Avoiding Pitfalls in Medicare Part D Implementation

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Avoiding Pitfalls in Medicare Part D Implementation
An audioconference on Thursday, June 30th, 2005, 1:00-2:30 PM Eastern (10:00-11:30 AM Pacific)

Formularies have been submitted. Competitive bids are in. Now it's time to focus on implementing Part D and preparing for launch of these products in November 2005. We invite you to join John Gorman, President Gorman Health Group, to learn how best to avoid pitfalls in implementing Medicare Part D. This session will highlight major issues involved in operationalizing Medicare Part D for Medicare Advantage plans and Prescription Drug-only Plans, including the auto-enrollment of dual eligibles and low-income beneficiaries, the beneficiary lock-in/lock-out, coordination of benefits, TrOOP reporting, and the like.

Topic:	Avoiding Pitfalls in Medicare Part D Implementation
Speakers:	John Gorman, Gorman Health Group
Date:	Thursday, June 30, 2005
Time:	1:00 p.m. to 2:30 p.m. Eastern
Location:	Your desk (Audio Conference dial-in instructions and session presentation will be emailed to attendees in advance of session)
To Register:	https://www.managedcarestore.com/summit.htm or call 209.577.4888.
Cost:	Individual Registration Fee: $195; Web Summit CD-ROM: $20 for attendees; $225 for non-attendees after the event. Corporate Site Licensing Available.

Individual Registration Fee: $195: Click here to register or call 209.577.4888
Web Summit CD-ROM: $20 for attendees; $225 for non-attendees after the event.
Click here for a downloadable flyer and order form you can print. Corporate Site licensing also available.


Live Audioconference	Powerpoint Presentation	CD-ROM Also Available

John Gorman will discuss the major challenges in the months ahead as Part D sponsors focus their attention on implementation and launch of PDPs and MA-PDs. This audioconference will cover:

Marketing and sales of Part D products, including Implications of the beneficiary lock-in/lock-out: what to do with the sales and marketing team when they can't sell to most beneficiaries for most of the year?
Beneficiary premium billing and reconciliation concerns in light of low-income subsidies and late enrollment penalties: what are the implications of most beneficiaries in your plan having different premiums?
Coordination of benefits and subrogation issues: the complexity of COB gets worse with Medicare coverage of a drug benefit.
Copayment issues: how can copays be handled accurately when most pharmacists don't bother doing eligibility look-ups?
Fraud and abuse, compliance and vendor (especially PBM) oversight considerations: from member drug-seeking behaviors to drug hording to misrepresentation of the credentials of P&T Committee members, a Medicare plan's responsibilities in this area are complex and wide-ranging.

REGISTRATION:

Register online at https://www.managedcarestore.com/summit.htm and you will receive instructions for logging in to the Audio Conference. If you have questions, please contact Patty Jamison at the Healthcare Web Summit Office at 209.577.4888 for more information. We look forward to your participation in this event!

Faculty:

John Gorman

President and CEO, Gorman Health Group

John has rich, unique and varied experience in Washington politics, Federal oversight, and the health care industry, which he brings to GHG as its founder and leader. John specializes in project management, strategic planning, and business development for the healthcare industry, with special emphasis on Federal programs and regulation.

John served as Press Secretary and Staff Director for U.S. Representative John Conyers, Jr. (D-MI), then-Chairman of the Government Operations Committee, the principal oversight and investigations panel in the House. Health care was at the core of John's legislative and investigative work for Chairman Conyers.

During the debate on national health care reform John was the chief lobbyist on health care financing issues for the National Association of Community Health Centers, the organization of Federally-funded primary care clinics for the medically underserved.

John then served as Assistant to the Director of HCFA's Office of Managed Care under both Bruce Fried and Rodney Armstead, MD. He provided day-to-day management and staff and external liaison for the Medicare and Medicaid managed care programs during their period of greatest growth. He left HCFA in July 1996 to found Managed Care Compliance Solutions, the predecessor firm to GHG.

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