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CMS EXPERTS will be coming 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:

9:30am – 9:45am
Welcome/Remarks
Kaye Rabel and Stacey Plizga, PRI Moderators

9:45am – 10:00am
Keynote Address
Demetrios Kouzoukas, Principal Deputy Administrator and Director, Center for Medicare

10:00am – 10:45am
Parts C & D Past Performance Analysis
Michael Neuman, CM
Kerry Casey, CM

10:45am – 11:30am
Encounter Data
Shruti Rajan, CM
Monica Reed-Asante, CM

12:30pm – 1:15pm
Leadership Chat and Roundtable

1:15pm – 2:15pm
The Medicare Beneficiary Ombudsman and Medicare Plans: Working Together
Randy Brauer, OHI
Catherine Rippey, OHI
Michael Baker, UnitedHealthcare
Linda Shoenfelt, Aetna

2:30pm – 3:15pm
Appeals, Grievances, and Complaints: Identification and Processing
Coretta Edmondson, CM
Paul Collura, CMHPO

3:15pm – 4:25pm Open Q&A Session

4:25pm – 4:30pm CLOSING REMARKS

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