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HMA Insights: Your source for healthcare news, ideas and analysis.

HMA Insights puts the vast depth of HMA’s expertise at your fingertips, helping you stay informed about the latest healthcare trends and topics. Below, you can easily search based on your topic of interest to find useful information from our blogs, webinars, case studies, reports and more.

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Webinar

Empowered Leadership Can Transform Care for Vulnerable Populations

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New challenges require new kinds of teams with new competencies motivated by new leadership skills.

The emerging transformation of healthcare delivery for safety net populations is forcing clinical and administrative leaders into unfamiliar territory. Successful leadership requires an enhanced set of skills, combining the traditional emphasis on clinical proficiency with the kind of non-traditional leadership qualities necessary to engage teams, impact delivery system transformation, and respond to community, social, and clinical needs.

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Webinar

Webinar Replay: Transgender Care and Transitioning

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On March 15 2016, HMA Information Services hosted the webinar, “Transgender Care and Transitioning: Implications of New Health Insurance Coverage Guidelines and Research Findings on the Experiences of Transgender Individuals in the Health Care System.”

New proposed federal regulations require health plans to cover all medically necessary care for transgender individuals, including transition-related services. But it’s more than just covering care. It’s also about ensuring access to appropriate services, training staff to understand the needs of transgender populations, and recognizing the social and financial implications of delaying transition-related care.

During this webinar, Marci Eads and John O’Connor of HMA Community Strategies and HMA’s Heidi Robbins Brown and Karen Brodsky outlined what health plans need to know about the needs of transgender individuals and about how to not only comply with the new guidelines, but also to ensure transgender individuals receive the care they need. Listen to the replay and:

  • Understand the implications of new draft federal guidelines requiring health plans to cover transition-related services and healthcare for transgender individuals.
  • Hear data from HMA Community Strategies’ national survey of transgender individuals about unmet health care needs and the social, psychological and financial implications of not having access to transition-related care.
  • Explore the importance of training health plan representatives to understand the needs of transgender individuals and recommend appropriate healthcare services.
  • Identify barriers to access that prevent transgender individuals from receiving transition-related care and other services in a timely manner.
  • Learn about resources available for ongoing reference, learning and development of culturally competent healthcare staff.

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

Webinar

Targeting Readmissions: A Collaborative Strategy for Hospitals, Health Plans and Local Communities

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Even as hospitals work to reduce readmissions through internal quality improvement efforts, local healthcare communities must also play an active role in addressing factors outside the hospital’s control.  The truth is that a significant percentage of hospital readmissions are associated with community-related factors such as unemployment, poverty, lack of education, and inadequate access to care.

During this webinar, experts from HMA will outline the rationale for a collaborative approach to reducing readmissions, involving hospitals, health plans, community-based organizations, and other providers who can address cultural and community-related factors that impact healthcare outcomes.

Learning Objectives

  • Understand the role that community-related and demographic factors play in driving hospital readmissions, including a look at the most recent research.
  • Identify successful partnerships and programs in which collaborative care can reduce hospital readmissions and improve care quality and outcomes.
  • Find out how team communications, early discharge, care management, and follow-up are key components of any readmissions strategy during and after discharge.
  • Understand the economic and business rationale for hospitals to develop strong collaborative efforts to address readmissions.

HMA Speakers
Gina Lasky, Senior Consultant, Denver
Warren Lyons, Principal, San Francisco
Suzanne Mitchell, Principal, Boston
Jeffrey Ring, PhD, Principal, Southern California

Who Should Attend
Executives of health systems, physician practices, FQHCs, SNFs, and other provider organizations; executives of Medicaid managed care plans; Medicaid directors and staff.

Webinar

Webinar Replay: Launching a Successful Medicare Advantage Plan

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On March 9, 2016, HMA Information Services hosted the webinar, “Launching a Successful Medicare Advantage Plan: Key Strategic, Product, and Operational Considerations.”

A growing number of health systems and Managed Care Organizations (MCOs) are moving to become Medicare Advantage plans. The launch of a Medicare Advantage plan can transition a health system to value-based payments and ensure a steady revenue stream. MCOs can serve a broader and complementary base of members with a Medicare Advantage HMO or a Special Needs Plan. However, launching a Medicare Advantage plan is a complex undertaking, requiring clear organizational intent and a well thought-out product and infrastructural strategy to navigate the regulatory environment and manage the population.

During this webinar, HMA expert Mary Hsieh discusses what is required to launch a successful Medicare Advantage plan, with a special focus on product and pricing strategies as well as key infrastructural and operational considerations. Listen to the replay and:

  • Determine the type of Medicare Advantage plan you should launch based on your organization’s strategic intent.
  • Evaluate product design considerations, including optional supplemental benefits such as fitness, dental, vision, transportation and meals.
  • Identify the driving factors that affect the pricing of the products and pricing trends.
  • Create the operational infrastructure needed for a successful Medicare Advantage plan.
  • The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.
Webinar

Webinar Replay: Value-Based Payment Readiness

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On March 3, 2016, HMA Information Services hosted the webinar, “Value-Based Payment Readiness: A Self-Assessment Tool for Primary Care Providers, FQHCs, and Behavioral Health Providers.”

As the shift from volume-based to value-based payment accelerates, primary care providers, including Federally Qualified Health Centers (FQHCs) and behavioral health providers, must make critical changes to become ready for value-based payments and ensure their financial sustainable. But what changes need to be made?

There is now an online self-assessment tool that providers can use to pinpoint specific strengths and gaps in value-based payment readiness and identify core care delivery, operational, and financial capabilities and high-priority elements to implement. The protocol was designed by HMA and CohnReznick in partnership with the DC Primary Care Association. During this webinar, HMA experts Deborah Zahn and Melissa Corrado, along with CohnReznick expert Peter Epp, demonstrated how the readiness tool can help practices as they prepare themselves for value-based payments. Listen to the replay and:

  • Understand how this new web-based, value-based payment readiness assessment tool can help you assess readiness for providers across multiple domains.
  • Lean how this tool can help practices identify gaps and/or areas in which improvements are needed and identify the core capabilities that are essential for value-based payments and high-priority elements that should be implemented first.
  • Identify the key differences between the assessment tool for primary care providers and the version for behavioral health providers.
  • Find out how multiple practices can use the readiness assessment tool to identify opportunities for developing joint strategies.
  • Understand the various components of the readiness assessment tool.

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

Webinar

Webinar Replay: MLTSS Network Adequacy

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On February 25, 2016, HMA Information Services hosted the webinar, “MLTSS Network Adequacy: Meeting the Access Requirements of an Emerging Market.”

A growing number of states are transitioning Long-Term Services and Supports programs to managed care – raising important concerns about provider network adequacy. For health plans, the challenge is how to best meet state mandated access requirements given a fragmented market in which more than half of the care is delivered by home and community-based services providers.

During this webinar, HMA experts Sarah Barth and Karen Brodsky will provide an overview of the market for Managed Long-Term Services and Supports (MLTSS), outline the challenges of maintaining an adequate network, and provide a framework that health plans and states can follow to ensure that MLTSS members receive the best possible care. Listen to the replay and:

  • Obtain a working framework for monitoring, measuring and maintaining MLTSS network adequacy.
  • Understand how to balance in-network, out-of-network, workforce development and other issues that affect provider access to ensure sufficient MLTSS network options.
  • Understand the value of tracking member and provider satisfaction in maintaining a robust MLTSS provider network.
  • Get a complete run-down of the various types of MLTSS providers to ensure comprehensive representation across your MLTSS network

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

Webinar

Webinar Replay: Value Based End-of-Life Care

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On February 25, 2016, HMA Information Services hosted the webinar, “Value Based End-of-Life Care: Having the Conversation Nobody Wants to Have Benefits Everybody.”

There is growing evidence that end-of-life planning and value-based end-of-life care is a win-win for patients, providers, and payers – resulting in higher quality care that is aligned with patients’ preferences and eliminates relatively high cost futile care.

During this webinar, HMA experts Sukey Barnum, Laurie Lockert, and Suzanne Mitchell, MD, build the case for value-based end-of-life care and planning, and provide a roadmap for health plans and providers looking to launch end-of-life care policies and educational programs.

Listen to the replay and understand:

  • The drivers accelerating the need for value-based end-of-life care and planning.
  • The business case, examples and challenges for developing and implementing value-based end-of-life care programs, policies, and initiatives.
  • The added complexities of end-of-life-care and planning for special populations such as people with serious mental illness, and the benefit of using trauma informed care models for such end-of-life care and planning.

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

Webinar

Launching a Successful Medicare Advantage Plan: Key Strategic, Product, and Operational Considerations

Watch Now

A growing number of health systems and Managed Care Organizations (MCOs) are moving to become Medicare Advantage plans. The launch of a Medicare Advantage plan can transition a health system to value-based payments and ensure a steady revenue stream.  MCOs can serve a broader and complementary base of members with a Medicare Advantage HMO or a Special Needs Plan. However, launching a Medicare Advantage plan is a complex undertaking, requiring clear organizational intent and a well thought-out product and infrastructural strategy to navigate the regulatory environment and manage the population.

During this webinar, HMA expert Mary Hsieh will discuss what is required to launch a successful Medicare Advantage plan, with a special focus on product and pricing strategies as well as key infrastructural and operational considerations.

Learning Objectives

  • Identify the driving factors that affect the pricing of the products and pricing trends.
  • Determine the type of Medicare Advantage plan you should launch based on your organization’s strategic intent.
  • Evaluate product design considerations, including optional supplemental benefits such as fitness, dental, vision, transportation and meals.
  • Create the operational infrastructure needed for a successful Medicare Advantage plan.

HMA Speakers
Mary Hsieh, PharmD MPH, Principal, Atlanta

Who Should Attend
Executives of health systems, physician practices, FQHCs, SNFs, and other provider organizations; executives of Medicaid managed care plans; Medicaid directors and staff.

Webinar

Webinar Replay: California Medi-Cal 2020

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On February 3, 2016, HMA Information Services hosted the webinar, “California Medi-Cal 2020: What the State’s 1115 Waiver Renewal Means for Medicaid Providers, Health Plans and Patients.”

California has received federal approval for a five-year, $6.2 billion 1115 waiver renewal, which can best be described as a mix of old and new. The waiver reauthorizes Medi-Cal managed care and other existing state Medicaid programs – as well as initiating important reforms and innovations. Though scaled down from the state’s original proposal, the new waiver moves California closer to value-based purchasing in Medicaid in several ways.

During this webinar, business and policy experts from HMA’s California offices provide a comprehensive overview of the waiver’s various components, with an emphasis on the type of organizational structures, systems, and performance measurement capabilities providers and health plans will need to successfully compete in the state’s emerging value-based environment. Listen to the replay and:

  • Find out what public and district/municipal hospitals need to do to get their share of up to $3.27 billion in performance incentives through PRIME – successor to the state’s DSRIP initiative.
  • Understand the types of reporting requirements, outcome measures and delivery system models needed to successfully implement waiver programs and comply with new rules and regulations.
  • Evaluate various integrated care models, an essential component of the state’s Whole Person Care pilot, which will divvy up $1.5 billion in incentive payments to foster integrated behavioral and physical healthcare.
  • Learn how to organize case management, care management and training to align with the waiver’s quality and performance requirements.
  • Assess the state’s Global Payment Pilot Program, which seeks to move patients out of the emergency room and into primary care with $1.4 billion in incentive payments – funds previously earmarked for Safety Net Care Pool and Medicaid Disproportionate Share Hospital programs.

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

Webinar

Value-Based Payment Readiness: A Self-Assessment Tool for PCPs, FQHCs, and Behavioral Health Providers

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As the shift from volume-based to value-based payment accelerates, primary care providers, including Federally Qualified Health Centers (FQHCs) and behavioral health providers, must make critical changes to become ready for value-based payments and ensure their financial sustainable. But what changes need to be made? There is now an online self-assessment tool that providers can use to pinpoint specific strengths and gaps in value-based payment readiness and identify core care delivery, operational, and financial capabilities and high-priority elements to implement. The assessment tool was designed by HMA and CohnReznick in partnership with the DC Primary Care Association. During this webinar, HMA experts Deborah Zahn and Mary Goddeeris, along with CohnReznick expert Peter Epp, will demonstrate how the readiness tool can help practices as they prepare themselves for value-based payments.

Webinar

Webinar Replay: Provider Vitality Workshop

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On January 28, 2016, HMA Information Services hosted the webinar, “Provider Vitality Workshop: Strategies for Ensuring an Energized and Effective Healthcare Workforce.”

A strong and effective healthcare system depends on sustaining the vitality and well-being of the provider workforce. That’s not easy, especially among providers working in communities where social determinants weigh heavily on patient health and where the pent-up medical needs of the underserved can overwhelm even the most dedicated healthcare worker. Add to the mix growing state and federal quality reporting requirements, and it’s no wonder healthcare practitioners are at the breaking point.

During this webinar and interactive workshop, HMA Principal Jeffrey Ring, PhD, talks about the dangers of provider burnout. More importantly, he outlines a series of concrete steps healthcare organizations can take to ensure providers remain energized, find meaning in their work, and continue to provide the highest quality care to their patients. Listen to the replay and:

  • Learn how to identify a provider vitality problem at your organization, including signs of growing provider stress, frustration, and burnout.
  • Understand the various drivers of vitality problems, including understaffing, a challenging patient population, a hostile or unsupportive work environment, poorly defined organizational goals, inefficient team or management structures, and inadequate systems and protocols.
  • Identify which provider vitality problems can be addressed through training, workshops and strategies to help providers find meaning in their work versus drivers that require broader organizational restructuring.
  • Learn how to create a supportive work environment that fosters collaborative problem-solving, helps providers balance work and life, and empowers providers to take charge of their own success and well-being.

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.

Webinar

Webinar Replay: Making Healthcare Data Actionable

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On January 14, 2016, HMA Information Services hosted the webinar, “Making Healthcare Data Actionable: Solutions for Converting Data into Information for More Effective Reporting, Decision Making and Strategic Planning.”

We live in a digital universe, and the volume of data is growing exponentially. That’s especially true in healthcare, where the need for information is being driven by changes in regulatory and compliance reporting requirements, demand for quality and performance measures, and a focus on value-based purchasing. But unless all of this healthcare data can be converted into the type of information that supports decision-making and strategic planning, it’s just taking up space.

During this webinar, HMA data specialist Lisa Maiuro, PhD, outlines some practical approaches healthcare organizations can take to convert data into information, including an understanding of how to share data across organizational and functional teams, how to organize data to drive business decisions, and how to present and use data without specialized analytic expertise. Listen to the replay and:

  • Understand how to improve performance by leveraging evidence-based data; track variations in quality; and provide dynamic healthcare dashboards to benchmark quality, utilization, cost of care, and provider patterns; create mapping capabilities; apply predictive analytics, and more.
  • Learn how information solutions can help healthcare organizations respond quickly and easily to the challenges of both internal and external reporting requirements at the state and federal level.
  • Find out how enhanced analytical capabilities can help your organization make better use of available data without large investments in additional IT capabilities or analytic services.

The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.