentations:
Morning Session
Video 1: - Opens in a new window Welcome/Remarks
Video 2: - Opens in a new window Keynote Address
Video 3: - Opens in a new window Review of Audit Re-Design
Afternoon Session
Video 4: - Opens in a new window Emergency Preparedness
Video 5: - Opens in a new window Financial Audits
Video 6: - Opens in a new window Coordination of Benefits
Video 7: - Opens in a new window Prescription Drugs Events, Formulary Issues, and Part D Compliance
Video 8: - Opens in a new window Program Agreements
Video 9: - Opens in a new window Open Q&A Session
*SPECIAL NOTE: Transcripts for Presentations 3 and 8 are not available at this time. They will be posted as soon as they become available.
CMS 2017 Assister Summit
The 2017 CMS Assister Summit: Understanding the Evolving Marketplace included in-depth assister training and education on a variety of topics that support Marketplace program integrity and stability. Day 1 focused on The Future Role of Assisters while Day 2 focused on Optimizing Consumer Experience.
Agenda - Updated as of 6/7/17 (PDF) (PDF) | Agenda - Updated as of 6/6/17 (Text only version) (DOCX) | Summit Guide - Updated as of 6/7/17 (PDF) | Summit Guide (Text only version) (DOCX) | Day 1 – Presentations and Job Aids (ZIP) | Day 2 – Presentations and Job Aids (ZIP) | Participant Instructions (PDF) | Transcripts (ZIP)
Video Presentations:
Day 1 (June 28th)
Video 1: Vision for Assisters in the Evolving Marketplace
Video 2: Data-Driven Outreach: Reaching Target Populations
Video 3: From Coverage to Care
Video 4: Assister Update Session (Assister Training Video (ZIP))
Day 2 (June 29th) – Morning Session
Video 5: Welcome & Day 2 Overview
Video 6: Keeping Consumers Covered
Video 7: Overlapping Coverage: Medicaid & the Marketplace
Day 2 (June 29th) – Afternoon Session
Video 8: Overlapping Coverage: Medicare Transitions
Video 9: Special Enrollment Periods (SEP) Overview
Video 10: Special Enrollment Periods (SEP) Verification
CMS 2017 Medicare Advantage and Prescription Drug Plan Audit & Enforcement 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.
Updated Agenda – As of 4/21/2017 (PDF) | Conference Guide (PDF) | Participant Instructions (PDF) | Updated Presentations - As of 05/10/2017 (ZIP) (ZIP) | Transcripts (ZIP)
Video Presentations:
Morning Session
Video 1: Welcome/Remarks
Video 2: 2017 Program Audits
Video 3: 2017 Audit Protocol Updates
Afternoon Session
Video 4: Medication Therapy Management (MTM) Panel
Video 5: 2016 Program Audit and Enforcement Report
Video 6: Timeliness Monitoring
Video 7: Civil Money Penalty (CMP) Methodology
Video 8: Open Q&A Session
Video 9: Closing Remarks
CMS 2017 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.
Updated Agenda - As of 5/8/17 (PDF) | Updated Conference Guide - As of 5/8/17 (PDF) | Participant Instructions (PDF) | Presentations - As of 05/09/2017 (ZIP) | Transcripts (ZIP)*
Video Presentations:
Morning Session
Video 1: Welcome/Remarks
Video 2: Keynote Address
Video 3: Auto-Forwarding Coverage Determination Cases to the Independent Review Entity (IRE AF) – Policy, Monitoring and Compliance Panel
Video 4: Summary of Benefits
Video 5: Supporting Access to Information for Individuals with Disabilities (Section 504)
Afternoon Session
Video 6: Medicare Advantage Organization Performance on CAHPS Measures
Video 7: Provider Directories Review Update
Video 8: Care Coordination in Medicare Advantage – A Panel Discussion
Video 9: Social Security Number Removal Initiative Updates
Video 10: Open Q&A
Video 11: Closing Remarks
*Note: We are working with staff to obtain final clearance of the transcript for video 9
Page Last Modified:
09/10/2024 06:06 PM