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Igniting Opportunity: Navigating the Medicare Advantage Landscape Webinar Series – Part 2

Speaker(s): Regina Wild, Director of Managed Care Consulting

Category: Home CareHospice

Speaker(s): Regina Wild, Director of Managed Care Consulting

About the Speaker(s)

Regina Wild recently joined Healthcare Provider Solutions as the Director of Managed Care Consulting, enriching the firm’s exceptional services with her expertise. In her role at HPS, she specializes in assisting clients with obtaining managed care contracts, conducting rate negotiations, credentialing with health plans, and renegotiating current contracts.

With over 15 years of industry experience, Regina has seamlessly transitioned from nursing to business development and has excelled as a contracting/credentialing specialist. Her diverse background has equipped her with a deep understanding of the healthcare system, gained from working across various healthcare settings. Regina’s primary focus on managed care contracting allows her to help providers maximize reimbursement, strengthen referral relationships, and expand their market presence. Her passion lies in aiding healthcare providers in navigating the complexities of the industry and achieving their goals. Regina’s ability is further exemplified by her active involvement in several healthcare associations, where she serves on education and reimbursement committees and is often sought out as a speaker at conferences.

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Igniting Opportunity: Navigating the Medicare Advantage Landscape Webinar Series – Part 2 Nov 11
11:00 am - 12:30 pm EST
Hosted by
PHA
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About the Event

Igniting Opportunity: Navigating the Medicare Advantage Landscape Webinar Series

Part 1: October 15, 2026
Part 2: November 11, 2026
Part 3: December 16, 2026
All sessions are 11:00am – 12:30pm EST

Series Description
Medicare Advantage continues to reshape the home health marketplace, creating opportunities for growth while introducing new financial, contractual, and administrative challenges. This three-part webinar series will help home health leaders make informed decisions about payer participation, evaluate and negotiate managed care contracts, and strengthen the processes that support authorization, documentation, billing, and denial prevention.

Participants will learn how to assess Medicare Advantage plans using market data and agency performance measures, identify contract provisions that affect reimbursement and operations, and demonstrate their organization’s value to health plans. The series will also address the practical challenges that arise after a contract is signed, including prior authorization requirements, utilization management, documentation expectations, and payer-specific workflows.

Part 2: Medicare Advantage Contracting and Negotiation
November 11, 2026
11:00am – 12:30pm EST

Speaker: Regina Wild, Director of Managed Care Consulting

Description
Medicare Advantage contracts can affect nearly every part of an agency’s operations, from patient access and authorization to reimbursement and termination rights. This session provides a practical review of the contract provisions home health agencies should examine before entering or renewing a payer agreement.

Participants will explore payment methodologies, covered services, timely filing requirements, utilization management provisions, credentialing requirements, and termination language. The session will also address negotiation strategies that position the agency as a valuable partner. Attendees will learn how to use clinical outcomes, access measures, referral relationships, and cost-of-care data to support requests for improved rates, administrative simplification, high-acuity carve-outs, and other favorable terms.

Learning Objectives

By the end of this session, participants will be able to:

  • Identify contract provisions that affect reimbursement, patient access, administrative workload, and financial risk.
  • Compare common payment arrangements, including per-visit rates, episodic payments, fee schedules, and value-based models.
  • Prepare operational, financial, and clinical performance data for use during payer negotiations.
  • Develop negotiation strategies that connect the agency’s capabilities to the health plan’s cost, quality, access, and member-experience priorities.