Continuing Education Sessions

Session 24 | Benefits of Provider-Owned Institutional Equivalent Special Needs Plans

Day: Monday, July 24
Time: 1:30 to 2:30 p.m.
Type/Topic: Assisted Living

Session Summary

Significant features of Medicare coverage can differ based on whether a person is enrolled in fee-for-service or a managed care plan. Attendees are likely to know and understand the needs of the Medicare beneficiaries they serve. Consequently, their understanding of different Medicare plans and Medicare's special needs plans can help them support their residents. The Institutional Equivalent Special Needs Plan (IE-SNP) is designed for people who need more care. Specifically, the IE-SNP is intended for people whose condition requires an institutional level of care but reside in the community. The presenters will provide an overview of the IE-SNP model and explain how this model enhances the provider and member experience. IE-SNPs cover benefits above the standard Medicare benefit package, offer enhanced care coordination and provide an array of additional benefits.

Presenters

Stephanie Plana

Vice President of Medicare | Florida Community Care (Independent Living Systems)

About the Presenter

Stephanie Plana began her legal career focused on civil defense litigation before pursing her current field, health care law. Stephanie presently serves as the Vice President of Medicare at Independent Living Systems, LLC (ILS) where she has devoted her legal skills to the business aspect of improving health outcomes and reducing costs. Today, she is responsible for the Compliance, Operations and Sales departments of FC2. Stephanie’s passion for the health care field has contributed towards the success of the new Florida Complete Care plan.

Abby Riddle

President | Florida Complete Care

About the Presenter

Abby Riddle is the Chief Operations Officer for Independent Living Systems (ILS) and serves as Plan President for ILS’s Medicare Advantage Institutional and Institutional-equivalent Special Needs Plan, Florida Complete Care. Abby has more than 17 years of experience in government sponsored healthcare programs. Prior to joining ILS in 2020, Abby served as Assistant Deputy Secretary for Medicaid Operations with the Florida Agency for Health Care Administration (AHCA), functioning as the Florida Medicaid program’s Chief Operations Officer. Abby held several senior level positions during her 15-year tenure with AHCA, which included responsibility for Florida’s Statewide Medicaid Managed Care (SMMC) program operations including health plan oversight, field office operations and Florida’s Medicaid Management Information System. Abby was a key Executive Branch staffer in the initial launch of Florida’s SMMC program, which launched Florida’s current managed care program. Abby served as an AHCA negotiator in the SMMC Reprocurement in 2018, where she was one of four state staff responsible for awarding health plan contracts valued over $120 billion over a five-year period. These contracts included the richest benefit packages ever available to Florida’s Medicaid population.