William McKendree – PESI – Pennsylvania Medicare and Beyond

Description

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William McKendree – PESI – Pennsylvania Medicare and Beyond

Speaker: William McKendree, Esquire
Format: Audio and Video
Media Type: Digital Seminar

Description

• 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.

Speaker
WILLIAM MCKENDREE, ESQUIRE, is the Supervisor of the APPRISE program in Allegheny County. APPRISE is Pennsylvania’s State Health Insurance Assistance Program, helping consumers with Medicare, Medicaid, long term care and health insurance concerns. Mr. McKendree also serves as preceptor for the University of Pittsburgh School of Pharmacy and School of Law internship programs with APPRISE. Prior to his position with APPRISE, he served as director for the Western Pennsylvania Center for Aging Services and was a member of the Pittsburgh law firm of Gabriel and Associates. Mr. McKendree has a Juris Doctorate degree from Duquesne University’s School of Law and a Masters in Public Administration from the University of Pittsburgh. He teaches classes on Medicare and Health Care Systems at the University of Pittsburgh, Point Park University, and Community College of Allegheny County.

Speaker Disclosure:

Financial: William McKendree receives compensation as Supervisor of the Allegheny County APPRISE Program (Pennsylvania’s State Health Insurance Assistance Program).  He receives a speaking honorarium from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: William McKendree has no relevant non-financial relationship to disclose.

Target Audience
Case Managers, Counselors, Nurses, Nursing Home Administrators, Psychologists, Social Workers, and other Mental Health Professionals

Objectives

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

Outline

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

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

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

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

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