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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

Webinar Replay: New Models for FQHC Partnerships with Hospitals

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On November 4, 2015, HMA Information Services hosted the webinar, “New Models for FQHC Partnerships with Hospitals.”

Federally Qualified Health Centers (FQHCs) are an important part of the nation’s healthcare safety net, receiving a large share of community benefit funds from hospitals to provide primary, preventive and charity care to the poor and underserved. But the truth is FQHCs have the potential to do much more. Through a variety of new and innovative partnerships with hospitals, FQHCs are playing an expanded role in care coordination, behavioral health, team-based care, residency programs and risk-sharing arrangements.

During this webinar, HMA Principals Margaret Kirkegaard, MD, and Margarita Pereyda, MD, outline the ways in which FQHCs can bring additional value to hospitals, improving care and reducing costs. The webinar features guest presenter, Santina Wheat, MD, from Northwestern McGaw Family Medicine Residency at Humboldt Park, a Teaching Health Center, and a partnership between Northwestern University, Erie Family Health FQHC, and Norwegian American Hospital. Listen to the replay and:

  • Learn the value of including FQHCs in a team-based approach to care, allowing for improved clinical integration and care coordination with hospitals, health systems and Accountable Care Organizations.
  • Find out how FQHCs can play an expanded role in treating people struggling with depression or substance abuse immediately following a hospital discharge.
  • Understand key contracting considerations between hospitals and FQHCs, including the potential for risk-sharing arrangements.
  • Understand the role FQHCs can play in residency programs, including pediatrics, OB/GYN and family practices.

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

Webinar

Webinar Replay: An IT Framework for Accountable Care

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On November 3, 2015, HMA Information Services hosted the webinar, “An IT Framework for Accountable Care: Building Information Technology Capabilities that Support All Necessary Functions in the Risk-Sharing Continuum.”

The importance of information technology continues to grow as healthcare providers venture into care coordination, accountable care, and risk sharing. A structured approach to IT planning is a critical step in any comprehensive effort to enable providers to move effectively along the risk-sharing continuum. This means developing a comprehensive IT capability assessment and planning framework specifically geared towards provider organizations engaging in accountable care. It also means identifying how IT can support each clinical and administrative function necessary to successfully manage risk and coordinate care for a population of patients.

During this webinar, HMA experts Lynn Dierker, Juan Montanez and Greg Vachon outline the steps provider organizations must take to develop a solid, actionable accountable care IT plan.  The webinar also features case studies of provider organizations that have made IT the backbone of a successful, comprehensive approach to accountable care. Listen to the replay and:

  • Understand the value and need for a structured assessment of your organization’s IT capabilities, with an emphasis on the importance of information technology in implementing a comprehensive approach to accountable care.
  • Develop an IT plan that supports each functional area impacting your organization’s ability to successfully share risk – including care management and coordination, risk profiling and stratification, population health management, data sharing, and reporting.
  • Assess various options for filling gaps in your organization’s IT capabilities, while avoiding pitfalls such as “jumping the gun” on particular technology solutions or unnecessarily adding complexity to an organization’s existing IT environment.
  • Ensure providers have access to all of the information – including social factors and determinants of health data – necessary to create and manage a comprehensive, individualized service plan for patients.

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

Webinar

Webinar Replay: The Residency Program of the Future

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On November 9, 2015, HMA Information Services hosted the webinar, “The Residency Program of the Future: How Healthcare Reform is Impacting Medical Training and Graduate Medical Education.”

Residency programs are about to change dramatically, driven by healthcare reform, Medicaid expansion, the pressing need for more primary care physicians, and the implementation of Patient-Centered Medical Homes and other population health management initiatives. The future impact of these initiatives on residency training remains unclear, but there is no shortage of ideas and proposals.

During this webinar, HMA medical education experts Margaret Kirkegaard, MD, Maurice Lemon, MD, and Jeffrey Ring, PhD, provide a status report on Graduate Medical Education (GME), outline various proposals and policy initiatives, and discuss mandated imperatives for residency training programs to directly address health disparities. Listen to the replay and:

  • Deepen your understanding of new academic and clinical pressures facing residency training, including the shifting balance between specialty training and primary care.
  • Consider strategies for residency training programs to develop in an era of Patient-Centered Medical Homes and population health management.
  • Recognize the impact of GME changes on hospitals, including the ACGME Clinical Learning Environment Review (CLER) Standards, and explore how hospitals must be more involved in medical training programs, in light of operational changes driven by Medicaid expansion and the continued shift to Medicaid managed care from fee-for-service Medicaid.
  • Learn how Medicaid innovations and reforms – driven in part by 1115 waivers and DSRIP – impact residency programs.

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

Webinar

Webinar Replay: Rethinking SBIRT

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On October 29, 2015, HMA Information Services hosted the webinar, “Rethinking SBIRT: Lessons from the Past 10 Years, Strategies for the Next.”

It’s been 10 years since the first grants for Screening, Brief Intervention, and Referral to Treatment (SBIRT) programs for addiction were implemented. Although underutilized and in many ways misunderstood, SBIRT still possesses tremendous potential to positively reshape and help coordinate care for people struggling with addiction.

During this webinar, HMA experts discuss the evolution of SBIRT and outline how the program is poised for a resurgence as providers, public health policy experts and funding organizations leverage SBIRT’s potential in an increasingly integrated healthcare environment. Listen to the recording and:

  • Learn why SBIRT is a far more flexible protocol than typically understood, allowing for choice of screening tools, brief interventions, and tight integration into existing care delivery systems.
  • Understand the key barriers to the implementation of SBIRT, including the tendency to silo SBIRT as a behavioral health service, provider resistance to addiction services, inadequate referral, and lack of adequate focus on the brief intervention component of the protocol.
  • Find out how to leverage the support of states, foundations and others willing to fund SBIRT as an effective protocol for addiction.
  • Learn how to overcome the myths about substance use and shift provider culture and attitudes – resulting in a rich adoption of SBIRT.
  • Understand the potential for expanding SBIRT’s reach, with the next wave likely to focus on non-traditional settings like schools, county jails, and possibly even organizations that provide housing, meals and other human services.

HMA Speakers

Margarita Pereyda, MD, Principal, Southern California
Gina Lasky, HMA Community Strategies Project Manager, Denver

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

Webinar

Webinar Replay: Capitalizing on the Fast-Moving World of Digital Health Innovation

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On October 22, 2015, HMA Information Services hosted the webinar, “Capitalizing on the Fast-Moving World of Digital Health Innovation.”

The digital health market is quickly growing and innovating, and payers and providers have much to gain from getting on board. Emerging tools and technology for consumer engagement, population health management, telemedicine and data analytics can play a pivotal role in addressing the challenges facing payers, providers and patients. For example, these technologies can be used to engage hard-to-reach populations and expand the capacity to manage disease in a cost-effective manner.

During this webinar, members of Health Management Associates’ Health Care IT Advisory Services Team outline the trends in digital health technology – providing a roadmap for organizations interested in evaluating the strategic opportunities for growth and meeting the challenges of accountable care. Listen to the recording and:

  • Assess the emerging array of digital health products and understand what role they can play in revolutionizing the delivery of healthcare services.
  • Learn to anticipate where digital health innovations will drive change in health care delivery, such as responding to patient-driven technologies.
  • Understand how to adapt your current IT evaluation process to assess whether emerging digital health technologies are right for you and when to purchase, build, co-brand, etc.
  • Develop a sustainable approach to investing in and implementing digital health applications for payers, providers and patients.

HMA Speakers

Alana Ketchel, Senior Consultant, Denver
Donna Laverdiere, Senior Consultant, San Francisco
Don Novo, Principal, San Francisco
Margarita Pereyda, M.D., Principal, Southern California
Heidi Robbins-Brown, Principal, Pacific Northwest

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

Webinar

Webinar Replay: Making the Business Case for Team Coaching

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On October 22, 2015, HMA Information Services hosted the webinar, “Making the Business Case for Team Coaching: Behavior-Based Training for Leaders of Highly Effective Healthcare Organizations.”  

Healthcare organizations are being asked to evolve rapidly – reflecting new business models that rely on team-based organizational structures for success. Getting there will require leaders who can break down barriers and coach employees to thrive in a team-oriented environment. 

During this webinar, HMA experts Jeffrey Ring and Sandra Sperry discuss the importance of behavior-based leadership training for healthcare organizations and demonstrate how effective leaders can positively influence employee commitment, engagement, productivity, and results in a team-oriented environment. Listen to the recording and:

  • Understanding the business case for team coaching, with an emphasis on the role training can play as your organization adjusts to emerging economic models in healthcare.
  • Assess the most important behaviors and attributes of effective leaders in the context of team-based healthcare.
  • Learn how to effectively navigate conflicts and create an environment in which healthcare teams can work through problems and reach consensus. 
  • Assist individuals who aren’t effective in a team environment and help them identify ways to maximize their potential.
  • Understand how consistent behavior-based leadership training exercises can act as a valuable support mechanism for team leaders and managers.

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

Webinar

Webinar Replay: Risk-Ready Primary Care

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On October 21, 2015, HMA Information Services hosted the webinar, “Risk-Ready Primary Care: The Next Wave in Practice Transformation for a Value-Based Future.”

To successfully share risk in a value-based healthcare system, primary care practices need to develop a core set of capabilities that include clinical integration, data analytics, and targeted interventions. We call this type of practice transformation Risk-Ready Primary Care, and it is the next paradigm in primary healthcare delivery and risk-based payments.

During this webinar, HMA Principals Greg Vachon, MD and Lori Weiselberg offered a framework for Risk-Ready Primary Care, with an emphasis on the infrastructure and skill-sets needed to successfully manage patient populations while taking on various degrees of financial risk. More broadly, they provided an update on the evolution of value-based payments and the importance of coupling financial models with high value, population health management. Listen to the recording and:

  • Understand the risk continuum, including an assessment of the various financial models and levels of risk-sharing available to primary care providers.
  • Learn what’s needed for primary care providers to successfully take on risk, including the importance of a practice transformation framework that prioritizes key functions like identifying high-impact patients, improving access, and high-yield interventions.
  • Obtain case studies of successful primary care practice transformations and risk-sharing arrangements.
  • Learn why Risk-Ready Primary Care is poised for growth, driven by a national focus on shifting from fee-for-service to value-based payments.

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

Webinar

Webinar Replay: Emerging Tools and Technology for Consumer Engagement

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On October 15, 2015, HMA Information Services hosted the webinar, “Emerging Tools and Technology for Consumer Engagement in Health Care.”  

Consumer engagement in health care through the use of electronic tools and technology is more than just a trend. Payers are funding the rollout of consumer engagement tools in hopes of increasing the quality of care, improving outcomes and reducing costs. It’s also imperative for providers who wish to receive incentive payments for meeting federal meaningful use guidelines. 

During this webinar, Matt McGeorge and Jean Glossa of HMA’s Health Care IT Advisory Services team outline the current trends in consumer engagement tools and technology, including the key drivers of adoption, the latest innovations, and the impact on quality and cost of care delivery. Listen to the recording and:

  • Recognize the importance of information technology in driving consumer engagement in health care.
  • Understand the meaningful use guidelines related to consumer engagement.
  • Learn about some of the tools and technology helping consumers navigate the healthcare system, manage their health and wellness, and evaluate care options.
  • Discern the role patients play in helping keep electronic health records and information up-to-date and accurate.
  • Gain insight into the implications for clinicians as consumers more actively utilize electronic tools and technology

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

Webinar

Webinar Replay: Battling Opioid Addiction

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On September 29, 2015, HMA Information Services hosted the webinar, “Battling Opioid Addiction: Public Policy and Healthcare Strategies for an Epidemic.”

Opioid addiction, including inappropriate use of prescription painkillers, has reached epidemic proportions in the U.S. Battling this crisis will require a close partnership between healthcare providers, public health officials, state and federal policymakers, and community-based organizations.

During this webinar, HMA Principal Margarita Pereyda, MD, outlines various public policy and healthcare strategies that have successfully reduced the risk of opioid addiction, including case studies of collaborative initiatives and protocols for identifying and treating people struggling with opioid addiction. Listen to the recording and:

  • Understand the importance of provider education efforts at the national and community level to drive awareness, prevention and treatment of opioid addiction.
  • Get the facts behind harm-reduction and patient-safety programs, which can mitigate the possibility of adverse healthcare consequences including drug overdoses.
  • Anticipate the potential unintended consequences of laws and policies designed to crack down on the availability of prescription opioids, including an uptick in other forms of drug abuse.
  • Learn how to craft policies and protocols that emphasize a coordinated approach to the diagnosis and treatment of opioid addiction, including the integration of primary, behavioral and community-based care.

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

Webinar

Webinar Replay: 21st Century LTSS – A Roadmap

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On September 23, 2015, HMA Information Services hosted the webinar, “21st Century LTSS – A Roadmap to Improved Outcomes, Lower Costs and Better Lives for Individuals with Complex Healthcare Needs.”

There is an urgent need for health plans, accountable care organizations, and providers to integrate LTSS into their overall concept of person-centered care for individuals with complex needs. Being responsive to the needs of consumers in an effective manner requires a fresh conceptualization of LTSS, one that will provide the flexibility needed to deliver person-centered care in a manner that improves overall quality of life while bending the cost curve through reduction of unnecessary hospital use. This means leveraging LTSS touch points at the community level, proactively identifying member needs, and linking individuals to appropriate community-based care before an emergency room visit or hospitalization is necessary.

During this webinar, HMA Senior Consultant Ellen Breslin, and Dennis Heaphy, policy expert with Disability Policy Consortium and chairman of the Massachusetts One Care Implementation Council, explore how payers and providers can work together to create financial incentives and protocols that drive 21st Century LTSS.

Listen to the recording and:

  • Understand how to leverage LTSS to build a robust primary care prevention strategy by relying on community health workers to help identify the healthcare needs of individuals with complex conditions.
  • Learn how to align provider incentives with patient needs by pursuing a value-based purchasing strategy that creates a direct link between payments and consumer-defined outcomes.
  • Find out how risk adjustment models for LTSS can help fine-tune provider reimbursements and improve payment accuracy.
  • Identify strategies to improve the overall integration of LTSS into the delivery of person-centered care, including granting providers greater authority to streamline the authorization process.

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

Webinar

Webinar Replay: A Step-by-Step Guide to Integrating Behavioral Health into the Primary Care Setting

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On September 22, 2015, HMA Information Services hosted the webinar, “Evidence-based Integration: A Step-by-Step Guide to Integrating Behavioral Health into the Primary Care Setting.”

There is a clear and growing body of evidence that supports the integration of behavioral health into the primary care setting. Numerous trials show that integration delivers upon the triple aim, generating a measurable return on investment over time, improving outcomes for patients, and resulting in a high quality experience for patients. Furthermore, health plans, state and national demonstrations, and accrediting bodies are moving in this direction. During this webinar, HMA experts Lori Raney, MD, and Nancy Jaeckels Kamp provided a step-by-step guide to integration, including key structural and organizational investments, process improvements, and the type of training required to make integration work.

Listen to the recording and:

  • Identify four key structural changes required for successful integration, including implementation of screening tools, a registry or tracking system, step-care protocols, and a team approach to care coordination.
  • Understand the role that integrated care managers and consulting psychiatrists play in extending and maximizing psychiatric resources.
  • Assess various trials and case studies that demonstrate a return on investment for integrating behavioral health into primary care.
  • Avoid pitfalls by clearly defining the roles of care managers in the primary care setting and training the primary care team to identify and understand behavioral health issues.

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

Webinar

Webinar Replay: Sustainable Funding for Asthma-Related Home Interventions

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On September 15, 2015, HMA Information Services hosted the webinar, “Sustainable Funding for Asthma-Related Home Interventions.”

Home interventions aimed at eliminating key drivers of asthma attacks like mold, dust, pests and tobacco smoke can improve the lives of those with asthma and dramatically reduce the cost of this chronic disease. Unfortunately, not all asthma-related home interventions are reimbursed by payers, despite the well-documented return on investment. During this webinar, HMA Managing Principals Jack Meyer and Mike Nardone, and Ruth Ann Norton, president and CEO, Green & Healthy Homes Initiative, outlined how to make the business case for asthma-related home interventions and build a sustainable stream of funding for those initiatives.

Listen to the recording and:

  • Learn how to obtain coverage of asthma-related home interventions by working with Medicaid through a variety of mechanisms, including targeted case management, state plan amendments, innovation grants and 1115 waivers.
  • Assess the cost savings potential of asthma home visits, including reductions in emergency care, hospitalizations and school and work absenteeism.
  • Understand the various payment models and how they might be leveraged to fund asthma-related home interventions, including fee-for-service, fixed fee per visit and bundled payments.
  • Find out how to make the business case for asthma-related home interventions to Medicaid managed care plans, with an emphasis on improving outcomes and lowering the cost of chronic disease.
  • Understand the importance of in-depth community needs assessments in making the business case for asthma-related home interventions.

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