This week, our In Focus section releases a new brief from Health Management Associates, Medicare-Medicaid Integration: Essential Program Elements and Policy Recommendations for Integrated Care Programs for Dually Eligible Individuals. The authors are Sarah Barth, Ellen Breslin, Samantha DiPaola and Narda Ipakchi.[1]
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Health Management Associates Acquires The Moran Company
Today, Jay Rosen, founder and president of Health Management Associates (HMA), announced the firm’s acquisition of The Moran Company, a Washington, D.C.-based healthcare research and consulting firm.
Webinar Replay: Value Propositions and Roadmaps for Integrating Children’s Behavioral Health and Medicaid with Child Welfare Systems
This held on July 15, 2021, was the seventh webinar in the series “Exploring the Landscape of Behavioral Healthcare,” covering the growing impact of behavioral healthcare on clinical outcomes and cost.
The success of the delivery of state and local child welfare systems is predicated on a strong collaboration across child welfare, children’s behavioral health and Medicaid, building a multigenerational, multisystem response to the problem of child maltreatment. During this webinar, HMA behavioral health, child welfare and Medicaid experts broke down what’s needed to get the integration process started, including a practical approach to workflows as well as an understanding of the touchpoints where integration efforts are likely to have their biggest payoff.
Learning Objectives
- Understand how child welfare services departments currently interact with the behavioral health service continuum.
- Learn how to build value by identifying areas where the intersection of child welfare, Medicaid and children’s behavioral health helps improve outcomes and mitigate risk.
- Identify potential barriers to integration efforts.
- Learn how other states have applied solutions and strategies aimed at better integrating child welfare systems, Medicaid, and children’s behavioral health.
- Learn about financing infrastructures that support meaningful whole family approaches to improving protective factors and strengthening family resilience.
HMA Speakers:
Uma Ahluwalia, MSW, MHA, Managing Principal, Washington, DC
Annalisa Baker, MPH, LCSW, Senior Consultant, New York, NY
Caitlin Thomas-Henkel, MSW, Principal, Philadelphia, PA
Heidi Arthur, MSW, Principal, New York, NY
Health Management Associates Acquires Edrington Health Consulting
Today, Jay Rosen, founder and president of Health Management Associates (HMA), announced the firm’s acquisition of Edrington Health Consulting (EHC), an Arizona-based firm that specializes in providing actuarial and financial analyses to health plans, providers, and government agencies.
Louisiana Releases Medicaid Managed Care RFP
This week our In Focus section reviews the Louisiana Medicaid managed care request for proposals (RFP) released on June 23, 2021, by the Louisiana Department of Health. Louisiana is seeking full-risk health plans to serve approximately 1.6 million Medicaid beneficiaries. Contracts are worth approximately $9 billion annually.
HMA brief examines state efforts to integrate care across Medicaid FFS LTSS and Medicare Advantage D-SNPs
Funded by UnitedHealthcare, the issue brief, State Efforts to Integrate Care Across Medicaid Fee-for-Service Long-Term Services and Supports and Medicare Advantage Dual Eligible Special Needs Plans, outlines approaches taken by Medicaid programs seeking to coordinate Medicare and Medicaid services for dually eligible individuals without first implementing standalone Medicaid managed long-term services and supports (MLTSS) programs.
Authors are Sarah Barth, Rachel Deadmon and Julie Faulhaber.
Tennessee Releases Medicaid Managed Care RFP
This week our In Focus reviews the Tennessee Medicaid managed care request for proposals (RFP) released on June 11, 2021, by the State of Tennessee, Division of TennCare. Tennessee will select three plans to provide physical services, behavioral services, and Managed Long-Term Services and Supports (MLTSS), including nursing facility services and home and community-based services (HCBS), to beneficiaries enrolled in TennCare (Medicaid), CoverKids (Children’s Health Insurance Program), and Dual Eligible Special Needs Plans (D-SNP). Current incumbents serve over 1.5 million beneficiaries, with contracts worth $12 billion annually.
Indiana Releases Medicaid Managed Care RFP
This week, our In Focus section reviews the Indiana Medicaid managed care request for proposals (RFP) for health plans serving beneficiaries enrolled in Hoosier Healthwise and Healthy Indiana Plan (HIP) programs. Contracts will be worth over $6 billion annually. The RFP was released on June 7, 2021, by the Indiana Department of Administration on behalf of the Family and Social Services Administration Office of Medicaid Policy and Planning.
Former Florida Medicaid Director Joins Health Management Associates
Health Management Associates (HMA) announced today that Beth Kidder, former Florida deputy secretary for Medicaid, is joining the national healthcare consulting firm as a managing principal in its Tallahassee office on August 16.
California proposed May revision budget adds Medi-Cal expansions
This week, our In Focus section reviews California’s May Revision to the Governor’s Budget, which proposes a $267.8 billion budget (with $196.8 billion General Fund) for fiscal year 2021-22. The revised budget includes $24.4 billion in reserves, the largest in history. The May Revision builds on the California Advancing and Innovating Medi-Cal (CalAIM) proposal and introduces several Medi-Cal initiatives and benefits for fiscal year 2021-22.
Leavitt Partners to Become Part of Health Management Associates
Today, Jay Rosen, founder and president of Health Management Associates (HMA), and Governor Mike Leavitt, founder and Chair of Leavitt Partners, announced the two firms have come together as one entity. Leavitt Partners will continue operating as Leavitt Partners, an HMA Company.
CMS Interoperability and Patient Access Final Rule – Part 3
This blog was written by Juan Montanez, Principal, HMA, and Robert Chouinard, VP Public Sector, HealthEC
Where are you going to invest to maximize benefits?
In thinking about the value that can be derived from implementation of the Interoperability Rule, both payers and providers need to ensure their perspective of the rule positions them for long-term success.