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Education Session

Session 201 - Opening Keynote

Wednesday, September 16, 2026  ~  8:30 - 9:30 a.m. (CDT)

1.2 CNEs

Behind the Curtain: CMS Program Integrity Initiatives Every Home-Based Care Provider Should Know


Description

As CMS expands its efforts to combat fraud, waste, and abuse, home health, hospice, and home care providers must stay informed about evolving program integrity priorities. This session will guide attendees down the "Yellow Brick Road" of CMS program integrity efforts, providing an overview of current initiatives, emerging trends, and areas receiving increased scrutiny. Participants will gain insight into how CMS identifies potential program vulnerabilities, collaborates with contractors and law enforcement partners, and uses data-driven approaches to detect and prevent fraud, waste, and abuse.


Target Audience

Home health, hospice, and home care executives; compliance officers; quality and regulatory professionals; clinical leaders; operations managers; revenue cycle and billing staff; auditors; and other individuals responsible for regulatory compliance, risk management, and program integrity activities within home-based care organizations.


Speaker(s)


Hillary Loeffler
VP of Policy & Regulatory Affairs, National Alliance for Care at Home, Washington, DC

                                                                               

Hillary Loeffler is a nationally recognized leader in health policy, regulation, and innovation bringing deep expertise and frontline experience to today’s most pressing issues facing home-based care. As Vice President of Policy & Regulatory Affairs at the National Alliance for Care at Home, she serves as a leading voice for the care at home community, driving forward-thinking policy and regulatory solutions.

With an extensive public service career, Hillary has held senior roles across the Centers for Medicare & Medicaid Services (CMS), including Director of the Home Health & Hospice Division and Senior Advisor in the Office of Legislation. She was instrumental in shaping Medicare policy and advising on major CMS Innovation Center models from inside one of the nation’s most influential health care agencies.

Hillary has also served as Senior Health Policy Advisor for the U.S. House Committee on Ways and Means and as a Senior Health Care Analyst at the U.S. Government Accountability Office. Her unique experience across legislative and executive branches positions her as a powerful voice on the future of health care delivery, policy, and the intersection of innovation and regulation.

Continuing Education

Kansas Home Care & Hospice Association is approved as a provider of CNE by the Kansas State Board of Nursing. This course offering is approved for 1.2 contact hours applicable for APRN, RN, or LPN relicensure. Kansas State Board of Nursing provider number: LT0287-0314. 


Other disciplines will need to apply independently – a certificate of attendance for 1.0 CE hours will be provided.

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