MAPDs and PDPs share similar challenges addressing Part D program compliance risks
The rapid changes to Part D regulations make the tracking and implementation of the Centers for Medicare & Medicaid Services (CMS) requirements exceptionally difficult — to say nothing of actually managing to them. The challenge is magnified by reliance on delegated entities to perform core Part D functions.
We can help your MA Prescription Drug (MAPD) or Prescription Drug Plan (PDP) develop and implement efficient and compliant internal operations and prepare effectively for CMS audits with professional services and unmatched compliance tools. Our broad array of services can assist you in post-audit remediation, implementation of best practices, Pharmacy Benefit Manager (PBM) contracting and implementation, interim staffing, clinical process re-engineering, star ratings improvement, and claims and Prescription Drug Event (PDE) assessment and adjustments.
Our Part D services are designed with your staff in mind, ensuring that with a mix of counsel and DIY tools your staff will have access to actionable information – faster. Don’t chase data points. Spend your time on the things that will impact your audit results when a CMS audit comes – and it always does.