A thought-leadership discussion examining the transformative pharmacy benefit manager (PBM) reforms included in H.R. 7148 - Consolidated Appropriations Act, 2026. This session will delve into the sweeping changes to PBM regulation and explore key utilization management considerations for health plans, payers and PBMs navigating the new compliance requirements. Our experts will analyze the operational and financial implications of these landmark reforms.
Featuring:
Reema Hammoud, Pharm.D, BCPS, Director of Clinical Strategy, ExamWorks UM Strategies
Elizabeth Geigle, MHA, CPHQ, CHC, Health Insurance Regulatory Specialist, ExamWorks UM Strategies
This webinar will provide a comprehensive overview of the key provisions in H.R. 7148, including 100% rebate pass-through requirements, enhanced transparency reporting, delinked compensation structures, expanded audit rights, and pharmacy protections. Attendees will gain critical insights into how the legislation's broadened PBM definition now encompasses utilization management activities—including prior authorization processing, step therapy protocols, and quantity limits—and the resulting transparency obligations for these programs. Additionally, you will learn practical strategies for meeting the new compliance requirements across vendor oversight, contract review, and audit functions, ensuring your organization is positioned for success under the reformed regulatory framework.
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