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

HMA Insights – including our new podcast – 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 podcast, blogs, webinars, case studies, reports and more.

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Webinar

Webinar Replay: Managing Social Determinants of Health: A Framework for Identifying, Addressing Disparities in Medicaid Populations

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On September 7, 2017, HMA hosted the webinar, “Managing Social Determinants of Health: A Framework for Identifying, Addressing Disparities in Medicaid Populations,” in partnership with the Disability Policy Consortium.

Social determinants of health are increasingly recognized by Medicaid programs as important drivers of poor health outcomes and disparities that lead to higher costs. In response, Medicaid programs are beginning to analyze social determinants of health as potential causes of health disparities.

During this webinar, Ellen Breslin and Anissa Lambertino of HMA, Dennis Heaphy of the Disability Policy Consortium, and independent consultant Tony Dreyfus presented an analytical framework for understanding the impact social determinants of health have on Medicaid populations. Leveraging work done by the Institute of Medicine, the framework includes measures and statistical methods that Medicaid programs, health plans, and accountable care organizations can use to generate the type of information needed to develop interventions that improve health outcomes. Listen to the recording and:

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Webinar

Webinar Replay: Merger Readiness – What Behavioral Health Providers and CBOs Need to Know Before Considering a Healthcare Merger

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On May 10, 2017, HMA Information Services hosted the webinar, “Merger Readiness: What Behavioral Health Providers and CBOs Need to Know Before Considering a Healthcare Merger.”

Behavioral health providers and community-based organizations increasingly face an important decision.  Can they continue to go it alone? Or is it time to consider merging with another entity to achieve the scale, scope and sophistication necessary to thrive in a healthcare system that continues to grow only more complex? The answer involves not only an honest assessment of your existing goals, values, market prospects, and potential partners, but a clear understanding of what’s required from a strategic and operational standpoint to make your organization “merger ready.”

During this webinar, HMA Principals Josh Rubin and Meggan Schilkie will outline what behavioral providers and community-based organizations (CBOs) need to know when considering and ultimately pursuing a potential health care merger and the steps to take during each merger phase (Pre-Merger, Merger Execution, and Post-Merger). Listen to the recording and:

  • Understand the pros and cons of merging with a large health system vs. teaming up with another behavioral health provider, Federally Qualified Health Center or CBO.
  • Identify the types of data, quality measures, reporting mechanisms, and organizational structure necessary to position your organization as “merger ready” to potential partners.
  • Learn how to identify potential merger partners that align with your organization’s culture, values, and mission.
  • Develop effective messaging and communications strategies, allowing you to properly educate staff, board members, regulators, and other constituents about the pros and cons of a prospective merger.
Webinar

Webinar Replay: Building a Community Collaborative

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On April 12, 2017, HMA Information Services hosted the webinar, “Building a Community Collaborative: Evidence-Based Interventions that Bring Together Healthcare Providers, Community-Based Organizations, and the Criminal Justice System.”

Individuals with complex challenges arising from chronic health conditions, mental health and/or substance-abuse disorders, or involvement in the criminal justice system are among the highest-cost utilizers of the healthcare system. A multi-pronged Community Collaborative can ensure evidence-based interventions that identify and effectively treat high utilizers – helping to keep them out of the emergency room and out of jail.

During this webinar, HMA Principal Bren Manaugh and Senior Consultant Amanda Ternan provide a case study of a successful Community Collaborative in Bexar County, Texas. HMA Senior Consultant Laquisha Grant discusses similar initiatives in New York. The webinar offers practical considerations for building and operating a Community Collaborative, ensuring best practices, and creating a shared recognition of the need for trust and coordination among healthcare providers, community-based organizations (CBOs), and the criminal justice system. Listen to the recording and:

  • Understand the two primary focal points of a Community Collaborative: Interventions that help keep high-cost utilizers of healthcare out of the emergency room; and diversions that help keep people out of jail.
  • Define the roles of the key constituents in a Community Collaborative, including healthcare providers, hospitals, EMS, CBOs, police, judges, and local government health officials.
  • Develop a community impact framework to gather and disseminate the type of data needed to drive effective interventions.
  • Understand the clinical components of the Community Collaborative model, including multi-disciplinary treatment teams; targeted, evidence-based interventions; and person-centered, integrated care that addresses medical, behavioral, and psychosocial needs.
Webinar

Webinar Replay: How CBOs Contract, Receive Reimbursement for HCBS in Medicaid Arrangements – A Blueprint for Success

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On March 1, 2017, HMA Information Services hosted the webinar, “How Community-Based Organizations Contract and Receive Reimbursement for Home and Community-Based Services in Medicaid Arrangements – A Blueprint for Success.”

Community-based organizations (CBOs) have a long history of supporting people with disabilities and older adults to live and thrive in the community, through a variety of funding structures. States are increasingly realizing the value of these organizations as providers and partners in their Medicaid-funded programs. At the same time, many states are partnering with Medicaid managed care organizations to provide long-term services and supports (MLTSS) and considering value-based payment structures for LTSS. This creates both opportunities and challenges for CBOs who have had experience serving individuals who need assistance to be able to live independently in their own homes.

During this webinar, a panel of experts provide real-world strategies that CBOs can use to effectively expand access to their services, work with state Medicaid programs, contract with managed care, and ensure sufficient reimbursements. Listen to the recording and:

  • Learn where CBOs fit within Medicaid-funded long-term services and supports, in an increasingly value-based and integrated healthcare landscape.
  • Understand the challenges in moving from grant-based funding to payment structures based on the development of networks, utilization management, and quality.
  • Identify various contracting strategies available to CBOs in dealing with Medicaid managed care health plans.
  • Obtain case studies of successful CBOs approaches to contracting and reimbursement, including tips on how to form networks of community-based providers.
  • Learn how to address back-office functions, reporting requirements, and IT challenges that come with managed care contracting arrangements or participation in a CBO network

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

Webinar

Webinar Replay: Relationship-Centered Care

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On February 16, 2017, HMA Information Services hosted the webinar, “Relationship-Centered Care: A Healthcare Provider’s Guide to Patient Engagement, Shared Decision Making, and Improved Outcomes.”

Relationship-centered care is more than just a good bedside manner. It’s an entire primary and behavioral care construct designed to foster patient engagement, shared decision making, and a deep collaborative approach between healthcare providers and patients.

During this webinar, HMA experts Margaret Kirkegaard, MD, family physician, and Jeffrey Ring, PhD, health psychologist, provide a deep appreciation of the value of relationships in the provision of medical care, including data that illustrates the efficacy of the relationship-centered approach. The webinar also provides a roadmap for provider organizations striving to enhance relationship-centered care initiatives that involve providers, patients, and the entire medical and administrative staff. Listen to the recording and:

  • Understand the psychology behind relationship-centered care and how it drives collaboration, shared decision making, and a team-based approach – in which the patient is part of the team.
  • Discover how relationship-centered care improves outcomes, reduces costs, and enhances patient and practitioner satisfaction.
  • Learn how relationship-centered care can ensure continuity for patients across the healthcare continuum and foster a more team-based approach among providers.
  • Assess the tools and techniques required to implement and monitor relationship-centered care initiatives among providers, office staff, and care teams.

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

Webinar

Webinar Replay: Outlook for Medicare

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On February 15, 2017, HMA Information Services hosted the webinar, “An Assessment of Potential Healthcare Policy Changes that Could Impact Original Medicare and Medicare Advantage.”

Throughout his campaign, President Trump indicated he would not make cuts to the Medicare program. But the reality is that the repeal of the Affordable Care Act could have a significant impact on several important Medicare benefits. Furthermore, many Republican legislators are considering a number of reforms that could drastically change the Medicare program, including the potential transition of Medicare to a premium support program.

During this webinar, HMA Principal Mary Hsieh and Senior Consultants Aimee Lashbrook and Jason Silva outline some of the key Medicare reforms being considered, which – if any – are likely to make it to the President’s desk, and how healthcare organizations can best navigate the evolving Medicare business and regulatory environment. Listen to the recording and:

  • Understand the ACA’s Medicare-related provisions and what might be included in a partial repeal.
  • Identify priorities of the new administration as it relates to Medicare.
  • Find out what premium support could mean to the Medicare program, and identify what factors will impact the likelihood that Congress will take the controversial step of attempting to transition Medicare to a defined contribution model.
  • Understand the potential opportunities and threats for insurance-based programs like Medicare Advantage and Medigap.
  • Assess the likely future of key Medicare programs such as Medicare Advantage, the Center for Medicare & Medicaid Innovation (CMMI), the Independent Payment Advisory Board (IPAB), and the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
  • Identify major policy windows and how they could affect timing of any Medicare-related changes.

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

Webinar

Webinar Replay: A Comprehensive Approach to Managed Long-Term Services and Supports

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On December 7, 2016, HMA Information Services hosted the webinar, “A Comprehensive Approach to Managed Long-Term Services and Supports: Assessing Health Plan Partnerships with Community-Based Organizations to Serve Members Who Qualify for MLTSS.”

Health plans serving the market for MLTSS have a unique opportunity to strengthen their relationships with existing and new community-based organizational partners to fill important gaps in care for elderly and disabled members. During this webinar, HMA Principals Karen Brodsky and Liddy Garcia-Bunuel discuss how managed care organizations can assess their MLTSS-specific partnerships to better serve members and foster a comprehensive approach to meeting the long-term needs of some of the most vulnerable and high-cost members. Listen to the recording and:

  • Identify and address gaps in care by building a broad array of relationships and partnerships with community-based organizations.
  • Maximize outreach efforts to ensure MLTSS members take advantage of available community-based services and options.
  • Train employees across your health plan – including administrative and clinical staff – to recognize opportunities where members can benefit from community-based organizations.
  • Develop an infrastructure to maintain a current roster of community-based organizations and the availability of various services to MLTSS members.

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

Webinar

Webinar Replay: Essential Attributes of a High-Quality System of Care

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On November 22, 2016, HMA Information Services hosted the webinar, “What Matters Most: Essential Attributes of a High-Quality System of Care for Adults with Complex Care Needs.”

What are the Essential Attributes of a high-performing healthcare system for adults with complex care needs? The SCAN Foundation convened a working group of national experts that identified four “Essential Attributes,” based on person-centered care that serves the goals and needs of individuals, their families, and caregivers.

During this webinar, representatives from Health Management Associates, The SCAN Foundation, and leading quality measurement organizations discuss how a growing understanding of the Essential Attributes of high-performing healthcare systems will impact quality reporting and measurement in the future – fostering systems of care that support the independence, health, and well-being of adults with complex care needs in the least restrictive settings possible. Listen to the recording and:

  • Understand the four Essential Attributes of high-performing systems of care for adults with complex care needs, including the development of informed, compassionate, and accessible care systems that meet the medical and non-medical goals of individuals, their families, and caregivers.
  • Learn how quality measurement organizations are developing metrics that incorporate the Essential Attributes and focus on individuals, their families, and caregivers.
  • Ensure that technical quality metrics result in tangible person-focused care and outcomes for adults with complex care needs.

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

Webinar

Webinar Replay: What’s Next for Medicaid?

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On November 16, 2016, HMA Information Services hosted the webinar, “What’s Next for Medicaid? An Inside Look at Findings from the 16th Annual Kaiser 50-State Medicaid Budget Survey.”

Medicaid enrollment and spending growth slowed considerably in fiscal 2016 following strong gains in 2015 driven by expansion under the Affordable Care Act, according to the 16th annual Medicaid budget survey from The Kaiser Family Foundation’s Commission on Medicaid and the Uninsured (KCMU). Still, states continue to push hard to further reform the Medicaid program, initiating a wide array of efforts to coordinate care, expand access, revamp payments, improve quality, and control costs.

During this webinar, experts from Health Management Associates, which works with KCMU and the National Association of Medicaid Directors each year to conduct the survey, outline key findings from the recently-released budget survey and discuss what it all means for the future of Medicaid. Listen to the recording and:

  • Assess the latest trends in long-term services and supports programs, including the continued push by states to implement Managed LTSS initiatives.
  • Find out how Medicaid programs are working to better understand social determinants of health and coordinate with organizations involved in housing supports, foster care, correctional health, and other programs for vulnerable populations.
  • Get details about state-based Medicaid delivery system and payment reform efforts, including developments in patient-centered medical homes, accountable care, and Delivery System Reform Incentive Payment (DSRIP) programs.
  • Learn why Medicaid spending and enrollment growth will continue to slow in 2017, and identify the key drivers of Medicaid spending growth.
  • Assess the financing of Medicaid in 2017 and beyond, when the federal matching rate for expansion enrollees begins to decline.

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

Webinar

Webinar Replay: The Future of 1332 Waivers

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On October 25, 2016, HMA Information Services hosted the webinar, “The Future of 1332 Waivers: Likely State Initiatives and the Potential Impact on Health Insurance Exchanges, Managed Care Plans and Providers.”

What does the future hold for Section 1332 State Innovation Waivers? Only a handful of states have applied for State Innovation Waivers, which allow states to modify certain aspects of the health insurance Exchange program. Given recent concerns over the viability of Exchanges and calls for flexibility in the structuring of Exchange offerings, Section 1332 Waivers are an important policy lever to watch.

During this webinar, HMA experts Donna Laverdiere and Margaret Tatar discuss considerations for the future of Section 1332 Waivers, the types of modifications states may apply for in the context of a new presidency, and the potential impact on health plans, providers, regulators, and consumers. The webinar also addresses federal guidance on what is and isn’t allowed under a 1332 Waiver. Listen to the recording and:

  • Find out how Section 1332 Waivers can enhance the viability of Exchanges by allowing for innovation in benefits and covered populations.
  • Assess the various Section 1332 Waivers already proposed by states, including a rundown of the types of modifications and innovations being planned.
  • Understand federal limitations on the use of Section 1332 Waivers, including requirements that waivers are deficit neutral and don’t increase federal Exchange subsidies.\
  • Learn about some of the new ideas being considered for Section 1332 Waivers, concepts that could dramatically impact the future of Exchanges and other healthcare programs.

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

Webinar

Webinar Replay: What Matters Most: Essential Attributes of a High-Quality System of Care for Adults with Complex Care Needs

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This webinar was held on November 22, 2016. 

What are the Essential Attributes of a high-performing healthcare system for adults with complex care needs? The SCAN Foundation convened a working group of national experts that identified four “Essential Attributes,” based on person-centered care that serves the goals and needs of individuals, their families, and caregivers.

During this webinar, representatives from Health Management Associates, The SCAN Foundation, and leading quality measurement organizations will discuss how a growing understanding of the Essential Attributes of high-performing healthcare systems will impact quality reporting and measurement in the future – fostering systems of care that support the independence, health, and well-being of adults with complex care needs in the least restrictive settings possible.

Learning Objectives

  • Understand the four Essential Attributes of high-performing systems of care for adults with complex care needs, including the development of informed, compassionate, and accessible care systems that meet the medical and non-medical goals of individuals, their families, and caregivers.
  • Learn how quality measurement organizations are developing metrics that incorporate the Essential Attributes and focus on individuals, their families, and caregivers.
  • Ensure that technical quality metrics result in tangible person-focused care and outcomes for adults with complex care needs.

Speakers
Bruce Chernof, MD, President, Chief Executive, The SCAN Foundation
Sarah Barth, JD,  Principal, Health Management Associates
Tracy Lustig, DPM, MPH,  Senior Director, National Quality Forum
Jessica Briefer French, MHSA, Assistant Vice President, Research, National Committee for Quality Assurance

Who Should Attend
Quality improvement experts; management of quality measurement organizations; executives of Medicaid managed care plans; clinical and administrative leadership of integrated delivery systems and other provider organizations; state and local Medicaid officials.

 

Webinar

Webinar Replay: Physician Perspectives on Using Telemedicine to Address the Shortage of Mental Health Providers

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On August 25, 2016, HMA Information Services hosted the webinar, “Physician Perspectives on Using Telemedicine to Address the Shortage of Mental Health Providers.”

Telemedicine, remote patient monitoring and mobile health can increase access to care for underserved populations, especially among mental health patients where demand for services is growing despite an unprecedented shortage of providers. Telemedicine also has the potential to ease the burden facing healthcare organizations as they make the transition to care delivery payment models that stress value over volume. The most effective programs in design and implementation are the ones that utilize certain core features that will be necessary for the highly anticipated new CPT codes for integrated care.

During this webinar, HMA physicians Jean Glossa, MD, an internist; and Lori Raney, MD, a psychiatrist, discuss the impact that telemedicine and other technologies can have on improving access and care for vulnerable mental health populations. They also outline the most important elements of a telemedicine program with a special emphasis on the needs of patients and perspectives of the interdisciplinary teams serving them. Listen to the recording and:

  • Learn how telemedicine can increase access to care for vulnerable populations, especially in disciplines where provider shortages exist, such as mental health.
  • Assess various payment models for telemedicine along with how to effectively measure return-on-investment.
  • Find out why the use of telemedicine in psychiatry is growing and what this means for behavioral integration, care coordination, care quality, reimbursement and cost.
  • Understand the role telemedicine can play as the focus in healthcare shifts to managing total cost of care for patients in risk-sharing arrangements.