Uncovering Medicare & Medicaid New Guidelines for Hospitals and Physicians: Are You Ready for 2025?
Course Description:
Join our comprehensive webinar where we will dive into the significant changes to Medicare and Medicaid set to take effect in 2025. As healthcare professionals, staying abreast of these developments is crucial for adapting your practice and ensuring compliance with the new regulations. This session aims to provide you with a thorough understanding of the upcoming changes and their implications for hospitals and physician practices.
One of the most notable changes is the capping of out-of-pocket costs for Medicare Part D at $2,000. This cap includes all deductibles, copays, and coinsurance, offering substantial financial relief for beneficiaries. Enhanced Part D plans may provide additional credits towards this cap, further easing the financial burden on patients. Understanding these changes is vital for healthcare providers to effectively manage patient care and financial planning.
In addition, there will be significant adjustments to Medicare Advantage plans. These changes may include potential increases in premiums and modifications to in-network providers. Some plans may merge or end, requiring beneficiaries to choose new plans during open enrollment. Navigating these changes will be essential for ensuring that your patients continue to receive the best possible care under their chosen plans.
The Centers for Medicare & Medicaid Services (CMS) have proposed revisions to the Physician Fee Schedule (PFS) for 2025. These revisions will impact payment policies and the Quality Payment Program (QPP), directly affecting how physicians are reimbursed for their services. Staying informed about these changes will help physicians optimize their billing practices and ensure compliance with the new regulations.
Prescription drug coverage is also undergoing significant changes. Medicare Part D plans must now limit out-of-pocket costs for covered drugs at $2,000 per year, including a maximum deductible of $590. This change aims to reduce the financial burden on beneficiaries and improve access to necessary medications. Healthcare providers will need to be aware of these changes to effectively manage patient prescriptions and ensure affordability.
Another critical development is the introduction of the GUIDE program, which provides more comprehensive support for dementia patients and their caregivers. This program includes a 24/7 support line, care navigators, caregiver training, and financial assistance for respite services. Understanding the benefits and services offered by the GUIDE program will enable healthcare providers to better support their dementia patients and their families.
These changes to Medicare and Medicaid are designed to reduce out-of-pocket costs for beneficiaries, improve access to healthcare services, and support vulnerable populations. However, they also present challenges for hospitals and physician practices in terms of compliance and financial management. Our expert panel will guide you through these transformative changes, offering strategies to navigate the evolving landscape, ensure compliance, and optimize patient care.
Don't miss this opportunity to stay ahead in the ever-evolving world of healthcare policy. Join us for this essential webinar and equip yourself with the knowledge and tools needed to thrive in 2025 and beyond.
Learning Objectives:
- Understand the Key Medicare and Medicaid Changes for 2025
- Understand the new GUIDE program for healthcare providers
- Know the changes related to reimbursement and prescription drug coverage
- Review how these changes will impact physicians and hospitals
- Explore how providers can prepare for the upcoming changes
- Discuss changes to patient care services such as telehealth and behavioral health
Areas Covered in the Session:
- Medicare Part D out-of-pocket costs will be capped at $2,000 for deductibles, copays, and coinsurance
- Medicare Part D covered drugs have new limits including a maximum deductible of $590
- The Guiding an Improved Dementia Experience (GUIDE) program has been introduced to support dementia patients
- Organizations will need to prepare for changes in revenue due to the physician fee schedule reduction
- Expanded behavioral health services
- Extended telehealth waivers
- New Quality Payment Program pathways
- New changes require communication and education to ensure continuity of care, compliance, and continued revenue
- Patient premiums for Medicare Part B will increase approximately 7% and Part D premiums will increase by about 6%
- Live Q&A Session
Suggested Attendees:
- Healthcare Administrators
- Physicians and Non-Physician Providers
- Revenue Cycle Managers
- HIM Professionals
- Educators
- Medical Coders
- Medical Billers
- Compliance Officers
- Practice Owners
- Medical Office Managers
- Clinical Supervisors
- Quality Improvement/ Quality Assurance Managers
- Anyone who want to know the recent Medicare and Medicaid Changes
About the Presenter:
Karla VonEschen, MS, CPC, CPMA, CCDS-O, has worked in health care for more than 25 years in various health care roles ranging from health plan operations, consulting, auditing, and technology. Karla has worked for Solventum (formerly 3M Health Information Systems) since 2015 and is currently a Clinical Analyst with the Natural Language Understanding Content Team. She holds a B.A.S. in Community Health Education from the University of Minnesota-Duluth and a Master of Science in Health Information Management from Southern New Hampshire University. Karla holds multiple certifications from the American Academy of Processional Coders in October 2023 obtained her CCDS-O certification from the Association of Clinical Documentation Integrity Specialists.
Additional Information:
After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.
System Requirement:
- Internet Speed: Preferably above 1 MBPS
- Headset: Any decent headset and microphone which can be used to talk and hear clearly
Can’t Listen Live?
No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com
Snippet From Our Previous Session:
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