In conjunction with the Kaiser Family Foundation (KFF), a team of HMA experts have published survey results and analysis examining administration of the Medicaid pharmacy benefit. HMA contributing colleagues were Kathleen Gifford, Anne Winter and Linda Wiant. Rachel Dolan, Marina Tian, and Rachel Garfield from KFF also contributed. The report, How State Medicaid Programs are Managing Prescription Drug … Read More
Medicare-Medicaid integration: integrated model enrollment rates show majority of Medicare-Medicaid dual eligible population not enrolled
April 21, 2020
Working in conjunction with Arnold Ventures, a team of HMA consultants has written an issue brief, Medicare-Medicaid Integration: Integrated Model Enrollment Rates Show Majority of Medicare-Medicaid Dual Eligible Population Not Enrolled. This brief presents key findings on their examination of the availability of integrated programs in states, the growth in enrollment rates, and differences in … Read More
HMA experts provide guide to California county behavioral health programs
April 9, 2020
A team of HMA behavioral health experts have developed a webinar and white paper addressing changes to California’s county behavioral health programs and provide a guide to help counties and stakeholders determine the best path forward.
Framework examines behavioral health crisis diversion facilities
March 24, 2020
Individuals with behavioral health needs often find themselves involved with law enforcement or in hospital emergency rooms during times of crisis. Health Management Associates (HMA) has released a model framework examining a third option for care – Crisis Diversion Facilities.
HMA experts author LA city and county studies
March 5, 2020
HMA Community Strategies (HMACS) experts have released a pair of evaluation reports commissioned by the City of Los Angeles and the County of Los Angeles. HMACS worked with the Los Angeles Housing + Community Investment Department (HCIDLA) to facilitate the inaugural, interactive Los Angeles Poverty Prevention Summit and produced a report and policy recommendations. The … Read More
HMA explores potential issues for individuals with end-stage renal disease enrolling in Medicare Advantage
February 12, 2020
Starting in 2021, Medicare beneficiaries with End-Stage Renal Disease (ESRD) will be able to enroll in any Medicare Advantage (MA) plan. The Anthem Public Policy Institute asked HMA to explore some of the potential issues associated with how MA plans are currently paid by the Centers for Medicare & Medicaid Services (CMS) for individuals with … Read More
HMA prepares report detailing economic implications of a Medicaid expansion in Missouri
January 30, 2020
On January 30, 2020, the Missouri Hospital Association issued a press release outlining a report prepared by Health Management Associates. Read the official press release. The report, Medicaid Expansion in Missouri – Economic Implications for Missouri and Interviews Reflecting Arkansas, Indiana, and Ohio Experiences, was prepared by HMA MMS Managing Director Matt Powers and Managing … Read More
Hospital Charges and Reimbursement for Medicines: Analysis of Cost-to-Charge Ratios
September 4, 2018
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
Michigan Medicaid Managed Care Results Announced
October 14, 2015
In previous editions of The Michigan Update (most recently in August) we have reported on the Michigan Department of Health and Human Services’ (MDHHS) release of a Request for Proposals (RFP) to re-procure its Medicaid managed care contracts. The RFP was released in early May with bidder responses due in early August. This procurement is for at … Read More