Insights

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.

State Efforts to Integrate Care Across Medicaid FFS LTSS and Medicare Advantage D-SNPs

This week, our In Focus section reviews a new paper from Health Management Associates,State Efforts to Integrate Care Across Medicaid Fee-for-Service Long-Term Services and Supports and Medicare Advantage Dual Eligible Special Needs Plans by Sarah Barth, Rachel Deadmon and Julie Faulhaber. Funded by UnitedHealthcare, this paper 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.

June 2021

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HMA brief examines state efforts to integrate care across Medicaid FFS LTSS and Medicare Advantage D-SNPs

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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.

June 30, 2021

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COVID-19 Policy Flexibilities Affecting Children and Youth with Special Health Care Needs

This week, our In Focus section reviews a new report from Health Management Associates, COVID-19 Policy Flexibilities Affecting Children and Youth with Special Health Care Needs: What to Keep, Modify, or Discard?. In response to the COVID-19 pandemic, the federal government and states rapidly established new, temporary regulations and flexibilities, while providers deployed innovative technologies to connect with their patients. The report examines how COVID-19 and the responses by federal and state governments, health systems, and providers affect health care for children and youth with special health care needs (CYSHCN).

June 23, 2021

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HMA report examines COVID-19 policy flexibility for children, youth with special needs

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A new report by HMA colleagues looks at policies, including new emergency regulations and temporary flexibilities, put in place during the COVID-19 pandemic.

Webinar Replay: Advancing Health Justice for Medicaid Members with Disabilities, Including Those with Mental Illness and Substance Use Disorder

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This webinar, held on June 25, 2021 and was the sixth webinar in the series “Exploring the Landscape of Behavioral Healthcare,” covering the growing impact of behavioral healthcare on clinical outcomes and cost.”

State Medicaid programs must address health disparities and advance health justice for members with disabilities – including those with mental illness and substance use disorder (SUD). Our presenters outlined the path forward in the 2021 report, Advancing Health Justice Using Medicaid Data: Key Lessons from Minnesota for the Nation, produced by AcademyHealth, Disability Policy Consortium (DPC), and Health Management Associates (HMA). During this webinar, speakers from DPC and HMA discussed how to measure health disparities, present the evidence on health disparities from one state’s Medicaid program, and discussed what federal and state policymakers can do to address health justice stemming from racial injustice, discrimination, bias, and stigma in our healthcare system.

Learning Objectives

Understand what health justice and other related terms mean
Learn how to measure health disparities affecting Medicaid members with disabilities – including those with mental illness and SUD
Examine evidence on health disparities from one state Medicaid program’s efforts
Consider the national implications of this evidence on Medicaid members
Review what actions policymakers can take to advance health justice

Speakers

Ellen Breslin, MPP. Principal, HMA, Boston, MA
Dennis Heaphy, M.Div. M.Ed. MPH, Health Justice Policy Analyst, Disability Policy Consortium, Malden, MA
Anissa Lambertino, PhD., Senior Consultant, HMA, Chicago, IL

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.

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Webinar Replay: Value Propositions and Roadmaps for Integrating Children’s Behavioral Health and Medicaid with Child Welfare Systems

Health Management Associates Acquires Edrington Health Consulting

Louisiana Releases Medicaid Managed Care RFP

State Efforts to Integrate Care Across Medicaid FFS LTSS and Medicare Advantage D-SNPs

June 2021

HMA brief examines state efforts to integrate care across Medicaid FFS LTSS and Medicare Advantage D-SNPs

June 30, 2021

COVID-19 Policy Flexibilities Affecting Children and Youth with Special Health Care Needs

June 23, 2021

HMA report examines COVID-19 policy flexibility for children, youth with special needs

Webinar Replay: Advancing Health Justice for Medicaid Members with Disabilities, Including Those with Mental Illness and Substance Use Disorder

Tennessee Releases Medicaid Managed Care RFP

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