This episode is a conversation with our guest, Dr. Jessica Whitley, Chief Medical Officer for Acentra Health. She will share information about appeals and how you can protect your skilled nursing facility benefits.

For more information about Acentra Health BFCC-QIO, please visit https://www.acentraqio.com.

KEY TOPICS

00:24: Overview, introduction of Dr. Jessica Whitley

01:30: Who issues the Notice of Medicare Non-coverage?

06:28: What are skilled services?

10:19: Therapy participation

14:15: Medical record review

16:54: How you can help yourself in the skilled nursing facility

26:04: Final thoughts

SUBSCRIBE

 Subscribe to our newsletters: Case Review Connections, On the Healthcare Frontat https://www.acentraqio.com.

RESOURCES

BFCC-QIO Information for stakeholders: https://www.acentraqio.com/partners

BFCC-QIO Information for people who have Medicare: https://www.acentraqio.com/bene

BFCC-QIO Information for people filing an appeal: https://acentraqio.com/bene/appeal

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs

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 TOPICS

00:24: 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 Melanoma

07:40: Final thoughts

SUBSCRIBE

Subscribe 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

Centers 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/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs

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 finales

SUSCRÍBASE
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/newsletters

RECURSOS
Información sobre BFCC-QIO para partes interesadas y personas con Medicare: www.acentraqio.com/bene/espanol/

Canal de YouTube - Acentra BFCC-QIO - YouTube

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs

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 TOPICS

00:21: Overview

01:42: 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 complaint

08:11: Final thoughts

SUBSCRIBE 

Subscribe 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 Information to file a complaint and to get forms and resources: www.acentraqio.com/bene/qualityofcarecomp/

Medicare – www.medicare.gov

Our address is 1650 Summit Lake Dr. Suite 102, Tallahassee, FL 32317 or by e-mail beneficiary.complaints@acentra.com.

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs

This episode is a conversation with our guest from Acentra Health: Dr. Angeline Brunetto, Associate Medical Director for Appeals

In 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 introduction

01:04: The emergency room experience

03:56: Medicare coverage

08:18: Key things to know about an emergency room visit

10:06: Tips for people with Medicare

12:03: Myths and misunderstandings

13:54: Summary and final thoughts

SUBSCRIBE 

Subscribe to our newsletters: Case Review Connections, On the Healthcare Front at our website, 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

YouTube channel - https://www.youtube.com/@AcentraBFCCQIO

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs

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 Strong

02:08: 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 Enrollment

04:20: 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: https://www.acentraqio.com/partners

BFCC-QIO Information for people who have Medicare: https://www.acentraqio.com/bene/helpline

SC Dept on Aging: https://aging.sc.gov/

Acentra Health Open Enrollment information:  https://www.acentraqio.co,/medicareopenenrollment

SHIP Information: https://www.shiphelp.org/

Medicare information: https://www.medicare.gov

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs

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 TOPICS

00:23: Overview, introduction of guest, Dr. Angeline Brunetto

01:46: What is healthy aging?

02:45: How to stay healthy

09:00: How to get involved in your community

10:58: How to be safe in the aging process

15:38: Final thoughts 

SUBSCRIBE

Subscribe 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

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs

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  

SUBSCRIBE

Subscribe 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.aspx

BFCC-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 

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 Walker

01:48: What is SHIP?

05:35: When to set up Medicare

06:45: 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 

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 Information –https://www.shiphelp.org/ 

Oklahoma Department of Insurance - https://www.oid.ok.gov/

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs

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 

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 

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 

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, 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 Strong

01:58: Information about the SMP program

03:31: Tips for people with Medicare

04:14: How does SMP work with stakeholders

04:54: 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

Senior 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/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, 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 

SUBSCRIBE

Subscribe 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/rinkevichmusic

https://protunes.net/  

Video Link: https://bit.ly/3NNqGTs 

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 

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 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, 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 Young
01:35: Medicare updates from the Inflation Reduction Act
05:30: New income guidelines
06:39: Getting help with your Part B premium
10:45: 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

State 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/rinkevichmusic
https://protunes.net/
Video Link: https://bit.ly/3NNqGTs

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 

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 TOPICS
00:24: Overview, introduction of guest, Juan Garcia
01:47: Intro to the parts of Medicare
10:10: Medicare Advantage plans
13:25: Medigap policies
14:52: Benefit periods/reserve days
16:53: 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 

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 RinkevichMusic
https://soundcloud.com/rinkevichmusic
https://protunes.net/
Video Link: https://bit.ly/3NNqGTs