The 2024 elections could create dramatic changes in the ACA marketplace. Enhanced ACA subsidies passed during the pandemic are set to expire in 2025, and a new CMS administrator will shape policy and regulatory components that affect marketplace and consumer dynamics. This webinar is designed for health plans currently participating in the ACA marketplaces, plans who are considering attending, as well as state regulators and marketplace leaders who need to understand changes that might be coming their way. The webinar will cover not only what is expected to change (2026 Notice of Benefit and Payment Parameters, AVC) but also what could possibly change that will affect 2025 Marketplaces and beyond.
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The Future of Medicare Advantage: How the Election Results Impact the Program
More than 50 percent of Medicare enrollees now choose Medicare Advantage (MA) as their preferred coverage option. This increased growth has brought with it increase scrutiny, with elected officials, regulators, think tanks, and news organizations all raising questions about the current makeup of the program. With MA reform potentially on the table in 2025, come learn about how the election results impact what policy changes could be considered in the coming year.
Learning objectives:
- Understand the political landscape for the Medicare Advantage program post-election
- Identify likely Medicare Advantage reforms
- Assess organizational strategies in response to Medicare Advantage reforms
Mastering Star Performance: Strategies from the HMA Stars Accelerator Program
In this webinar, you’ll learn the essential methods and practices to enhance Star ratings through the HMA Stars Accelerator program. We’ll explore how to leverage data analytics to effectively track current star performance and identify areas for improvement. Additionally, we’ll dive into stratification techniques that allow for targeted focus on key measure opportunities throughout the year to ensure optimal results.
Learning objectives:
- Learn how to implement proven strategies and best practices
- Understand how to leverage data analytics to monitor and assess trends
- Provide focus areas to measure opportunities and enhance performance
The Housing Imperative for Persons with Disabilities to Advance Independent Living and Recovery
This webinar will elevate the importance of expanding affordable and accessible housing for persons with disabilities. Persons with disabilities face enormous challenges in finding affordable and accessible housing for two main reasons. First, they struggle to afford housing. Second, it’s not easy to find accessible housing. Join us as experts share their key insights into the state of affordable and accessible housing for persons with disabilities and contributions to expanding the housing supply.
Learning objectives:
- Understand the impacts of affordable and accessible housing for persons with disabilities through an equity lens.
- Examine the state of affordable and accessible housing for persons with disabilities.
- Broaden your understanding of the impacts of race, income, disability, and geography on access to affordable and accessible housing.
- Learn from experts about ways to expand housing for persons with disabilities.
Featured speakers:
Allie Cannington, Director of Advocacy, The Kelsey
R. Feynman, Director of Advocacy, Disability Policy Consortium, Boston, MA
Olivia Richard, Disability Rights Advocate, Boston, MA
Barry A. Whaley, MS, Project Director of the Southeast ADA Center, Syracuse, MA
Webinar replay: 2025 Medicare Advantage Bids Are Over. Now What?
This webinar was held on September 5, 2024.
The Medicare Advantage (MA) market has had an eventful year, and the chaos is expected to continue. As plans begin their preparation for the upcoming 2026 Plan Year, what are the emerging trends in benefits, STARS, revenue optimization and the regulatory environment? Are you a Medicare Advantage health plan leader overwhelmed with all the changes in the industry? Check out our webinar for some helpful information.
Learning Objectives:
- Review recent high-level challenges in the MA market.
- Gain an understanding of several “hot topics” that MA plans should be thinking about as they begin planning for 2026.
- Learn from HMA experts on recommended actions for each of these topics
Speakers:
Holly Michaels Fisher, Principal, HMA
Michael Forster, Senior Consulting Actuary, Wakely
Sion Hughes, Senior Consultant, Wakely
Dara Smith, Principal, HMA
Eric Williams, Senior Consulting Actuary, Wakely
Webinar replay: Integrating behavioral health into whole-person care
This webinar was held on August 21, 2024.
Whether you insource or outsource your behavioral health benefits, the integration of behavioral health and medical care continues to emerge as a critical strategy to improve health and reduce healthcare costs. This webinar is designed to help organizations begin to navigate this important shift in expectations and ultimately be a part of successful change in this area. By focusing on the value of a whole-person care approach to behavioral health, HMA experts described the different models for integrating behavioral health and provided a training framework to support the behavioral health aspects of whole-person care.
Learning Objectives:
- Articulate the benefits of incorporating a strong Behavioral Health approach into Whole-Person Care Models
- Learn the different models for integrating Behavioral Health care into Health Plan Functional Areas and Operations
- Able to develop a training framework for all Health Plan staff to increase their competencies for addressing Behavioral Health conditions
Moderator: Michael Engelhard, MBA, Health Management Associates
Webinar replay: The new administrative state: implications of recent landmark Supreme Court rulings for federal regulations, agency deference, and state implementation
This webinar was held on August 14, 2024.
While legal experts assess the recent U.S. Supreme Court rulings, federal and state agency leaders face significant questions about how their agencies and their responsibilities will be impacted. This webinar featured insightful discussions with former federal and state agency leaders exploring the known and yet-to-be determined impacts of recent rulings on federal regulations, rulemaking and actions, and agency deference, and also explored the impact on state agencies implementing federal rules. The webinar addressed the impact of the pivotal Loper Bright Enterprises v. Raimondo and West Virginia v. EPA decisions. Together these decisions overturned the longstanding Chevron deference doctrine, are pushing Congress to craft more specific legislation, and are directing courts to interpret ambiguous statutes. The discussion also explored the most appropriate responses of agency leaders, anticipated the ways that these decisions impact federal and state agency decision-making, and identified areas of growing uncertainty.
Learning Objectives:
- Understand what we know about the impact of these decisions on agency rulemaking and decision making, consider the impact on federal agency discretion, and understand the shift in power towards Congress and judicial interpretation
- Analyze the likely impact on agency rulemaking processes
- Explore state governance issues, both as a partner to federal agencies and as an implementer of federal policy and funds
- Identify the most important questions yet to be answered
Speakers:
- Governor Mike Leavitt, Advisor, Health Management Associates and founder of Leavitt Partners, an HMA Company, former HHS Secretary and EPA Administrator
- Chuck Milligan, JD, MPH, CEO, Health Management Associates, former State Medicaid Director
- Amy Comstock Rick, JD, Principal, Leavitt Partners, an HMA Company
Webinar replay: rural health equity for dually eligible individuals: improving access to services and integrated care programs
This webinar was held on February 2, 2023.
Dually eligible individuals covered under Medicare and Medicaid living in rural areas struggle to access the services, care coordination, and integrated care programs they need. To address these needs, HMA conducted multi-state roundtable discussions with diverse stakeholders to create The Health Equity & Access for Rural Dually Eligible Individuals (HEARD) Toolkit. During this webinar, our experts summarized and discussed the toolkit’s actionable solutions for improving health and social outcomes for rural dually eligible individuals.
Learning Objectives:
- Understand why the voices of rural dually eligible individuals must drive planning efforts to generate innovations and prioritize investments to advance independent living and recovery goals.
- Learn how experiences shared from New Mexico, North Dakota, and Tennessee can offer lessons.
- Explore eight actionable solutions for improving health and social outcomes among rural dually eligible individuals as outlined in the HEARD toolkit.
- Understand why community engagement and investment in rural capacity are essential to improving access to services and integrated care programs for rural dually eligible individuals.
Speakers
Arielle Mir, Vice President, Health Care, Arnold Ventures
HMA Team
Ellen Breslin, Principal
Samantha Di Paola, Consultant
Susan McGeehan, Senior Consultant
Expert Panelists
Dr. Kevin Bennett, Professor of Family Medicine, University of South Carolina School of Medicine, Director of the Research Center for Transforming Health, and Director of the South Carolina Center for Rural and Primary Care
Dennis Heaphy, Health Justice Advocate and Researcher, Massachusetts Disability Policy Consortium, Co-Chair, One Care Implementation Council, a One Care member, and MACPAC Commissioner
Pamela J. Parker, Medicare-Medicaid Integration Consultant, SNP Alliance
Tallie Tolen, Long-Term Services and Supports Bureau Chief, Medicaid, New Mexico Human Services Department
Webinar replay: supporting family caregivers: the changing policy and practice landscape
This webinar was held on June 27, 2024.
Over the past decade, the U.S. has seen significant federal and state policy initiatives to improve and expand assistance for the millions of family members who help care for older adults, and those who support people with intellectual and developmental disabilities (I/DD) across the lifespan. The pandemic, combined with workforce shortages, accelerated these efforts. In this webinar with national family caregiving experts, we discussed policy and practice advances and their potential impact on enabling more Americans to live at home and in the community.
Learning Objectives:
- Review evidence that supporting family members improves outcomes for older adults and people with I/DD.
- An overview of current federal and state implementation of the 2022 National Strategy to Support Family Caregivers and the 2022 National Agenda for Supporting Families with a Member with I/DD.
- Share evolving opportunities for improving policy and practice in family caregiving initiatives.
You may also be interested in:
- HMA’s report on Opportunities to Enhance HCBS for Older Adults and Individuals Providing Care
- A report from 2022 outlining a National Agenda for Supporting Families with a Member with I/DD
Featured Speakers:
Webinar replay: D-SNP growth and integration: key implications of the 2025 CMS final rule
This webinar was held on June 20, 2024.
Watch our informative webinar where HMA experts reviewed the upcoming changes from the 2025 Final Rule that will impact Dual Special Needs Plans (D-SNPs) in 2025 and beyond. The session featured an analysis of the new regulations and a discussion of the critical strategic and product impacts on Medicare organizations offering D-SNPs or considering offering D-SNPs. Attendees also had the opportunity to engage with the panelists during a Q&A session.
Learning Objectives
- Understand the impact of the 2025 Final Rule on D-SNPs as CMS promotes the integration of Medicare and Medicaid for dually eligible individuals.
- Gain a high-level understanding of the federal changes, the timelines for implementation, and the impact on your D-SNP strategy and growth opportunities.
Webinar replay: Medicare physician fee schedule reform – structural topics and recommendations
This webinar was held on June 13, 2024.
HMA recently released a report on the Medicare Physician Fee Schedule (PFS) with background on the structure of the program, and recommendations for reforms that could be considered. This webinar provided background and context about the PFS for interested parties who may be less familiar with the payment system and why the stakeholder community got to the point of needing to “fix” the fee schedule. We discussed pressing policy and payment concerns, provided an overview of key structural issues within the PFS that should be considered and balanced when making policy changes to the payment system, highlighted different stakeholder perspectives, and offered recommendations within CMS authority.
Learning Objectives:
- Understand the background, context and function of the PFS including its relationship to other payment systems.
- Highlight key policy developments over time leading to the current focus on “fixing” the payment system.
Webinar replay: Substance Use Disorder (SUD) Ecosystem of Care – Pivoting to Save Lives Part 3: Building Systems-Thinking in the SUD Ecosystem
This webinar was held on May 1, 2024
The final webinar of this three-part series emphasized the importance of a comprehensive and interconnected spectrum of engagement and treatment strategies. To truly build and maintain a substance use disorder (SUD) ecosystem with accountability across the system and ‘no wrong door,’ best practices must embrace a systems-thinking approach. An interconnected system requires building strong partnerships across the SUD ecosystem and engagement and treatment strategies will focus on leveraging those partnerships to facilitate engagement of individuals throughout the system.
Learning objectives included discussing approaches to system alignment that emphasize impact and ensure individuals remain engaged no matter where they are in their SUD journey and how to describe a comprehensive approach to systems thinking that builds accountable relationships and partnerships to ensure that the system has no wrong doors for engagement of individuals throughout the system.