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MA Rebate Reallocation Scenario Planning 101

Event Date: 3/20/2025

Event Overview

3/20/2025
1:00 PM – 1:45 PM CT (45 minutes)
Zoom Meeting

Join experts from Wakely Consulting for a refresher on the often complex and challenging rebate reallocation process. This session will equip members with the knowledge and tools needed to manage rebate reallocation effectively. Gain insights into the consequences of overestimating or underestimating the direct subsidy and low-income premium subsidies—so your team can confidently navigate ongoing IRA-driven uncertainty.

Key Topics Include: 

  • Rebate/Subsidy Strategies: A deep dive into rebate reallocation and direct subsidy/LIPSA complexities and consequence scenarios. This includes strategies for planning around subsidy range uncertainties and practical approaches for risk mitigation.
  • Bid Optimization: Techniques for navigating the rebate process to enhance bid accuracy and strategic alignment with CMS requirements.
     

 

Documents
3/21/2025

Recording: MA Rebate Reallocation Scenario Planning 101
Experts from Wakely Consulting provide a comprehensive refresher on the intricate and challenging rebate reallocation process, arming members with the knowledge and tools necessary for effective management. Gain valuable insights into the potential consequences of misestimating direct subsidies and low-income premium subsidies, helping your team confidently navigate the ongoing uncertainties driven by the IRA.

3/20/2025

Presentation: Rebate Reallocation Scenario Planning
Wakely Consulting provides a comprehensive refresher on the complex rebate reallocation process, equipping members with the knowledge and tools necessary to manage it effectively. Gain valuable insights into the impact of overestimating or underestimating direct subsidy and low-income premium subsidies, empowering your team to navigate the ongoing uncertainty driven by the IRA with confidence.

Attendees

Below is a list of all delegates registered to date for this event

  • Eve Anderson
  • ALLIANCE MEMBER
  • Assistant Director, Actuarial Services at Johns Hopkins Health Plans
  • Ann Anthony
  • ALLIANCE MEMBER
  • Director of Specialty Pharmacy and Care Coordination at Providence Health Plan
  • Benjamin Aragon
  • ALLIANCE MEMBER
  • Manager of Product Development at Sharp Health Plan
  • Lisa Blume
  • ALLIANCE MEMBER
  • CFO, Vice President Finance & Corporate Services at Ochsner Health Plan
  • Steven Boyles
  • ALLIANCE MEMBER
  • Senior Clinical Pharmacy Specialist at Providence Health Plan
  • Alisa Cocozza
  • ALLIANCE MEMBER
  • Vice President of Product at MetroPlusHealth
  • Ron Davis
  • ALLIANCE MEMBER
  • Director Vendor Management at Health Alliance Plan (HAP)
  • John Dunn
  • ALLIANCE MEMBER
  • Director - Sales & Marketing at HealthTeam Advantage
  • Matthew Felker
  • ALLIANCE MEMBER
  • Sr Director, Actuarial Services at Quartz Health Solutions
  • Christopher Ferrin
  • ALLIANCE MEMBER
  • Manager of Pharmacy Programs at Samaritan Health Plans
  • Kimberly Gehrke
  • ALLIANCE MEMBER
  • Director of Individual Sales at Network Health
  • Stefani Geter
  • ALLIANCE MEMBER
  • AVP, Compliance and Privacy at Ochsner Health Plan
  • Thomas Glasner
  • ALLIANCE MEMBER
  • Managing Actuary at Health First Health Plans
  • Bryce Graef
  • ALLIANCE MEMBER
  • Actuarial Analyst at Quartz Health Solutions
  • Morgan Gunder
  • ALLIANCE MEMBER
  • Medicare Product Manager at Health Alliance Medical Plans
  • Ron Hirasaki
  • ALLIANCE MEMBER
  • VP Product Management & Marketing Sales at CHRISTUS Health Plan
  • Kaleb Holt
  • ALLIANCE MEMBER
  • Director of Medicare Programs at Select Health
  • Deanna Homer
  • ALLIANCE MEMBER
  • Chief Operations Officer at HealthTeam Advantage
  • Linda Jackson
  • ALLIANCE MEMBER
  • Director of Analysis and Product Development at MetroPlusHealth
  • Tyler Kalscheur
  • ALLIANCE MEMBER
  • Actuarial Analyst at Quartz Health Solutions
  • Janis Lehrer
  • ALLIANCE MEMBER
  • Director at Health Alliance Plan (HAP)
  • Tom Loach
  • ALLIANCE MEMBER
  • Director, Sales & Bus. Dev. at Samaritan Health Plans
  • Kristen Mallon
  • ALLIANCE MEMBER
  • Product Design Manager at Geisinger Health Plan
  • Brandon Mauck
  • ALLIANCE MEMBER
  • Director of Product Management and Business Development at MediGold
  • Tracey McCloy
  • ALLIANCE MEMBER
  • Director, Strategic Growth & Product Development at HealthTeam Advantage
  • Anna McGhee
  • ALLIANCE MEMBER
  • Director of Pharmacy at MediGold
  • Eric McKeeman
  • ALLIANCE MEMBER
  • Director, Analytics & Risk Adjustment at Santa Clara Family Health Plan
  • Tina Nguyen
  • ALLIANCE MEMBER
  • Manager Pharmacy Benefits and Services at CHRISTUS Health Plan
  • Adam Osborne
  • ALLIANCE MEMBER
  • Quality Operations Manager at Select Health
  • Laura Paull
  • ALLIANCE MEMBER
  • Medicare Product & Vendor Relationship Manager at HealthTeam Advantage
  • Charles Perez
  • ALLIANCE MEMBER
  • Pharmacy Benefits Administrator at CommunityCare
  • Devin Reid
  • ALLIANCE MEMBER
  • Business/Project Analyst at Select Health
  • Jason Rio
  • ALLIANCE MEMBER
  • Sr. Director of Revenue Assurance and Risk Management at Health New England
  • Kevin Ruedinger
  • ALLIANCE MEMBER
  • Director of Pharmacy at HealthTeam Advantage
  • Amanda Scholze
  • ALLIANCE MEMBER
  • Director, Medicare Product at Quartz Health Solutions
  • Pooja Shah
  • ALLIANCE MEMBER
  • Manager, Product Development, Medicare Advantage at Johns Hopkins Health Plans
  • Kevin Smith
  • ALLIANCE MEMBER
  • Government Programs Finance Coordinator at SummaCare
  • Rachel Snyder
  • ALLIANCE MEMBER
  • Director of Product Development at Health Alliance Medical Plans
  • Jo Thompson
  • ALLIANCE MEMBER
  • Director of Accounting at Cox HealthPlans
  • Karla Tull
  • ALLIANCE MEMBER
  • Director Underwriting at CommunityCare
  • Cassie Vanderwall
  • ALLIANCE MEMBER
  • Director, Clinical Programs at Quartz Health Solutions
  • Ann Xiao
  • ALLIANCE MEMBER
  • Healthcare Communications Manager at CCHP
  • Elaine Zettel
  • ALLIANCE MEMBER
  • Lead MA Product Consultant at Health Alliance Plan (HAP)
  • Jie Zhou
  • ALLIANCE MEMBER
  • Director-Product Strategy at Valley Health Plan
Speakers