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Dear ABA Members,
We look forward to two informative presentations at our first lunch meeting of 2026.
The first will be by Mark Whitcher, CEO of both Promise Labor Benefits and KTP Advisors presenting: The Shift Toward Medicare Advantage: Causes, Consequences, and Market Impacts
The second presentation will be by Annette Sanjines, Taft-Hartley Business Development Executive, Rx Benefits entitled The Importance of Clinical Utilization Management
Our February lunch sponsor is Jim Lanfranchi, of Webster Bank.
We look forward to seeing you at our February meeting. Please watch for our January newsletter later this month.
Presentation #1
The Shift Toward Medicare Advantage: Causes, Consequences, and Market Impacts
This presentation highlights the recent shifts in Medicare enrollment toward Medicare Advantage plans. It examines why beneficiaries are choosing Medicare Advantage, including affordability, bundled benefits, and policy changes such as the Inflation Reduction Act. Finally, it explores its potential market effects over the next 2–3 years, such as changes in plan design, regulation, and impacts on traditional Medicare and Medigap.
Presented by:
Mark Whitcher, CEO
Promise Labor Benefits
KTP Advisors
Presentation #2
The Importance of Clinical Utilization Management
Clinical utilization management plays a critical role in ensuring members receive the right medication at the right time while safeguarding the long-term sustainability of benefit funds. Effective programs are guided by clinicians, incorporate patient specific considerations and are regularly reviewed. When done correctly, clinical utilization management is not about restricting access to care but based on clinical judgment promoting appropriate, safe, and cost-effective therapy.
Ultimately, clinical utilization management supports a shared goal: protecting member health while responsibly managing plan resources. Let’s deepen the understanding of clinical utilization management in today’s evolving pharmacy landscape. This discussion will focus on considerations, common misconceptions, and practical takeaways that support informed decision-making.
Presented by:
Annette Sanjines
RxBenefits Labor Business Development Executive
TUESDAY February 3rd, 2026
RWDSU
370 7TH Ave - 5TH floor conference room
(aka 7 Penn Plaza), New York, NY.
12:00 PM - 2:00 PM
In Solidarity,
The Board of the Association of Benefit Administrators
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