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Industry-Wide ODAG and CDAG Monitoring Activity

Prescription Drug Event (PDE) records are the official records used by the Centers for Medicare & Medicaid Services (CMS) for Part D revenue reconciliation, coverage gap discount payments, STAR measures, 1/3 financial audits, and CMS program audits. They are critical to your success in managing Part D and your success…..

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Combating Fraud, Waste and Abuse – Are You Compliant?

Prescription Drug Event (PDE) records are the official records used by the Centers for Medicare & Medicaid Services (CMS) for Part D revenue reconciliation, coverage gap discount payments, STAR measures, 1/3 financial audits, and CMS program audits. They are critical to your success in managing Part D and your success…..

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Managing Drug Costs the Analytical Way

Managing Drug Costs the Analytical Way By Yvonne Tso, PharmD, MBA The revised annual percentage increase for Part D reported by the Centers for Medicare & Medicaid Services shows a reversal in 2015, after six consecutive years of decline between 2007 and...

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2016 MMG Significant Changes by Julie Mason

2016 MMG Significant Changes by Julie Mason. Here are the noteworthy revisions (that CMS placed in red text), as well as the clarifications (that CMS did not place in red text) to the 2016 Medicare Marketing Guidelines (MMG).  125 pages of guidance. To...

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Happy Birthday, Part D

In 2015, the Medicare Prescription Drug plan program (Part D) enters its 10th year since its debut in 2006 pursuant to the Medicare Modernization Act (MMA) of 2003. As this offspring

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