Join our comprehensive webinar as we explore the significant changes to Medicare and Medicaid set to take effect in 2025. As healthcare professionals, staying updated on these developments is essential for adapting your practice, ensuring regulatory compliance, and delivering optimal patient care. This session will provide a detailed understanding of the upcoming changes and their implications for hospitals and physician practices.

One of the most critical updates is the introduction of a $2,000 cap on out-of-pocket costs for Medicare Part D. This cap encompasses deductibles, copayments, and coinsurance, offering considerable financial relief for beneficiaries. Enhanced Part D plans may provide additional credits toward this limit, further reducing the financial burden on patients. Understanding these changes is crucial for healthcare providers to manage patient care and financial planning effectively.

Additionally, there will be significant revisions to Medicare Advantage plans, including potential premium increases and changes to in-network providers. Some plans may merge or discontinue, requiring beneficiaries to select new coverage during open enrollment. It is essential for healthcare providers to be prepared for these adjustments to ensure patients continue to receive appropriate care under their chosen plans.

The Centers for Medicare & Medicaid Services (CMS) have proposed revisions to the Physician Fee Schedule (PFS) for 2025, impacting payment policies and the Quality Payment Program (QPP). These changes will directly affect physician reimbursement, making it vital for providers to stay informed and optimize billing practices to maintain compliance with the new regulations.

Prescription drug coverage is also undergoing notable modifications. Medicare Part D plans will limit out-of-pocket costs for covered drugs to $2,000 annually, with a maximum deductible of $590. These changes aim to alleviate the financial burden on beneficiaries and improve access to necessary medications. Healthcare providers must be aware of these updates to effectively manage prescriptions and ensure medication affordability for their patients.

Another key development is the introduction of the GUIDING an Improved Dementia Experience (GUIDE) program, offering comprehensive support for dementia patients and their caregivers. The GUIDE program includes a 24/7 support line, care navigators, caregiver training, and financial assistance for respite services. By understanding the benefits of this program, healthcare providers can offer better support to dementia patients and their families.

These Medicare and Medicaid changes are designed to reduce out-of-pocket costs for beneficiaries, enhance access to healthcare services, and support vulnerable populations. However, they also present challenges for hospitals and physician practices, particularly in terms of compliance and financial management. Our expert panel will provide strategies to navigate these transformative changes, ensuring compliance while optimizing patient care and revenue management.

Don’t miss this critical opportunity to stay informed in the dynamic landscape of healthcare policy. Join us for this essential webinar and gain the knowledge and tools necessary to thrive in 2025 and beyond.

Learning Objectives:

• Understand the key Medicare and Medicaid changes for 2025.
• Gain insight into the new GUIDE program for healthcare providers.
• Learn about changes to reimbursement and prescription drug coverage.
• Explore how these updates will impact physicians and hospitals.
• Prepare for the upcoming regulatory changes and their implications for patient care.
• Discuss the expanded services for 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 will have a new maximum deductible of $590.
• Introduction of the GUIDING an Improved Dementia Experience (GUIDE) program to support dementia patients.
• Revisions to the Physician Fee Schedule and the resulting impact on organizational revenue.
• Expansion of behavioral health services and extended telehealth waivers.
• New pathways within the Quality Payment Program (QPP).
• Communication and education requirements to ensure continuity of care, compliance, and financial stability.
• Expected increases in premiums for Medicare Part B (approximately 7%) and Part D (around 6%).

Live Q&A Session:

An interactive Q&A session will follow, offering the opportunity to address specific questions related to the Medicare and Medicaid changes and their implications for your practice.

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