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.
This post was originally written by HMA Managing Principal Dr. Jean Glossa and Principal Dr. Jeffrey Ring for the Solving Disparities Blog.
Thank You for Asking…
What do you get when you invite 15–20 diverse patients over to dinner to talk about their healthcare in their native language? Pure magic!
Make sure to stop by booth 27 October 23-27 at NASHP’s 30th Annual State Health Policy Conference in Portland, OR.
Visit us at booth #27 to learn more about how HMA can help your organization. HMA Principal Carl Mercurio also will be doing live demonstrations of HMA Information Services (HMAIS).
Health Reform Policy to Practice – Oregon’s Path to a Sustainable Health System: A Study in Innovation published by Elsevier Academic Press in August, provides a real-world example of an innovative, successful, and comprehensive Medicaid program redesign conducted by the State of Oregon. HMA colleagues Tina Edlund, Jeanene Smith, Cathy Kaufmann, and Lori Coyner were actively involved in Oregon’s healthcare reform efforts and have authored chapters on the development of Oregon’s metrics and incentive program, its patient-centered primary care medical home program, and its comprehensive system of supports for delivery system transformation.
Medicaid enrollment continues to slow in FY 2017 and FY 2018; however, states project an uptick in spending in FY 2018. This is just one finding in the 17th annual 50-state Medicaid Budget Survey conducted by The Kaiser Family Foundation and in collaboration with Health Management Associates (HMA) and the National Association of Medicaid Directors.
Medicaid enrollment continues to slow in FY 2017 and FY 2018; however, states project an uptick in spending in FY 2018. This is just one finding in the 17th annual 50-state Medicaid Budget Survey conducted by The Kaiser Family Foundation and in collaboration with Health Management Associates (HMA) and the National Association of Medicaid Directors.
This week, our In Focus section reviews the bipartisan health deal reached by Senators Patty Murray (D-WA) and Lamar Alexander (R-TN), both members of the Senate’s Health, Education, Labor, & Pensions (HELP) Committee. Bipartisan talks around a bill to stabilize insurance markets have been ongoing for months, with discussions resuming after the Senate pulled a vote on the Graham-Cassidy reform bill last month. The Murray-Alexander bill, for which a discussion draft has been circulated, seeks to stabilize insurance markets through several key actions around cost-sharing reduction (CSR) payments to insurers and Section 1332 waivers, as well as several additional provisions. Below, we provide a summary of the key provisions as they stand.
Analyses of prescription drug spending trends may not always include the role various parts of the pharmaceutical supply chain play in those trends. This analysis examines hospital charges and reimbursement for 20 drugs for which hospital reimbursement data is provided in the Magellan Rx Management Medical Pharmacy Trend Report™: 2016 Seventh Edition (the Magellan report). Charges were calculated from claims data, as described in the methodology at the end of this report. Magellan reports that prescriptions in the hospital outpatient setting account for 52% of spending on medical-benefit drugs (drugs, typically physician-administered, that are reimbursed under health plans’ medical benefit rather than the pharmacy benefit) for commercial payers.
This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 27 states.[1] Many state Medicaid agencies elect to post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed care organizations. Nearly all 27 states have released monthly Medicaid managed care enrollment data through the third quarter (Q3) of 2017. This report reflects the most recent data posted.
This week, our In Focus section highlights an article, Digitally Driven Integrated Primary Care and Behavioral Health: How Technology Can Expand Access to Effective Treatment, published in the Current Psychiatry Report, was co-authored by HMA Principals Lori Raney, MD and David Bergman, MPA, as well as John Torous, MD, and Michael Hasselberg, M.S., Ph.D. Together, they addressed how technology solutions can be utilized for more widespread implementation of effective integrated primary care and behavior health.
