Aging Health Matters

As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. This episode is a conversation with our guest, Dr. Angeline Brunetto, Associate Medical Director for Acentra Health. She will share information about skin cancer awareness to commemorate Skin Cancer Awareness Month, which is the May health observance.For more information about Acentra Health BFCC-QIO, please visit www.acentraqio.com.KEY TOPICS00:24: Overview, introduction of Dr. Angeline Brunetto 01:16: Why does sun safety matter?02:57: What causes skin cancer?03:19: How can you protect your skin?05:08: ABCDEs of Melanoma07:40: Final thoughtsSUBSCRIBE Subscribe to our newsletters: Case Review Connections, On the Healthcare Front at www.acentraqio.com.RESOURCESBFCC-QIO Information for stakeholders: www.acentraqio.com/partnersBFCC-QIO Information for people who have Medicare: www.acentraqio.com/beneCenters for Disease Control and Prevention (CDC) – Public health information on skin cancer basics, risk factors, sun safety, and prevention -https://www.cdc.gov/skin-cancer/National Cancer Institute (NCI) – Patient-oriented info on skin cancer (including melanoma), prevention, screening, treatment, and research - https://www.cancer.gov/types/skin  Music: Motivational Upbeat Corporate by RinkevichMusic https://soundcloud.com/rinkevichmusichttps://protunes.net/Video Link: https://bit.ly/3NNqGTs

RESUMEN Como contratista de Medicare, Acentra Health se desempeña como la Organización para el Mejoramiento de la Calidad de la Atención Centrada en el Beneficiario y la Familia (BFCC-QIO), también conocida como BFCC-QIO. Aunque Acentra Health ofrece servicios de BFCC-QIO en 29 estados, la información general es relevante para todas las personas que tienen Medicare (incluyendo Medicare Advantage) y para quienes trabajan con personas que tienen Medicare.Este episodio es presentado por Carla Boguslawski, MBA, MEd, BS, Gerente de Operaciones IA/QOC en Acentra Health.En este pódcast, nuestra presentadora compartirá información sobre los servicios gratuitos disponibles a través de Acentra Health.Para obtener más información sobre BFCC-QIO de Acentra Health, visite www.acentraqio.com.TEMAS CLAVE 00:23: Descripción general e introducción de la presentadora 01:57: Información general sobre la Organización para el Mejoramiento de la Calidad de la Atención Centrada en el Beneficiario y la Familia (BFCC-QIO) 5:47: Proceso de apelaciones de Acentra Health 8:36: Nuevo programa de Asistencia Inmediata para el Alta Hospitalaria (IADA) 13:12: Quejas sobre la calidad de la atención y el proceso de Apoyo Inmediato 20:00: Herramienta de Estado del Caso 21:18: Resumen y reflexiones finalesSUSCRÍBASE Suscríbase a nuestros boletines: Case Review Connections→ (Conexiones para la Revisión de Casos) y On the Healthcare Front→ (Al Frente del Cuidado de la Salud) – www.acentraqio.com/newslettersRECURSOS Información sobre BFCC-QIO para partes interesadas y personas con Medicare: www.acentraqio.com/bene/espanol/ Canal de YouTube - Acentra BFCC-QIO - YouTubeMusic: Motivational Upbeat Corporate by RinkevichMusic https://soundcloud.com/rinkevichmusichttps://protunes.net/Video Link: https://bit.ly/3NNqGTs 

As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. This episode has our Operations Manager, Carla Boguslawski, MBA, MEd, BS, and Melinda Burk, LPN, Clinical Review Nurse, discussing the options related to filing a beneficiary complaint with Acentra Health. For more information about Acentra Health BFCC-QIO, please visit www.acentraqio.com.KEY TOPICS00:21: Overview01:42: What is a beneficiary complaint?02:55: What is a medical record review?03:41: What cannot be reviewed?06:06: How to file a complaint08:11: Final thoughtsSUBSCRIBE Subscribe to our newsletters: Case Review Connections, On the Healthcare Front at www.acentraqio.comRESOURCESBFCC-QIO Information for stakeholders: www.acentraqio.com/partnersBFCC-QIO Information for people who have Medicare: www.acentraqio.com/beneBFCC-QIO Information to file a complaint and to get forms and resources: www.acentraqio.com/bene/qualityofcarecomp/Medicare – www.medicare.govOur address is 1650 Summit Lake Dr. Suite 102, Tallahassee, FL 32317 or by e-mail [email protected]. Music: Motivational Upbeat Corporate by RinkevichMusic https://soundcloud.com/rinkevichmusichttps://protunes.net/Video Link: https://bit.ly/3NNqGTs

As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. This episode is a conversation with our guest from Acentra Health: Dr. Angeline Brunetto, Associate Medical Director for AppealsIn this podcast, our guest will share information about what Medicare beneficiaries can expect from a visit to the emergency room.For more information about Acentra Health BFCC-QIO, please visit www.acentraqio.com.KEY TOPICS 00:22: Overview and introduction01:04: The emergency room experience03:56: Medicare coverage08:18: Key things to know about an emergency room visit10:06: Tips for people with Medicare12:03: Myths and misunderstandings13:54: Summary and final thoughtsSUBSCRIBE Subscribe to our newsletters: Case Review Connections, On the Healthcare Front at our website, www.acentraqio.comRESOURCESBFCC-QIO Information for stakeholders: www.acentraqio.com/partnersBFCC-QIO Information for people who have Medicare: www.acentraqio.com/beneYouTube channel - https://www.youtube.com/@AcentraBFCCQIOMusic: Motivational Upbeat Corporate by RinkevichMusic https://soundcloud.com/rinkevichmusichttps://protunes.net/Video Link: https://bit.ly/3NNqGTs  

 As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states (visit www.acentraqio.com to see the states served), the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. This episode is a conversation with our guest, Crystal Strong. She is the Program Director for the State Health Insurance Assistance Program (SHIP) and the Senior Medicare Patrol (SMP) program within the South Carolina Department on Aging (SCDOA). She provides oversight and direction to the state grantees to support their work assisting Medicare beneficiaries, their families, and caregivers through outreach, counseling, and education. In this role, she is also responsible for the education and certification of the counselors/volunteers statewide. Crystal actively supports the program networks by providing training and technical assistance whenever possible. Prior to this position, she has functioned in various roles and programs since 2000 when her tenure at SCDOA began. Crystal holds a Bachelor of Science in Nursing from South Carolina State University.  For more information about Acentra Health BFCC-QIO, please visit https://www.acentraqio.com.KEY TOPICS 00:21: Overview, introduction of guest, Crystal Strong02:08: What is SHIP?02:31: What and when is Medicare Open Enrollment?03:03: How do SHIPs help with Medicare Open Enrollment?03:42: Tips for Medicare Open Enrollment04:20: Summary and final thoughtsSUBSCRIBE Subscribe to our newsletters: Case Review Connections, On the Healthcare Front at https://www.acentraqio.com/newslettersRESOURCESBFCC-QIO Information for stakeholders: https://www.acentraqio.com/partnersBFCC-QIO Information for people who have Medicare: https://www.acentraqio.com/bene/helplineSC Dept on Aging: https://aging.sc.gov/Acentra Health Open Enrollment information:  https://www.acentraqio.co,/medicareopenenrollmentSHIP Information: https://www.shiphelp.org/Medicare information: https://www.medicare.gov Music: Motivational Upbeat Corporate by RinkevichMusic https://soundcloud.com/rinkevichmusichttps://protunes.net/Video Link: https://bit.ly/3NNqGTs

SUMMARY As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. This episode is a conversation with our guest, Dr. Angeline Brunetto, Associate Medical Director for Acentra Health. She will share information about healthy aging to commemorate Healthy Aging Month, which is the September health observance.For more information about Acentra Health BFCC-QIO, please visit www.acentraqio.com.KEY TOPICS00:23: Overview, introduction of guest, Dr. Angeline Brunetto01:46: What is healthy aging?02:45: How to stay healthy09:00: How to get involved in your community10:58: How to be safe in the aging process15:38: Final thoughts SUBSCRIBESubscribe to our newsletters: Case Review Connections, On the Healthcare Front at www.acentraqio.comRESOURCESBFCC-QIO Information for stakeholders: www.acentraqio.com/partnersBFCC-QIO Information for people who have Medicare: www.acentraqio.com/beneMusic: Motivational Upbeat Corporate by RinkevichMusic https://soundcloud.com/rinkevichmusichttps://protunes.net/Video Link: https://bit.ly/3NNqGTs

As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare.  This episode is a conversation with our guests, Rose Hartnett, RN, MS, Operations Director, and Trena Dodson, LPN, Appeals Manager, for Acentra Health. In this podcast, our guests will share information about our hospital discharge and skilled service termination appeals as well as our new observation appeals. For more information about Acentra Health BFCC-QIO, please visit www.acentraqio.com. KEY TOPICS 00:24: Overview, introduction of guests, Rose Hartnett and Trena Dodson 02:40: What are the different types of appeals? 07:43: Explanation of the appeals process 10:43: Examples of why appeals are filed 12:03: What do physician reviewers look for while reviewing an appeal? 13:54: Final thoughts  SUBSCRIBESubscribe to our newsletters: Case Review Connections, On the Healthcare Front at www.acentraqio.com.RESOURCES BFCC-QIO Information for stakeholders: www.acentraqio.com/partners BFCC-QIO Information for people who have Medicare: www.acentraqio.com/bene BFCC-QIO Appeal Information - https://acentraqio.com/bene/appeal.aspxBFCC-QIO's Case Status Tool (check appeal status) -  https://acentraqio.com/casestatus/ Music: Motivational Upbeat Corporate by RinkevichMusic  https://soundcloud.com/rinkevichmusic https://protunes.net/  Video Link: https://bit.ly/3NNqGTs 

As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states (visit www.acentraqio.com to see the states served), the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. This episode is a conversation with our guest, Ray Walker. He is the Divisional Director for the Medicare Assistance Program at the Oklahoma Insurance Department. Mr. Walker has a Bachelor’s Degree in Communication from the University of Oklahoma and over 20 years experience working in and around the healthcare industry, primarily in the field of insurance. He has had the privilege of speaking to groups across the state and around the country on topics ranging from genetics to team building to Medicare. He currently serves on the Advisory Committee to the State Council on Aging and the SHIP Steering Committee (State Health Insurance Assistance Program). He also serves on the Steering Committee for the Aging Our Way Oklahoma Program.  For more information about Acentra Health BFCC-QIO, please visit https://www.acentraqio.com.KEY TOPICS 00:23: Overview, introduction of guest, Ray Walker01:48: What is SHIP?05:35: When to set up Medicare06:45: How does SHIP help people with Medicare?07:43: What is the process for assistance?11:00: Do they help find financial assistance?14:40: How is SHIP staffed?16:27: Summary and final thoughts SUBSCRIBESubscribe to our newsletters: Case Review Connections, On the Healthcare Front at https://www.acentraqio.com/newslettersRESOURCESBFCC-QIO Information for stakeholders: www.acentraqio.com/partnersBFCC-QIO Information for people who have Medicare: https://www.acentraqio.com/bene/helplineSHIP Information –https://www.shiphelp.org/ Oklahoma Department of Insurance - https://www.oid.ok.gov/ Music: Motivational Upbeat Corporate by RinkevichMusic https://soundcloud.com/rinkevichmusichttps://protunes.net/Video Link: https://bit.ly/3NNqGTs

As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states (visit www.acentraqio.com to see the states served), the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare.  This episode is a conversation with our guest, Rich Rasmussen, who serves as the President and CEO of the Oklahoma Hospital Association (OHA). The association serves as the advocacy voice for 153 hospitals and health systems. He has spent 35 years advocating on behalf of hospitals and health systems. OHA is the leader in healthcare quality improvement in Oklahoma and a national voice for healthcare delivery in the state. Prior to assuming the President’s role at OHA, Rich served as President and CEO of the Montana Hospital Association for five years and the Vice President for Membership Relations at the Florida Hospital Association, a position he held for 28 years. Rich’s community engagement has included serving as a volunteer firefighter, District Captain in the Coast Guard Auxiliary, and membership on numerous boards.  For more information about Acentra Health BFCC-QIO, please visit https://www.acentraqio.com. KEY TOPICS  00:24: Overview, Introduction of Guest, Rich Rasmussen 03:47: Advocacy by Hospital Associations 05:14: Different Types of Hospitals 08:30: Initiatives Under the Oklahoma Hospital Association 13:27: Quality of Care Side of the Oklahoma Hospital Association 16:01: Summary and Final Thoughts SUBSCRIBESubscribe to our newsletters: Case Review Connections, On the Healthcare Front at https://www.acentraqio.com/newsletters RESOURCES BFCC-QIO Information for stakeholders: www.acentraqio.com/partners BFCC-QIO Information for people who have Medicare: https://www.acentraqio.com/bene/helpline Oklahoma Hospital Association - https://www.okoha.com/ American Hospital Association - https://www.aha.org/  Music: Motivational Upbeat Corporate by RinkevichMusic  https://soundcloud.com/rinkevichmusic https://protunes.net/  Video Link: https://bit.ly/3NNqGTs 

SUMMARYAs a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states (visit www.acentraqio.com to see the states served), the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. This episode is a conversation with our guest, Crystal Strong, the Program Director for the State Health Insurance Assistance Program (SHIP), the Medicare Improvements for Patients and Providers Act (MIPPA) program, and the Senior Medicare Patrol (SMP) program within the South Carolina Department on Aging (SCDOA). She provides oversight and direction to the state grantees to support their work assisting Medicare beneficiaries, their families, and caregivers through outreach, counseling, and education. In this role, she is also responsible for the education and certification of the counselors/volunteers statewide. Crystal actively supports the program networks by providing training and technical assistance whenever possible. Prior to this position Crystal has functioned in various roles and programs since 2000 when her tenure at SCDOA began. Crystal holds a Bachelor of Science in Nursing from South Carolina State University.  For more information about Acentra Health BFCC-QIO, please visit https://www.acentraqio.com.KEY TOPICS 00:24: Overview, introduction of guest, Crystal Strong01:58: Information about the SMP program03:31: Tips for people with Medicare04:14: How does SMP work with stakeholders04:54: Summary and final thoughtsSUBSCRIBESubscribe to our newsletters: Case Review Connections, On the Healthcare Front at https://www.acentraqio.com/newslettersRESOURCESBFCC-QIO Information for stakeholders: www.acentraqio.com/partnersBFCC-QIO Information for people who have Medicare: https://www.acentraqio.com/bene/helplineSenior Medicare Patrol (SMP) - https://smpresource.org/State Health Insurance Assistance Program (SHIP) and Senior Health Insurance Benefits Assistance Program (SHIBA): https://www.shiphelp.org/South Carolina Department of Aging - https://aging.sc.gov/Medicare: https://www.medicare.gov/ Music: Motivational Upbeat Corporate by RinkevichMusic https://soundcloud.com/rinkevichmusichttps://protunes.net/Video Link: https://bit.ly/3NNqGTs

SUMMARYAs a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare.  This episode is a conversation with our guests, David Miller, MHA, RN, Operations Director, and Natalie Palmer, BSN, RN, Clinical Review Manager, from Acentra Health. In this podcast, our guests will share information about our free Immediate Advocacy services that can assist with solving medical problems quickly and our IADA services that are available to Medicare beneficiaries that have filed a discharge appeal. For more information about Acentra Health BFCC-QIO, please visit www.acentraqio.com. KEY TOPICS                                                                                                                      00:21: Overview, introduction of guests, David Miller and Natalie Palmer 02:09: What is Immediate Advocacy and how does it work? 03:37: Examples of Immediate Advocacy 09:53: What is Immediate Advocacy Discharge Assistance? 13:34: Differences between Immediate Advocacy and other Acentra Health review types 15:23: Final thoughts SUBSCRIBESubscribe to our newsletters on our website: Case Review Connections, On the Healthcare Front RESOURCES BFCC-QIO Information for stakeholders: www.acentraqio.com/partners BFCC-QIO Information for people who have Medicare: www.acentraqio.com/bene Acentra Health’s Immediate Advocacy Information - https://acentraqio.com/bene/advocacy.aspx Acentra Health’s Immediate Advocacy Discharge Assistance Information - https://acentraqio.com/providers/appeals.aspx   Music: Motivational Upbeat Corporate by RinkevichMusic https://soundcloud.com/rinkevichmusichttps://protunes.net/  Video Link: https://bit.ly/3NNqGTs 

SUMMARY As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare.  This episode is a conversation with our guest, Ed Guzmán, the Regional Ombudsman for the Olympic Washington region. He was born and raised in NYC and worked as a teacher. He eventually went to Southern California for graduate school in philosophy. He has worked in advocacy for approximately three years. He spent one year as an Assistant Regional Ombudsman for the Olympic Region Long-Term Care Ombudsman Program. Since July 2023, he has served as the Regional Ombudsman for the Olympic Region. He is passionate about advocacy and empowering the self-determination of facility residents in Washington state.  In this podcast, Mr. Guzmán will share information about some of the differences between skilled nursing care and long-term care, how Medicare pays for skilled care, skilled service terminations with Acentra Health, and a successful reconsideration in his state. For more information about Acentra Health BFCC-QIO, please visit www.acentraqio.com. KEY TOPICS 00:29: Overview, introduction of guest, Ed Guzmán 02:22: Differences between skilled nursing and long-term care 04:54: Requirements for Medicare to pay for skilled care 07:23: Information about appealing a skilled service termination with Acentra Health 09:28: Successful reconsideration 12:19: Final thoughts SUBSCRIBE Subscribe to our newsletters: Case Review Connections, On the Healthcare Front RESOURCES BFCC-QIO Information for stakeholders: www.acentraqio.com/partners BFCC-QIO Information for people who have Medicare: www.acentraqio.com/bene Washington State Long-Term Care Ombudsman Program: https://www.waombudsman.org/  Acentra Health’s Skilled Service Appeal Information - https://acentraqio.com/bene/appeal.aspx Music: Motivational Upbeat Corporate by RinkevichMusic https://soundcloud.com/rinkevichmusic https://protunes.net/  Video Link: https://bit.ly/3NNqGTs 

SUMMARY As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states (visit www.acentraqio.com to see the states served), the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare.  This episode is a conversation with our guest, Kathy Madden who works for the Colorado Department of Regulatory Agencies, Division of Insurance. She has been the State Health Insurance Assistance Program (SHIP)/Senior Medicare Patrol (SMP) Partners Services and Training Manager for 12 years. She spent most of her career training all over the country on various topics in the Human Services realm before joining SHIP.  She has experience and knowledge about Medicare, Medigap, Medicare Advantage, and Medicare-related topics. Kathy is passionate about advocating for seniors and understands that consumer education is key to beneficiaries making information Medicare decisions and preventing fraud and abuse within the Medicare program. She is excited and honored to help consumers, stakeholders, and partners navigate the complex Medicare system.  For more information about Acentra Health BFCC-QIO, please visit https://www.acentraqio.com. KEY TOPICS  00:25: Overview, introduction of guest, Kathy Madden 02:25: Information about the SHIP program 04:30: What is Medicare Open Enrollment? 07:58: What is Medicare Advantage Open Enrollment? 11:46: Medicare Plan Finder tool 14:47: Summary and final thoughts SUBSCRIBE Subscribe to our newsletters: Case Review Connections, On the Healthcare Front at https://www.acentraqio.com/newsletters RESOURCES BFCC-QIO Information for stakeholders: www.acentraqio.com/partners BFCC-QIO Information for people who have Medicare: https://www.acentraqio.com/bene/helpline SHIP and Senior Health Insurance Benefits Assistance Program (SHIBA): https://www.shiphelp.org/ Medicare: https://www.medicare.gov/ Music: Motivational Upbeat Corporate by RinkevichMusichttps://soundcloud.com/rinkevichmusic https://protunes.net/ Video Link: https://bit.ly/3NNqGTs  

Title: Medicare Assistance ProgramsSUMMARY As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. This episode is a conversation with our guest, Jeff Young, an Outreach and Education Specialist on the Local Engagement and Administration team at the Centers for Medicare & Medicaid Services (CMS) in Region 10, which services Alaska, Idaho, Oregon, and Washington. His role includes working closely with Congressional offices as well as conducting presentations, trainings, and community events on Medicare Programs across the region. Additionally, he works extensively on several key CMS initiatives, including Medicare Open Enrollment, Health Insurance Marketplace, and Medicaid Renewals. He joined CMS as an intern while obtaining his MPA from Seattle University. Upon completion of his MPA in 2020, he rose to the role of Outreach Specialist and has conducted numerous presentations, reached underserved populations, and prides himself in providing excellent customer service and communication.For more information about Acentra Health BFCC-QIO, please visit https://www.acentraqio.com.KEY TOPICS 00:24: Overview, introduction of guest, Jeff Young01:35: Medicare updates from the Inflation Reduction Act05:30: New income guidelines06:39: Getting help with your Part B premium10:45: Summary and final thoughtsSUBSCRIBESubscribe to our newsletters: Case Review Connections, On the Healthcare Front at https://www.acentraqio.com/newslettersRESOURCESBFCC-QIO Information for stakeholders: www.acentraqio.com/partnersBFCC-QIO Information for people who have Medicare: https://www.acentraqio.com/bene/helplineState Health Insurance Assistance Program (SHIP) and Senior Health Insurance Benefits Assistance Program (SHIBA): https://www.shiphelp.org/Medicare: https://www.medicare.gov/ Music: Motivational Upbeat Corporate by RinkevichMusic https://soundcloud.com/rinkevichmusichttps://protunes.net/Video Link: https://bit.ly/3NNqGTs

SUMMARYAs a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare.  This episode is a conversation with our guests from Acentra Health: Cheryl Cook, Program Director, Rose Hartnett, Operations Director for Appeals, and David Miller, Operations Director for Quality of Care and Immediate Advocacy. In this podcast, our guests will share information about the free services available from Acentra Health.  For more information about Acentra Health BFCC-QIO, please visit www.acentraqio.com. KEY TOPICS 00:23: Overview, introduction of guests 01:57: General information about the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) 05:47: Acentra Health’s appeal process 08:36: New Immediate Advocacy Discharge Assistance (IADA) program 13:12: Quality of Care complaints and the Immediate Advocacy process 20:00: Case Status tool 21:18: Summary and final thoughts SUBSCRIBE Subscribe to our newsletters: Case Review Connections, On the Healthcare Front RESOURCES BFCC-QIO Information for stakeholders: www.acentraqio.com/partners BFCC-QIO Information for people who have Medicare: www.acentraqio.com/bene YouTube channel Music: Motivational Upbeat Corporate by RinkevichMusic https://soundcloud.com/rinkevichmusic https://protunes.net/  Video Link: https://bit.ly/3NNqGTs   

SUMMARY As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare.  This episode is a conversation with our guest, Juan Garcia, Health Insurance Specialist for the Centers for Medicare & Medicaid Services, Region 10. He has a primary focus on establishing and maintaining positive, collaborative relationships with stakeholders in the Latino and Asian Pacific Islanders Communities in WA, OR, ID, and AK, Language Access Project. He is also the Liaison for the State Health Insurance Programs in Region 10. He serves as CMS Regional Chair for the Employee Resource Group (ERG). Juan has worked for the Centers for Medicare & Medicaid Services since 1997. He received his BA from Eastern Washington University in Sociology and Social Work in 1989, and he received his Master's in Public Administration with an emphasis in Health Care Management in 1996 from Eastern Washington University.  In this podcast, Mr. Garcia will share information about the parts of Medicare, Medicare Advantage plans, Medigap policies, and benefit periods/reserve days.  For more information about Acentra Health BFCC-QIO, please visit www.acentraqio.com. KEY TOPICS00:24: Overview, introduction of guest, Juan Garcia01:47: Intro to the parts of Medicare10:10: Medicare Advantage plans13:25: Medigap policies14:52: Benefit periods/reserve days16:53: Summary and final thoughts SUBSCRIBESubscribe to our newsletters: Case Review Connections, On the Healthcare Front. RESOURCESBFCC-QIO Information for stakeholders: www.acentraqio.com/partners BFCC-QIO Information for people who have Medicare: www.acentraqio.com/bene Office of the Insurance Commissioner: www.insurance.wa.gov/ State Health Insurance Assistance Program (SHIP) and Senior Health Insurance Benefits Assistance Program (SHIBA): www.shiphelp.org/ Medicare: www.medicare.gov  Music: Motivational Upbeat Corporate by RinkevichMusichttps://soundcloud.com/rinkevichmusichttps://protunes.net/ Video Link: https://bit.ly/3NNqGTs