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Every new contract year brings the same high-stakes question: will your benefits pay exactly as promised on day one? Join BluePeak Subject Matter Experts Jeff Baker, Kinga Conklin and Karen Mason for a webinar spotlight on Year-End Benefit Testing, where we'll break down what it takes to enter the new plan year with confidence, not crossed fingers.
Year-end testing is how leading Part C and Part D plans validate claims accuracy, meet IRA mandates, and confirm PDE reporting integrity before the first claim ever hits. Miss it, and you risk audit findings, member disruption, and regulatory penalties.
Get it right, and you protect your members, your compliance posture, and your reputation.
What You'll Learn
- How to validate claims adjudication across all three Part D benefit phases, plus Part C benefit accuracy against the EOC
- Where plans most often stumble: manufacturer discounts, insulin pricing, and ACIP vaccine coverage
- How to build end-to-end testing for claims and PDE reporting that mirrors real-world scenarios
- How formulary administration and Transition of Care rules affect claim outcomes for new and existing members
- Practical steps to demonstrate proactive compliance and build CMS confidence
Why It Matters
CMS continues to sharpen its focus on claims accuracy through Program Audits, Financial Audits, Timeliness Monitoring, and PDE Self Audits. But compliance is only half the story. The real driver is the member experience. When benefits are set up accurately, members get exactly what they were promised, and trust follows.
BluePeak performs Year-End Benefit Testing for Part C and Part D plans, building customized test cases around your specific benefits and cost shares, and delivering executive-level summaries that pinpoint exactly what failed and why.
Reserve Your Spot
Don't wait for a January surprise to find out what testing would have caught. Register today and bring your team, because staying ahead of evolving CMS requirements starts before the year ends
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