Speaker(s): Melinda A. Gaboury, CEO
About the Speaker(s)
Melinda A. Gaboury, with more than 30 years in home care, has over 22 years of executive speaking and educating experience, including extensive day to day interaction with home care and hospice professionals. She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PDGM training, billing, collections, case-mix calculations, chart reviews and due diligence. UPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry. She is currently serving as the Chair of the NAHC/HHFMA Advisory Board and Work Group and is currently serving on the Board of Directors for both the Home Care Association of Florida & Tennessee Association for Home Care. Melinda is also the author of the Home Health OASIS Guide to OASIS-E and Home Health Billing Answers, 2023.
Oct 1511:00 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 1: Understanding the Medicare Advantage Market and Selecting the Right Plans
October 15, 2026
11:00am – 12:30pm EST
Speaker: Melinda A. Gaboury, CEO
Description
A successful Medicare Advantage strategy begins with understanding the market and choosing payer relationships carefully. This session examines the major types of Medicare Advantage plans, current enrollment trends, and the factors influencing plan participation within local markets.
Participants will learn how to identify the leading payers in their service areas and evaluate each plan beyond its reimbursement rate. A structured payer scorecard will help agencies consider financial performance, administrative burden, clinical alignment, referral opportunities, and long-term strategic value. The session will also help leaders determine which payer relationships to grow, maintain, renegotiate, or reconsider.
Learning Objectives
By the end of this session, participants will be able to:
- Distinguish among common Medicare Advantage plan types and explain how plan structure may affect provider participation.
- Use enrollment, referral, and market data to identify priority payers within the agency’s service area.
- Evaluate Medicare Advantage plans based on financial performance, operational burden, clinical alignment, and market value.
- Apply a payer scorecard to categorize plans for growth, maintenance, renegotiation, or possible exit.