Description

Medicaid reimbursement challenges margins across home health, hospice, and personal care, yet profitability is achievable with disciplined financial strategy. This session equips Chief Financial Officers with practical approaches to analyze cost per visit, evaluate rates, optimize staffing models, and strengthen payer performance. Attendees will learn how to identify loss drivers, improve operational efficiency, and align service delivery with reimbursement structures to build sustainable Medicaid service lines while continuing to serve vulnerable populations.

Learning Outcomes: 

1. Participants will be able to analyze Medicaid cost per visit and contribution margin to identify primary drivers of service line losses.

2. Participants will be able to develop targeted financial strategies to improve Medicaid contract performance and strengthen sustainable margin outcomes.

Faculty

Brian Lebanion, MBA, RNC, CPC, HCS-D, HCS-O | Consultant | BC Healthcare Consulting LLC

Brian Lebanion is a nationally recognized healthcare consultant, educator, and industry leader specializing in home health and hospice operations, regulatory compliance, and revenue cycle management. With extensive experience in the post-acute care sector, Brian has dedicated his career to helping organizations navigate complex federal regulations while improving financial performance, quality outcomes, and operational efficiency. As a leader with BC Healthcare Consulting, Brian works closely with home health and hospice agencies across the country to strengthen compliance programs, optimize reimbursement, and enhance clinical documentation practices. His expertise includes Home Health Value-Based Purchasing (HHVBP), Hospice CAP management, medical review and ADR response strategies, cost reporting, billing compliance, and quality reporting programs such as HHQRP. He is known for translating complex CMS regulations into practical, actionable strategies that agencies can implement immediately. Brian is a frequent national speaker and educator, presenting at industry conferences and leading webinars on topics such as medical review denials, documentation integrity, quality reporting, hospice financial risk mitigation, and regulatory updates. His engaging teaching style combines regulatory insight with real-world application, equipping healthcare leaders and clinicians with tools to drive measurable improvement. He is especially passionate about bridging the gap between clinical operations and financial sustainability to ensure agencies can continue serving vulnerable patient populations. In addition to his consulting and speaking roles, Brian is pursuing a nursing degree to further expand his clinical knowledge and strengthen his ability to support patient-centered care initiatives. His professional experience in non-clinical leadership, combined with his growing clinical education, provides him with a well-rounded perspective on healthcare delivery, policy, and patient outcomes. Brian lives in Appalachia, Kentucky, where he remains deeply connected to the communities he serves. His work is grounded in a commitment to improving access to quality care in rural and underserved areas. Through education, mentorship, and strategic consulting, he continues to empower healthcare professionals to navigate regulatory challenges with confidence while maintaining focus on compassionate, high-quality patient care. Brian brings to the faculty a unique combination of regulatory expertise, operational leadership, and practical industry experience, making him a valuable contributor to healthcare education and professional development programs.