In this new report by HMA, Private Equity and Health Care Delivery: Physician Perspectives on Access, Capacity, and Innovation, we present findings from a national survey of physicians examining how private equity investment affects patient access, physician autonomy, staffing, operational capacity, technology adoption, and innovation. This report was commissioned by the American Investment Council and … Read More
OBBBA and Medicaid: What Pharmaceutical Manufacturers Need to Know About Patient Access and Revenue Risk
October 21, 2026
The Budget Reconciliation Act of 2025, commonly referred to as H.R. 1 or the One Big Beautiful Bill Act (OBBBA), represents the most significant Medicaid policy shift since the Affordable Care Act. For pharmaceutical manufacturers and life sciences companies, the implications extend beyond potential Medicaid enrollment loss. Federal and state implementation decisions could affect medication … Read More
Home-Based Care Is Essential Infrastructure and a Measurable Value Driver
October 16, 2026
New white paper from Health Management Associates and TEAM Services Group Home-based care is the practical infrastructure that allows older adults and individuals with disabilities to access care safely in their homes. Home-based care includes personal care, personal assistance, homemaker supports, and respite, which provide value to individuals who need services and their families, and … Read More
CMS’s Medicaid Quality Pledge Is Redefining How Health Outcomes Will Be Measured
October 14, 2026
What states, health plans, providers, and Medicaid partners need to know about the shift toward outcome-focused quality measurement. CMS’s Investing in Health Outcomes initiative signals a significant change in the future of Medicaid and CHIP quality measurement. The voluntary Medicaid Quality Pledge encourages participating states to move beyond extensive process and utilization reporting and focus … Read More
Closing the Care Continuity Gap in Substance Use Disorder
August 31, 2026
An actuarial view of $569 million in ACA marketplace SUD spending Today, August 31, 2026, is International Overdose Awareness Day—a time to remember the lives lost to overdose, to support people affected by substance use, and to advance action that saves lives. In recognition of this day, Sober Sidekick and Wakely Consulting Group, an HMA … Read More
CMS’s Proposed Provider Tax Rule Could Reshape Medicaid Financing
August 20, 2026
The Centers for Medicare & Medicaid Services (CMS) has proposed significant changes to how Medicaid provider taxes are structured, reported, and monitored. Issued in response to the Working Families Tax Cut Act (WFTCA), the proposed rule would affect provider tax grandfathering, hold harmless thresholds, reporting requirements, and permissible tax classes, with important implications for states, … Read More
CMS Proposed Rule (CMS-2452-P) Could Reshape State Health Insurer Assessments—and Put Marketplace and Reinsurance Funding at Risk
August 4, 2026
What CMS-2452-P Means for State-Based Marketplaces, Section 1332 Reinsurance Programs, the individual market, and Medicaid Financing On July 14, 2026, the Centers for Medicare & Medicaid Services (CMS) released the Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes Proposed Rule (CMS-2452-P) to implement Section 71115 of the 2025 budget reconciliation legislation, P.L. 119-21, … Read More
How States Are Implementing Medicaid Section 1115 Justice-Involved Reentry Demonstrations
July 20, 2026
Medicaid Section 1115 Justice-Involved Reentry Demonstrations allow states to provide selected Medicaid-covered services before an individual is released from incarceration. This report highlights the operational, governance, technology, and care coordination strategies needed for successful implementation across multiple jurisdictions. HMA’s new report, Lessons Learned from Implementing 1115 Justice-Involved Reentry Initiatives: Strategic Planning and Operational Considerations, shares … Read More
Community Health Workers as Trusted Messengers: Strengthening the Community Health Information Ecosystem
July 16, 2026
Learning What Works to Foster Trusted and Effective Communication Channels Community health workers (CHWs) are among the most trusted sources of health information, yet they often lack reliable systems for receiving, validating, and sharing timely guidance. This report examines how health information flows to, through, and from CHWs in Cook County, Illinois, and identifies strategies … Read More
Final 2027 Notice of Benefit and Payment Parameters Notice: What States and Issuers Need to Know
June 8, 2026
What are the changes in the payment notice for 2027? On May 15, 2026, the Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) released the final Notice of Benefit and Payment Parameters (NBPP) for 2027, setting key rules for the individual and small group health insurance markets. … Read More