 |
| Sample Newsletters | MarketPlace AIS Products & Services |
|
After giving Part D plans a few years of breathing room, CMS has become very aggressive on the enforcement front, increasing the use of its penalty authority. It has sanctioned multiple plan sponsors, including WellCare, WellPoint and the Kansas Blues plan, for various violations of Part D requirements by suspending their marketing and enrollment activities. CMS has also changed its approach to auditing plans, moving to a risk-based approach, with an emphasis on outcomes, as opposed to processes and policies or procedures. With the increased risk of severe financial penalties and sanctions, Part D sponsors need to pay close attention to CMS’s audits of other plans. Which areas is the agency focusing on, and what steps can you take to escape huge CMS fines and penalties? Hear Dorothy DeAngelis and Richard Merino of FTI Consulting outline the areas CMS is now stressing in its Part D audits. They will provide you with vital information on what plans and their partners need to do to avoid becoming a CMS enforcement target and incurring severe penalties and sanctions. Topics covered include:
Dorothy DeAngelis is a managing director in the FTI Forensic and Litigation Consulting segment and is based in Charlotte, N.C. Ms. DeAngelis specializes in assisting legal counsel and ultimate clients with regulatory compliance and operations matters within the managed care and pharmaceutical industries. Her consulting practice during the last seven years has focused on the intersection of compliance issues in business relationships among entities in those two industries. Prior to joining FTI, DeAngelis was a managing director at Huron Consulting Group and a director at KPMG. DeAngelis has more than 17 years of experience in managed care and health insurance regulatory compliance and operations. Richard Merino is a director in the FTI Forensic and Litigation Consulting segment and also is based in Charlotte. He specializes in assisting legal counsel and ultimate clients with regulatory compliance, health plan and health care entity operations within the managed care, health care provider and pharmaceutical industries. His experience includes the compliance, operational and dispute-resolution matters pervasive in the health care industry from both a payer and provider perspective. Merino has more than 10 years of experience in health care consulting and managed care compliance and operations. Prior to joining FTI, Merino was a director in the pharmaceuticals and health plans practice of Huron Consulting Group and a senior managing consultant in the health care group of Navigant Consulting. Merino also served as the compliance director for one of the largest third-party administrators of health insurance in the nation. Moderator: Barbra Golub, JD, editor of Medicare Part D News.
Part D compliance officers, internal auditors, legal counsel, government-relations managers, financial executives, program managers, operations officers, provider-relations directors and others with Part D responsibilities at:
Please note that CDs and MP3 files will be available within three weeks of the conference date. Audio CDs (and accompanying written materials) are shipped via UPS. Please give us your street address when you order (UPS does not deliver to PO boxes). You should receive your order within 5-7 business days.* Shipping cost is $5. MP3 files will be delivered as a download link within a PDF file of the accompanying written materials. Shipping will NOT be charged for this item.
Rush Orders: Please call us at 800-521-4323 to place a rush order.* We will overnight your order for an additional charge of $30, or you can give us your FedEx or UPS account number and we will charge the shipping to your account. Rush orders placed after 3:00pm EST will not be shipped out until the next business day. *CDs and MP3 files will be available within three weeks of the conference date.
Listeners will also receive practical written information to supplement information covered by the audioconference speakers.
For further information call 800-521-4323 or e-mail customerserv@aispub.com |
|||||||||||||||||||
1100 17th Street, NW, Suite 300, Washington, DC 20036
Phone 202-775-9008 or 800-521-4323; E-mail customerserv@aispub.com