Managed Care

Register Now: 30-plus Speakers Slated for HMA Conference

The Future of Medicaid is Here: Implications for Payers, Providers and States is a two-day event organized by Health Management Associates (HMA). Confirmed speakers include industry executives from Medicaid plans across the nation as well as Medicaid directors from California, Florida, Kansas, Hawaii, Michigan, Tennessee, Texas, and Washington.

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HMA Conference to Feature Insights from Health Plan CEOs, State Medicaid Directors

Dates: September 11-12, 2017
Location: Renaissance Chicago Downtown Hotel

Waivers, block grants and per capita caps, member premiums and copays, health savings accounts, expansion, and new benefit design and funding models will take center stage as 35 speakers from leading health plans, states and providers join Health Management Associates for the high-level, two-day conference The Future of Medicaid is Here: Implications for Payers, Providers and States.

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HMA’s Raney, Lasky Edit Book that Serves as Guide for Implementing Integrated Care

Integrated Care: A Guide for Effective Implementation is co-edited by HMA’s Lori Raney, MD and Gina Lasky, PhD, MAPL and Collaborative Care Consulting’s Clare Scott, LCSW. The book provides a detailed, thoughtful, and experience-based guide to effective implementation of integrated behavioral healthcare. Using evidence and on the ground experience, the authors share practical and actionable advice for a complex model of care.

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Quarterly Medicaid Managed Care Enrollment Update – Q1 2017

This week, we reviewed recent Medicaid enrollment trends in capitated, risk-based managed care in 25 states.[1] Many state Medicaid agencies elect to post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed care organizations. Nearly all 25 states have released monthly Medicaid managed care enrollment data through the first quarter (Q1) of 2017. This report reflects the most recent data posted.

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Early Bird Registration Now Open for HMA’s 2017 Conference on the Future of Medicaid

Health Management Associates is pleased to announce that Early Bird Registration is now open for our second conference on Trends in Publicly Sponsored Healthcare, September 11-12, at the Renaissance Chicago Downtown Hotel. The theme of this year’s event is The Future of Medicaid is Here: Implications for Payers, Providers and States  

Featured speakers already include some of the nation’s most innovative healthcare leaders.  Visit the conference website to receive the Early Bird rate and stay up to date on the latest conference news.

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HMA Completes Acquisition of SVC

SVC, founded by CMS Administrator Seema Verma, is now part of Health Management Associates (HMA). The acquisition, announced March 13 by HMA founder Jay Rosen, was finalized late Friday, March 31. SVC now becomes HMA Medicaid Market Solutions (HMA MMS), a subsidiary of HMA.

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Celebrating Doctors’ Day at HMA

March 30th is Doctors’ Day, and for most physicians that means a special lunch in the hospital cafeteria or a carnation on their white coat. But a few years ago, I hung up my white coat and made the transition to healthcare consulting. The questions immediately started. Won’t you miss seeing patients? What exactly will you do? Did you lose your license? That last one is my favorite. So what exactly is a doctor like me doing in a place like this?

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Loneliness is Lethal: Five Strategies to Improve Health Outcomes by Improving Social Connectedness

This blog post was authored by HMA clinicians Margaret Kirkegaard, MD, MPH, and Jeffrey Ring, PhD

While most people would agree that social relationships improve day-to-day quality of life, do social connections actually provide a health benefit? The answer is a resounding yes!

In 1921, a remarkable study began tracking the lives of 1,500 Americans from childhood to death. It sought to track what factors in life — such as faith, marriage, pets and exercise — increased longevity. The most significant finding was that strong social networks mattered the most. The quality of social connections was more significant than the quantity.[1] In an interview with National Public Radio, lead researcher Howard Friedman notes, “We saw that over and above the number of connections and the frequency of interactions that when those connections involved helping other people, reaching out, being actively engaged to do things for others, that was an added bonus on top of what we already see as quite beneficial from the social contacts themselves.”[2]

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Illinois Issues RFP to Rebid Medicaid Managed Care Programs, Expand Statewide

This week, we reviewed the request for proposals (RFP) issued on February 27, 2017, by the Illinois Department of Healthcare and Family Services (HFS) to rebid the majority of the state’s existing Medicaid managed care program contracts, consolidate multiple programs into a single streamlined program, and expand managed care statewide. The RFP will consolidate the current Family Health Plans/ACA Adults (FHP/ACA) program, the Integrated Care Program (ICP), and the Managed Long Term Services and Supports (MLTSS) program into a single contracting approach, while reducing the number of contracted managed care organizations (MCOs) from 11 to between four and seven. The RFP does not impact the Medicare-Medicaid Alignment Initiative (MMAI) duals demonstration at this time. When fully implemented by the end of 2018, the new managed care program will cover roughly 2.7 million Medicaid beneficiaries in all 102 counties in Illinois.

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Washington Releases Apple Health Fully Integrated Managed Care RFP for North Central RSA

This week, we reviewed the Washington Health Care Authority’s (HCA’s) request for proposals (RFP) for the North Central Regional Service Area (RSA) transition to Fully Integrated Managed Care (FIMC) under the Apple Health Medicaid program. Under the RFP, HCA will contract with fully integrated Medicaid managed care organizations (MCOs) – integrating physical and behavioral health – for the North Central RSA, which consists of Chelan, Douglas, and Grant counties. HCA previously issued a FIMC RFP for Clark and Skamania counties in the second half of 2015. The state eventually intends to transition all counties to the Apple Health FIMC model. Awarded MCOs will begin serving the North Central RSA on January 1, 2018. There are more than 66,200 Apple Health members in the North Central RSA as of February 2017.

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