FS102 - Considerations Regarding Accepting Managed Care in Your Office

Wednesday, March 26, 2025

2:15 PM - 3:45 PM CST

Location: The Great Hall BC, First Floor

Earn 0.15 CEUs

Instructional Level: Intermediate

Lead Presenter(s)

Noel G. Crosby, AuD

Owner/ audiologist
Advanced Hearing Solutions
Englewood, Florida

Disclosure(s): No financial or nonfinancial relationships to disclose.

PDF Slides

Presenter(s)

Lindsey Koble, AuD, MBA (she/her/hers)

Owner
Audiology Always
Auburn, Indiana

Disclosure(s): No financial or nonfinancial relationships to disclose.
Erica Person, Au.D.

The Unbundled Audiologist

Disclosure(s): Financial: Unbundled Audiologist: Ownership Interest (Ongoing); Nonfinancial: No nonfinancial relationships to disclose
John Hartman, MS, MBA

Owner Audiologist
Audiologic Services
LaGrange, Illinois

Disclosure(s): No financial or nonfinancial relationships to disclose.
Clifford R. Olson, AuD

Audiologist
Dr. Cliff AuD
Phoenix, Arizona

Disclosure(s): Financial: Neuromod: Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing); Oticon: Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing); Redux: Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing); ReSound: Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing); Sonova: Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing); Nonfinancial: No nonfinancial relationships to disclose
Cristi A. Moore, AuD (she/her/hers)

Owner
Sonora Hearing Care, LLC

Disclosure(s): No financial or nonfinancial relationships to disclose.
Ashlee H. Vandiver, AuD (she/her/hers)

Owner
Red Maple Audiology
Turner, Maine

Disclosure(s): No financial or nonfinancial relationships to disclose.

Abstract:
The increasing popularity of Medicare Advantage plans that provide hearing aid benefits managed by third-party companies pose significant challenges and opportunities. Despite the limitations set by these third parties on fitting fees and other service charges, there are several factors to consider when deciding whether to participate in these plans. This presentation will provide a balanced evaluation of the advantages and disadvantages of participating with these third-party plans and feature a panel discussion with presenters who have successfully embraced managed care and others who have devised strategies to serve managed care patients without relying on third-party companies.

Summary:
The increasing popularity of Medicare Advantage plans that provide hearing aid benefits managed by third-party companies pose significant challenges and opportunities. Despite the limitations set by these third parties on fitting fees and other service charges, there are several factors to consider when deciding whether to participate in these plans. This presentation will provide a balanced evaluation of the advantages and disadvantages of participating with these third-party plans and feature a panel discussion with presenters who have successfully embraced managed care and others who have devised strategies to serve managed care patients without relying on third-party companies.

This is very relevant in today's Market. It is estimated that 50% of medicare patients now have advantage plans. Advantage plans are sold with emphasis on having additional "benefits' for hearing aids and other services.

This presentation will be relevant for all those who own a private practice or have decision making role in a hearing health care organization.

Attendees will identify strategies to make informed decisions regarding whether to accept managed care in their practice.

Brief Summary of Clinical Takeaways:
The clinical takeaway for this session is to provide strategic information to assist in making an informed decision about whether to accept managed care in your office.

Learning Objectives:

Upon completion, participants will be able to determine different strategies to use in your office if you decide to accept managed care.
Upon completion, participants will be able to determine different strategies to use in your office if you decide not to accept managed care.
Upon completion, participants will be able to identify what data to look at when making an informed decision whether to accept managed care.