3:45-5:15 p.m

26-F. Managed Care in the Spotlight: What’s Next?

The past year has brought significant regulatory and legislative activity to managed care. With more than 50% of Medicare beneficiaries enrolled in a Medicare Advantage or special needs plan, policymakers cannot ignore managed care’s impact on the broader healthcare system and the aging services sector. Of particular concern are the rising number of erroneous denials of medically necessary Medicare services, and terminations of services in opposition to provider assessments. Join this session to get the latest information from Senate and House staffers, representatives from the Centers for Medicare & Medicaid Services, and providers of aging services. You’ll gain important insights into how new Medicare Advantage rules are impacting care determinations and what issues are looming on the horizon.

• Nicole Fallon, VP, Integrated Services and Managed Care, LeadingAge
• Joseph Scopelliti, President & CEO, VNA Health System
• Jerry Carley, CEO/President, Benedictine Health System
• Alisa Miller, President and CEO, Kairos Health Systems