Pennsylvania Medicare and Beyond – William McKendree

Course Description

Pennsylvania Medicare and Beyond – William McKendree

• Part A & Part B
• Medicare Advantage
• Part D
• Dual Eligibility
• Coordination of Benefits
• Changes 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  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  recent 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  for the access and utilization of the health care by dual eligible individuals  in Pennsylvania  under the Community Health Choices (CHC) initiative.

1. 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.
3. Assess 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.
5. 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.

(Webcast times are listed in Central)

7:30  THE MEDICARE SYSTEM

• Medicare’s design & function
• Eligibility & Enrollment in Medicare
• Part A & Part B
• Costs of Medicare
• Coverage & Services
• Enhancements to -Basic Medicare
• Medi-gap Supplemental Plans
• Medicare Part C – Advantage plan
• Medicare Part D – Prescription Drug Program

9:30  Break

9:45  SPECIAL MEDICARE ISSUES

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

11:00  Lunch (on your own)

12:00  BEYOND MEDICARE – OTHER HEALTH CARE ASSISTANCE PROGRAMS

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

1:00  Break

1:15  COORDINATION OF BENEFITS

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

3:00  Evaluations, Adjournment, & Certificates