This week’s In Focus section reviews Washington’s 2019/2020 Integrated Managed Care (IMC) request for proposals (RFP) issued by the Washington State Health Care Authority (HCA) on February 15, 2018 to provide 1.6 million Medicaid enrollees with both physical and behavioral health services. The procurement will expand Washington’s Apple Health – IMC program (formerly known as Fully Integrated Managed Care (FIMC)) to eight additional Regional Service Areas (RSAs) and add an additional managed care organization to the Southwest RSA. It will also add one county to the Southwest RSA and one county to the North Central RSA.
What Are Section 1332 Waivers and How Can They Be Used?
Section 1332 of the Affordable Care Act allows states to apply for State Innovation Waivers to pursue innovative ways of offering high-quality, affordable health coverage to state residents. This authority allows states to seek waivers of provisions related to these elements of the Affordable Care Act:
Families and care providers know that children and youth with special health care needs (CYSHCN) are best served through a coordinated approach across the myriad programs, agencies, and levels of government that touch them. However, states face structural, operational, financial, regulatory, and cultural challenges to breaking down traditional silos to achieve interagency, cross-sector collaboration.
HMA Medicaid Market Solutions helped the State of Indiana secure approval for an extension of its Medicaid Section 1115 Waiver, the Healthy Indiana Plan. Below is a summary of what the renewal entails.
On February 1, 2018, Indiana received approval from the Centers for Medicare and Medicaid Services (CMS) to continue its long-standing Healthy Indiana Plan (HIP) with a three-year renewal. This CMS approval maintains the core of the HIP program and incorporates additional features, including expansion of the current Gateway to Work initiative to add required community engagement for non-exempt HIP members beginning in 2019. Also new is a substance use disorder component that will be available to all Indiana Medicaid members, including those enrolled in HIP.
Today, Jay Rosen, founder and president of Health Management Associates (HMA), announced the acquisition of California healthcare consulting firm Care Integration Partners (CIP).
Formerly known as Jen Clancy Consulting, CIP specializes in advancing the integration of behavioral health and primary care by working directly with health plans.
“For over a decade HMA has been helping clients to integrate behavioral health and primary care, and transform how practices function,” said Rosen. “CIP’s unique approach nicely complements our experience and expertise in these areas.”
CIP’s work has focused on achieving the Quadruple Aim of better population health outcomes, improved experience for patients, improved experience for healthcare teams, and reduced healthcare costs for individuals with complex behavioral health and medical conditions. HMA has worked closely with CIP and client Inland Empire Health Plan for over two years with impressive preliminary results.
“When it comes to helping clients develop and implement innovations to integrate behavioral health and primary care, HMA leads the way,” said Jennifer Clancy, CIP founder. “I know their experts will continue producing cutting edge practice transformation work and advance efforts to achieve the Quadruple Aim as CIP has worked so diligently to do.”
In addition to further broadening HMA’s nationally recognized care integration and practice transformation expertise, the acquisition of CIP also expands the firm’s reach along the West Coast, where it has five offices, three in California.
Founded in 1985, HMA is an independent, national research and consulting firm specializing in publicly funded healthcare reform, policy, programs, and financing. Clients include government, public and private providers, health systems, health plans, institutional investors, foundations and associations. With 21 offices and nearly 200 multidisciplinary consultants coast to coast, HMA’s expertise, services, and team is always within client reach.