WEBINAR
Overcome M3P Financial and Operational Challenges
With the Medicare Prescription Payment Plan (M3P) set to impact every area of a plan’s business, mapping out a coordinated plan to implement program requirements is vital for continuous plan success.
Watch an in-depth webinar to explore the complexities of the Medicare Prescription Payment Plan (M3P) and uncover strategies for creating organizational improvements to address this new regulatory challenge. Our Expert Advisory Services team broke down the key components of the program, when changes will need to be made at a plan-level and how to prepare staff and processes for the program’s demands.
The webinar presented regulatory insight from:
- Dwight Pattison, Executive Advisor
- Nora Tomassian, Senior Advisor
- Brent Hiley, Senior Advisor
- Kent Holdcroft, Chief Growth Officer
Get the on-demand webinar, presentation slides and an M3P operational checklist to identify opportunities to improve plan performance.
Download the recording and resource to understand:
- A breakdown of what the M3P program means for members, plans and pharmacies
- Requirements for the opt-in and opt-out process, and notifying members of the program, missed payments, terminations and appeals
- How to manage payments and related processes, including missed payments, terminations and rejoining of the program
- The overlap between supporting members through M3P and CAHPS scores
- Estimated costs of members not paying an invoice and how to handle potential financial losses
- New website requirements and the importance of a seamless onboarding experience
- Which teams need M3P training and when that training needs to be completed to support members
- The changes to how plans process invoices with PBMs and pharmacies
- What to consider when deciding between implementing a program in-house or working with a third-party vendor
- An example of a full implementation timeline for 2024 and how plans can reach regulatory deadlines
Contact us to develop a tailored action plan that will guide your plan to success and eliminate member abrasion.
Complete the form to watch the webinar on demand
Nora has extensive clinical, procedural and operational Medicaid and Medicare Part D expertise with 30 years of diverse pharmacy experience in retail and managed care settings.
Nora’s previous roles include Manager of Clinical Services and Director of Pharmacy at a health plan where she managed the pharmacy benefits of different lines of business.
Brent has over 25 years of pharmacy experience, spanning retail, hospital and managed care settings.
Formerly the Director of Account and Product Management for Government Programs at a Pharmacy Benefit Manager, he led strategic initiatives to optimize pharmacy benefit services for Medicare and Medicaid clients. Brent served as the Director of Pharmacy for multiple Medicare Advantage plans.
Kent is head of Healthmine's Growth team, where he draws on his previous experience in strategy and innovation to expand strategic partnerships, improve sales processes, and optimize pipeline management. He is laser-focused on getting Healthmine’s innovative technology into the hands of health plans who can use it to achieve better clinical and quality outcomes.