This report is an update to a previous report examining hospital markups for separately paid drugs. Our prior analysis examined hospital charges and reimbursement for 20 drugs and found that hospitals marked up charges for those drugs, on average, 487 percent of their acquisition cost. We also found that hospitals receive 252 percent of estimated … Read More
HMA Contributes to CPEHN Report on California’s Mental Health Equity Act
July 26, 2018
Principal Jeff Ring and Senior Consultant Helena Whitney recently coordinated and facilitated an advisory committee which provided recommendations for the implementation of California’s Mental Health Equity Act (AB 470, 2017). Using the Advisory Committee recommendations, they developed the California Pan-Ethnic Health Network (CPEHN) report, “Measuring Mental Health Disparities.” AB 470 was proposed to mandate the … Read More
Report Examines the Models and Issues of Behavioral Heath Crisis Services
June 27, 2018
In a report prepared for the Michigan Health Endowment Fund, HMA Principal Steve Fitton and Senior Consultant Esther Reagan examine the models and issues of behavioral health crisis services. Many people with behavioral health (mental illness and/or substance use disorder [SUD]) issues are arriving in hospital emergency departments (EDs) and not being well served in that setting. … Read More
HMA Prepares Report Describing Strategies to Increase MAT Prescribing
June 25, 2018
Senior Consultant Julia Elitzer, Managing Principal Jonathan Freedman, Senior Consultant Mary Russell, and Managing Principal Margaret Tatar recently prepared the report “Strategies to Increase MAT Prescribing,” for the Association of Community Affiliated Plans through a grant from the Open Society Foundations. The report examines how to address opioid use disorder through the promotion of medication-assisted treatment (MAT). MAT … Read More
HMA Contributes MLTSS Research to MACPAC Report
June 20, 2018
Principal Sarah Barth, Principal Karen Brodsky, Principal Sharon Lewis and Senior Consultant Rachel Patterson and other HMA colleagues contributed research under contract to MACPAC on standards for home and community-based services network adequacy in managed care for long-term services and supports (MLTSS) programs and on tailoring MLTSS programs for individuals with intellectual or developmental disabilities.
Report Provides Indigent Healthcare Community Investment Analysis for Florida County
May 22, 2018
In late 2017, the Marion County Hospital District commissioned a study to define the medically indigent, identify the current volume and costs of healthcare for the medically indigent population in Marion County, describe the providers that comprise the health care safety net, summarize the investments made in the health care safety net, outcomes of this … Read More
Governors’ Proposed Budgets for FY 2019: Focus on Medicaid and Other Health Priorities
April 12, 2018
This issue brief provides Medicaid highlights from governors’ proposed budgets for state fiscal year (FY) 2019 (July 1, 2018 through June 30, 2019 in most states). Proposed budgets reflect the priorities of the governor and are often blueprints for the legislature to consider. In total, 39 proposed state budgets and text from 46 state of the state … Read More
Four Briefs Examine New Home and Community-Based Services Settings Rules
March 5, 2018
The federal Center for Medicaid and Medicare Services (CMS) promulgated regulations in 2014 which established standards for the settings in which Medicaid-reimbursed home and community-based services (HCBS) may be provided (42 C.F.R. § 441.301). These regulations also pertain to the settings in which individuals who receive HCBS may reside, even if the Medicaid HCBS are … Read More
Preliminary Look at Key Healthcare Proposals in 32 States from Governors’ Proposed Budgets for SFY 2019
February 16, 2018
The preliminary report presents key healthcare proposals from governors’ proposed state budget documents for state fiscal year (SFY) 2019, state-of-the-state speeches, news reports, and other budget-related documents, based on a review of these materials by the Kaiser Family Foundation and Health Management Associates. Proposed budgets reflect the priorities of the governor and are often blueprints … Read More
Report Examines 6 State Initiatives Aimed to Improve Care for Vulnerable Children Through Interagency and Cross-Sector Collaboration
February 7, 2018
In a new report prepared for Lucile Packard Foundation for Children’s Health, HMA colleagues Sharon Silow‐Carroll, Diana Rodin, and Anh Pham highlight how six programs in five states have made progress in overcoming these barriers in healthcare, education, and other key services.