Review of Medicaid Managed Care Procurement Landscape in 2017

This week, our In Focus section reviews the Medicaid managed care procurement landscape for 2017, including those requests for proposals (RFPs) and other procurement vehicles that were awarded, are currently out to bid, or are expected to be released before the end of the calendar year. By year’s end, we anticipate there will have been at least 16 procurements awarded or issued this year across 13 states, covering more than 13 million Medicaid or CHIP members, and accounting for more than $76 billion in annual spending when fully implemented.

Read More

Chronicle of a Death Foretold: ACA Repeal and Replace Stalls in Senate

This In Focus article, authored by HMA Managing Principal Greg Nersessian, CFA  and Research Assistant Anh Pham, was originally published in the August 2, 2017 HMA Weekly Roundup.

In deference to Miracle Max, after last week’s failed votes on “Repeal and Replace,” “Straight Repeal,” and “Skinny Repeal,” the GOP’s efforts to undo the Affordable Care Act (ACA) through budget reconciliation appear to be at least “mostly dead.” While it is possible strictly partisan discussions will reaccelerate at some point, it appears that Congress is, for the first time, considering bipartisan proposals for shoring up the underwriting challenges in the individual market. In light of this change in direction, we are using this week’s In Focus section to chronicle the events that transpired over the last five months leading to last week’s historic vote. Our objective here is to create a reference piece for our readers so that the next time Congress revisits major healthcare legislation we can look back on the strategies and approaches that led to last week’s result.  Many times over the last eight months, we have reflected on the key dynamics surrounding the passage of the ACA in 2010 as a guide for what factors to watch in the efforts to repeal the ACA – budget reconciliation issues, Congressional Budget Office (CBO) scoring, key proposals to win over recalcitrant legislators, the President’s role in pushing the agenda – but our memories were not always up to the task. So in the spirit of having a reference document for future reflection, we record below the key events associated with this effort.

Read More

HMA Principal to Speak about Role Public Health Plays in Implementing Retail Marijuana Legalization at National Cannabis Summit

The 2017 National Cannabis Summit will feature the workshop, Implementing Retail Marijuana Legalization: Public Health’s Role in Implementation of Prevention and Education Efforts Following Legalization of Retail Marijuana. During this workshop, HMA Principal Shannon Breitzman will share her unique expertise on how state agencies begin the complex implementation process of regulatory and programmatic needs after retail marijuana is legalized.

Read More

It Takes a Community to Divert Populations with Behavioral Health Needs from Jail

This blog post was authored by HMA Principal Bren Manaugh, LCSW-S, CPHQ and Senior Consultant Laquisha Grant, MPA.

We have all seen the headlines about jails and prisons becoming the largest de facto mental healthcare providers in the country. Nationally, 14 to 17 percent of inmates have a serious mental illness[1], 53 to 68 percent have a substance use disorder[2], and up to 72 percent of jail inmates have both a mental illness and substance use disorder[3]. The overrepresentation of individuals with mental illness and substance use disorder did not happen overnight — and it is not a result of one system or issue.

Read More