The Medicare Mistake That Costs You Home Care Clients | Inside Voice
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The Medicare Mistake That Costs You Home Care Clients | Inside Voice
23 просмотра · 1 день назад
PreferHome
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23 просмотра · 1 день назад
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In this episode, Ethan Guerrieri connects with in-house attorney Ashly Luckose to break down the complexities of Medicare and Medicaid and what they actually mean for non-medical home care agencies.
Many families and individuals over 50 operate under the assumption that traditional Medicare pays for long-term home care and daily living assistance. Ashly walks through why that confusion exists, starting with the origins of these programs under President Lyndon B. Johnson in 1965 and how each specific part functions today.
The conversation covers the realities of Medicare Parts A, B, C, and D, including why Medicare Advantage plans and pilot programs like the GUIDE Program offer unique opportunities and distinct limitations for home care providers. Ashly also highlights how Medicaid waiver programs operate at the state level and why navigating complex enrollment processes is worth the effort.
Whether your agency bills insurance directly or operates strictly on a private-pay model, this discussion equips you with the knowledge needed to guide clients, set clear expectations, and build trust with families navigating care options.
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If you're ready to make a difference and find a career that brings you joy, we'd love to have you on our team: https://preferhome.com/careers/.
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00:00 – Meet Ashley Sam Luckose
01:30 – Medicare Confusion in Home Care
02:48 – Origins of Medicare & Medicaid
05:35 – Medicare vs Medicaid Differences
07:03 – The 4 Parts of Medicare (A, B, C, D)
08:15 – Medicare Part A Coverage & Limits
10:23 – Medicare Part B Costs & Home Health
12:18 – Home Health vs Home Care
13:18 – The Rise of Medicare Advantage (Part C)
18:02 – Medicare Part D Explained
19:38 – Advantage Plans & Home Care (IHSS)
26:08 – Traditional Medicare GUIDE Program
29:08 – Respite Care & Family Advocacy
30:57 – 3 Truths About Client Inquiries
32:52 – How Medicaid Covers Long-Term Care
37:55 – Fee-for-Service vs MCO Partnerships
39:24 – Steps to Become a Medicaid Provider
41:16 – Key Takeaways