Many providers of aging services are interested in new ways to deliver high-quality support in the home, especially for middle-market consumers. This session will explore how one multisite sponsor of affordable housing and life plan communities expanded its at-home services through a strategic mix of acquisitions, program innovation, and affiliations with home and community-based service providers. Presenters will also highlight two new programs they designed to serve life plan community residents and the broader community: a concierge care navigation and coaching service, and an at-home support program for older adults with incomes just below traditional private-pay thresholds. Gain concrete ideas for building or expanding scalable in-home services to serve current residents and the price-sensitive middle market.

Are you seeking up-to-date information on how federal funding and policy decisions are likely to affect your service lines? Or are you simply curious about the broader policy landscape shaping the aging services field? Either way, you’ll leave satisfied after attending this speed round of Washington updates. The LeadingAge Policy Team will be on hand to fill you in on the latest developments affecting Medicare and Medicaid, workforce policy, affordable housing, and the federal legal landscape. You’ll also receive advocacy tips to ensure your voice is heard in Washington, DC.

What strategies, structures, and processes distinguish high-performing home health and hospice organizations across the United States? This session will address that question by reviewing findings from the 2026 National Healthcare at Home Best Practices Study. Presenters will translate the study’s national findings into practical, actionable insights and share best practices for care transitions, referral management, visit utilization, symptom management, and end-of-life care planning. You’ll learn how evidence-based practices influence quality outcomes, patient experience, staff retention, and financial performance, and how external factors—such as workforce shortages, payment reform, and regulations—are shaping the adoption of best practices nationwide.

A growing number of aging services organizations are building systems to consistently improve outcomes and experiences for the older adults they serve and their families. This session will showcase the ELITE Quality Program, a state-based initiative that helps organizations strengthen leadership alignment, embed continuous improvement practices, and build a strong culture of quality. Presenters will share how ELITE provides the foundational framework organizations need to proactively identify risks, improve quality and safety, and strengthen stakeholder confidence. You’ll gain practical insights from leaders who are implementing the program and learn strategies you can use to build sustainable systems that support exceptional care.

Federal oversight of programs funded by Medicaid, the Older Americans Act, and other programs has intensified in recent years as regulators and policymakers sharpen their focus on program integrity in home and community-based settings. This session will provide an overview of evolving federal compliance expectations and how they shape state expectations. Presenters will offer insights into emerging compliance themes across agencies, the operational implications of policy and enforcement trends, and proactive measures to strengthen your compliance infrastructure. You’ll leave with strategies to enhance internal controls, align training and governance practices, and build a culture of accountability that can withstand evolving federal and state oversight.

Investing in quality can future-proof your aging services organization against regulatory, reimbursement, and demographic changes. The reason is simple: Discerning consumers assess providers based on whether their quality is trustworthy and measurable. This session will highlight the quality metrics that matter most to consumers and families when selecting aging services providers. You’ll learn how to use a standardized quality framework to strengthen workforce culture, improve recruitment, and reduce turnover. You’ll also discover how your organization’s quality performance can set it apart in the marketplace, build robust referral pipelines, and expand partnerships. This is your chance to transform quality from a compliance requirement into a growth strategy.

The rules and processes governing managed care continue to evolve as more beneficiaries enroll in Medicare Advantage plans each year. This session will bring you up to date on the program’s latest policy developments, so you’re ready to strengthen your organization’s internal processes and maximize your reimbursement. LeadingAge provider members and a managed care contracting and billing expert will be on hand to update you on Medicare Advantage policies related to prior authorization, appeals, and the complaint process for reporting noncompliance. They’ll also show you how to improve your first-pass prior authorization accuracy and accelerate clean claim submissions. Don’t miss this opportunity to learn how to succeed in managed care.

Pain is often underrecognized and undertreated in older adults with dementia, many of whom cannot reliably self-report their discomfort. This communication barrier leads caregivers to rely on subjective observations, resulting in inconsistent assessments and missed opportunities for intervention. This session will explore how AI-powered pain assessment tools combine automated facial recognition with structured digital checklists to accurately and consistently identify pain-related behaviors in nonverbal individuals. Presenters will demonstrate how to use these tools to improve clinical decision-making and reduce falls, frailty, and inappropriate drug use. Join this session to discover how technology and human care can work together to ensure a pain-free future for older adults.

Home health agencies have faced significant financial, regulatory, and program integrity challenges for years. At the same time, demand for home-based services among Medicare beneficiaries has grown exponentially, straining the already limited capacity of home health providers. This session will explore how we reached this point. Presenters will examine threats to the sector’s sustainability, including the declining number of home health providers, the six-month nationwide moratorium on new Medicare enrollments for home health agencies, and ongoing negative payment adjustments. You’ll gain a clearer understanding of these threats and learn about new policy opportunities that could spur a reimagination of the home health benefit.

Ask home health providers what keeps them up at night, and many will cite the risk of a negative score under the expanded Home Health Value-Based Purchasing (HHVBP) Model, which adjusts Medicare payments based on quality performance. This session may ease their concerns. A home health provider and consultant will share how they turned a negative HHVBP score and financial penalty into a positive payment adjustment. They’ll show you how to interpret HHVBP scorecards, review data sources, and design and implement an improvement strategy. They’ll also offer tips for aligning key operational areas to improve HHVBP measurement outcomes.

Is your senior living organization aiming to improve residents’ health outcomes but unsure how to proceed? This session will offer a practical solution: establish a partnership with an Accountable Care Organization (ACO) and a primary care medical group to deliver enhanced clinical services to residents. Presenters will describe how their multisite organization’s primary care team partnered with an ACO to establish a Medicare Shared Savings Program. You’ll learn about the partnership’s operational and financial benefits, including better care, fewer avoidable hospitalizations, longer resident stays, and lower turnover. Discover how these partnerships work, why they matter, and the steps providers can take to implement them effectively.

Educators, providers, policymakers, and workforce leaders nationwide are rethinking how aging services providers recruit, train, support, and retain frontline caregivers. This session will highlight this collaborative effort. Presenters will describe a recent national meeting that examined the potential for multi-state collaboration to standardize certified nursing assistant (CNA) career pathways through state-based Geriatrics Workforce Enhancement Programs. They’ll share lessons learned from convening stakeholders across education, workforce development, aging services, finance, policy, and care delivery systems to discuss workforce solutions. You’ll discover how stakeholder collaboration can drive system-wide changes in policy, practice, and workforce development.

Sixty percent of home and community-based service (HCBS) providers have faced negative margins or program closures over the past three years because of stagnant reimbursement rates and rising costs. This session will offer several solutions to help your HCBS program survive the squeeze. Presenters will share how their agency navigated severe reimbursement challenges, made tough program decisions, and used innovative practices to restore its financial health. Discover how they implemented geographic clustering of clients to improve staffing efficiency and leveraged a remote global administrative workforce to reduce overhead. You’ll gain strategies to right-size your agency, maximize your bottom line, and better support clients and communities amid funding challenges.

External audits and reviews affect every facet of an aging services organization, whether conducted by federal agencies such as the Centers for Medicare & Medicaid Services, state Medicaid departments, or managed care organizations. Understanding how these reviews will affect your organization can help you prepare for, respond to, and address enforcement outcomes. This session will help you leverage your organization’s resources and personnel—including your leadership, finance, clinical, compliance, and legal teams—to navigate external audits and reviews. Presenters will show you how to form an audit response team, assess the business, financial, clinical, and compliance risks associated with an external review, and develop strategies to manage those risks.

Identifying your organization’s fraud and abuse risks and building effective programs to mitigate them can be challenging. Fortunately, the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services can help. This session will review a set of voluntary, nonbinding resources the OIG compiled to help providers strengthen their compliance programs, understand their fraud and abuse risks, and prepare for new compliance expectations. Presenters will review OIG’s general compliance guidance, examine its sector-specific guidance for skilled nursing and managed care, and discuss hospice guidance currently being updated. You’ll gain practical insights to help your organization enhance the quality of care, strengthen internal controls, and foster a culture of organizational integrity.

Most home and community-based service (HCBS) agencies cite regulation, staffing, and the growth of managed care as their primary obstacles to growth. While these issues are real, this session will show that most obstacles to HCBS growth, quality, and financial success are internal rather than external. Representatives of a life plan community’s HCBS subsidiary will share highlights from their decade of experience helping senior living communities develop and operate home care, home health, and hospice services. You’ll gain insights into the pitfalls senior living organizations encounter when starting and operating HCBS agencies and take home practical, proactive, and remedial strategies to optimize your operations.

Three new value-based payment models from the Center for Medicare & Medicaid Innovation (CMMI) are reshaping how aging services providers deliver and finance care for older adults. This session will introduce you to ELEVATE, ACCESS, and LEAD and explain how providers can use these models to advance chronic care management, dementia care, prevention strategies, and technology-enabled solutions that improve outcomes for residents and clients. Presenters will help you prepare your organization to participate in these emerging models and explain what they could mean for the future of aging services.

Direct care professionals face persistent challenges, including high turnover, low wages, and limited opportunities for career advancement. This session will showcase a promising solution: the Universal Direct Care Workforce Initiative. This career advancement model features immersive training for new hires, specialty training in dementia and behavioral health, and a “Care Integration Senior Aide” who documents and reports clients’ clinical conditions to the care team. A representative from PHI, a national workforce organization, will share data from the initiative’s first year, and a home care partner will describe evidence-based practices implemented through the program. You’ll learn how this model improves the quality of care and boosts workforce satisfaction and retention.