Part II: Success Under Medicare Advantage for Home Health

Part II: Success Under Medicare Advantage for Home Health

Thursday, August 29, 2019; 2:00-3:00 pm eastern


Medicare Advantage (MA) plans are steadily growing across the county. HHAs cannot solely depend upon traditional Medicare and must contract with MA plans. The first step to success Home health agencies must develop effective strategies to negotiate contracts with MA plans. Prepare for presentation and negotiation: in addition to knowing which traditional services to offer, agencies will need to present the specifics on the quality and value the MA plan can expect from the HHA. Consider non-traditional home care type services to offer that will benefit the patient and the MA plan that may be unique to the HHA. This session will supply you with the proper tools to prepare for and conduct contract negotiations for terms and conditions. You will also receive guidelines on how to measure success.

Learning Objectives:

  • Identify the value and quality benefits provided to the Medicare Advantage plan through the Plan’s use of your agency’s services.
  • Develop an effective plan for presenting your agency’s benefits during negotiating sessions including terms and conditions for such items as reimbursement and authorizations.
  • Provide the tools to develop a budget for the services covered by the contract as well as development of systems to monitor results.


Paul Giles, Director of Home Health Finance & Business Operations, Dignity Health



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