Pennsylvania Medicare and Beyond – William McKendree

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• Part A & Part BPart A & Part B
• Medicare AdvantageMedicare Advantage
• Part DPart D
• Dual EligibilityDual Eligibility
• Coordination of BenefitsCoordination of Benefits
• Changes as of 2018Changes as of 2018

President Trump’s budget proposal, both the House and Senate’s budget versions, and additional recommendations from the Department of Health and Human Services, guarantee President Trump’s budget proposal, both the House and Senate’s budget versions, and additional recommendations from the Department of Health and Human Services, guarantee we are going to see significant changes to our health care system.we are going to see significant changes to our health care system.

Join Medicare expert, Attorney William McKendree for the latest healthcare updates and how they impact Medicare & Medicaid. Mr. McKendree explores Join Medicare expert, Attorney William McKendree for the latest healthcare updates and how they impact Medicare & Medicaid. Mr. McKendree explores recent changes recent changes (and proposed changes) to the Medicare and Medicaid systems which influence accessibility and affordability. In particular, he will examine the changes (and proposed changes) to the Medicare and Medicaid systems which influence accessibility and affordability. In particular, he will examine the changes beginning in 2018 beginning in 2018 for the access and utilization of the health care by dual eligible individuals for the access and utilization of the health care by dual eligible individuals in Pennsylvania in Pennsylvania under the Community Health Choices (CHC) initiative.under the Community Health Choices (CHC) initiative.

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1. Evaluate the basic function and utilization of the Medicare System.Evaluate the basic function and utilization of the Medicare System.
2. Compile descriptions of the components of the Medicare System – their specific characteristics and functions.Compile descriptions of the components of the Medicare System – their specific characteristics and functions.
3. Assess other programs that provide aid with costs of health care and prescription medicationsAssess other programs that provide aid with costs of health care and prescription medications
4. Determine how Medicare benefits coordinate and integrate with Medicaid benefits and the other health care benefit programs.Determine how Medicare benefits coordinate and integrate with Medicaid benefits and the other health care benefit programs.
5. Prioritize the decisions that individuals need to make to access and utilize the most effective benefit options for their specific needs.Prioritize the decisions that individuals need to make to access and utilize the most effective benefit options for their specific needs.
6. Investigate the impact of changes to Medicare and Medicaid on dual-eligible patients.Investigate the impact of changes to Medicare and Medicaid on dual-eligible patients.

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(Webcast times are listed in Central)(Webcast times are listed in Central)

7:30 7:30 THE MEDICARE SYSTEMTHE MEDICARE SYSTEM

• Medicare’s design & functionMedicare’s design & function
• Eligibility & Enrollment in MedicareEligibility & Enrollment in Medicare
• Part A & Part BPart A & Part B
• Costs of MedicareCosts of Medicare
• Coverage & ServicesCoverage & Services
• Enhancements to “Basic” MedicareEnhancements to “Basic” Medicare
• Medi-gap Supplemental PlansMedi-gap Supplemental Plans
• Medicare Part C – Advantage planMedicare Part C – Advantage plan
• Medicare Part D – Prescription Drug ProgramMedicare Part D – Prescription Drug Program

9:30 9:30 BreakBreak

9:45 9:45 SPECIAL MEDICARE ISSUESSPECIAL MEDICARE ISSUES

• Continued Implementation of the Affordable Care Act (or Whatever Replaces it) and its ImpactContinued Implementation of the Affordable Care Act (or Whatever Replaces it) and its Impact
• Hospital Services Under the Medicare System: Hospital Services Under the Medicare System: In-Patient vs ObservationIn-Patient vs Observation
• Accessing Service Providers in Local Managed Care NetworksAccessing Service Providers in Local Managed Care Networks

11:00 11:00 Lunch (on your own)Lunch (on your own)

12:00 12:00 BEYOND MEDICARE – OTHER HEALTH CARE ASSISTANCE PROGRAMSBEYOND MEDICARE – OTHER HEALTH CARE ASSISTANCE PROGRAMS

• Medicaid: Benefits, Eligibility and EnrollmentMedicaid: Benefits, Eligibility and Enrollment
• Medicare Savings Program: Benefits, Eligibility and EnrollmentMedicare Savings Program: Benefits, Eligibility and Enrollment
• Prescription Drug Assistance Programs; Benefits, Eligibility and EnrollmentPrescription Drug Assistance Programs; Benefits, Eligibility and Enrollment

1:00 1:00 BreakBreak

1:15 1:15 COORDINATION OF BENEFITSCOORDINATION OF BENEFITS

• Coordination Process Between Medicare, Medicaid and other Health Care Assistance ProgramsCoordination Process Between Medicare, Medicaid and other Health Care Assistance Programs
• Accessing Health Care Services and Prescription Drugs for Dual-Eligible PatientsAccessing Health Care Services and Prescription Drugs for Dual-Eligible Patients
• The impact of Recent Changes to Medicare and Medicaid on the Dual-Eligible PatientThe impact of Recent Changes to Medicare and Medicaid on the Dual-Eligible Patient

3:00 3:00 Evaluations, Adjournment, & CertificatesEvaluations, Adjournment, & Certificates

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