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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 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 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.

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.



HMA Telehealth Series: Telepsychiatry and the Psychiatric Workforce Shortage

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This week, HMA principal Lori Raney, MD, provides an overview of telepsychiatry, a type of telemedicine where general psychiatric services are provided via videoconferencing, and how it can play a role in addressing the nationwide psychiatric workforce shortage. Dr. Raney highlights the opportunities for telepsychiatry in the market today, as well as identifies several of the obstacles to telepsychiatry implementation.

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Brief & Report

Annual Survey Finds Slower Growth in Total Medicaid Spending Nationally


Implementing Coverage and Payment Initiatives: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2016 and 2017

Growth in Medicaid enrollment and total Medicaid spending nationally slowed significantly in fiscal year 2016, and it looks like a continued slowdown will occur in fiscal year 2017. This is just one finding in the 16th annual 50-state Medicaid Budget Survey conducted by the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured and in collaboration with Health Management Associates (HMA) and the National Association of Medicaid Directors.

This report highlights policy changes implemented in state Medicaid programs in FY 2016 and those implemented or planned for FY 2017 based on information provided by the nation’s state Medicaid directors. Key findings are presented in the areas of:

  • Eligibility and enrollment
  • Managed care and delivery system reforms
  • Long-term services and supports
  • Provider payment rates and taxes
  • Benefits (including prescription drug policies)
  • Projections for 2017

HMA’s Vernon K. Smith, Kathleen Gifford, Eileen Ellis and Barbara Edwards authored the report along with Robin Rudowitz, Elizabeth Hinton, Larisa Antonisse and Allison Valentine of the Kaiser Family Foundation.

Two additional issue briefs were developed as well:

Medicaid Enrollment & Spending Growth: FY 2016 &2017, which provides an analysis of national trends in Medicaid enrollment and spending.

Putting Medicaid in the Larger Budget Context: An In-Depth Look at Four States in FY 2016 and FY 2017, a collection of four case studies of Medicaid programs in Maryland, Montana, New York and Oklahoma.


Washington 1115 Demonstration Waiver Approved by CMS

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This week, we reviewed the agreement-in-principle between the State of Washington Health Care Authority (HCA) and the Centers for Medicare & Medicaid Services (CMS) on a new section 1115 demonstration waiver, which will further the state’s Healthier Washington initiative across three major dimensions. The agreement will provide up to $1.5 billion in federal funding for delivery system reform incentives, expanded options for long-term services and supports, and supportive housing and employment. HCA and CMS hope to finalize the special terms and conditions of the waiver in the coming months.

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Vermont Publicizes Draft All-Payer Model Waiver

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This week, we reviewed the draft waiver agreement between the Centers for Medicare & Medicaid Services (CMS) and the Governor of Vermont, the Green Mountain Care Board (GMCB), and the Vermont Agency of Human Services (AHS) to form an all-payer accountable care organization (ACO) model in Vermont. The agreement, if approved by all parties, would implement ACO assignment targets, outcomes and quality milestones, and would require Vermont to keep all-payer and Medicare-specific total cost of care growth per beneficiary below annual growth rate thresholds. The all-payer model (APM) encourages alignment across Medicare, Medicaid, and commercial payers, moving toward next generation ACO models with all-inclusive population-based payments. Vermont and CMS have reached preliminary agreement on the draft waiver, with state and federal officials conducting further review at this time.

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