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N4a Aging Policy Briefing “The Industry Take”. April 22, 2013. Our Experience. 5 Million Medicaid, Medicare Advantage, Medicare Part D, Commercial, State and Federal Employees, Dual Eligible, Dual SNPS, and DE in LTC facilities Over 1 Million in Medicaid. Federal and State Strategies.
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N4a Aging Policy Briefing“The Industry Take” April 22, 2013
Our Experience • 5 Million • Medicaid, Medicare Advantage, Medicare Part D, Commercial, State and Federal Employees, Dual Eligible, Dual SNPS, and DE in LTC facilities • Over 1 Million in Medicaid
Federal and State Strategies • Universal Coverage • Improved Quality • Greater Emphasis on Prevention • Decreased Costs • Increased Information Sharing
Area Agencies on Aging • Benefits • History • Knowledge • Trust • Experience
Opportunities • HCBS • Credentialing • Relationships • Advocacy
Challenges • Varying Structures • Data Collection and Reporting • Billing • Monitoring • Lack of Information • Vultures
Preparing For the Future • Know what your States are doing • Increase Understanding of Managed Care • Look for all opportunities to work with Insurers • Look within your ranks for best practices • Where can you, gain leverage through your associations….. • Know your value…