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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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1426 Results found.

Webinar

Webinar Replay: Exploring Medicare Advantage Plans as a New Business Strategy

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This webinar was held on August 6, 2020.

The COVID-19 pandemic shined a spotlight on funding pressures on providers and systems that rely largely on fee-for-service payment. This, along with additional stressors brought on by the pandemic, has led many health systems and providers to consider revenue diversification and service expansion strategies. During this webinar, HMA Medicare Advantage experts addressed the option of using Medicare Advantage as a strategy to better manage care of patients and provide a steady stream of predictable revenues.

Learning Objectives:

  • Evaluate the benefits and risks of exploring a Medicare Advantage business strategy.
  • Understand the evolving national Medicare Advantage policy landscapes and competitive marketplace.
  • Assess various Medicaid Advantage plan options and strategic business considerations.
  • Find out about the unique market opportunities of Medicare Advantage Special Needs Plans.
  • Learn what needs to be done for a successful Medicare Advantage launch or expansion in 2022.

HMA Speakers

Jon Blum, Managing Principal, Washington, DC
Mary Hsieh, Managing Principal, Atlanta, GA

Webinar

Webinar Replay: Leveraging the Primary Care Team’s Strengths During Reopening: Part 3 – Payment and Documentation

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This webinar was held on July 29, 2020.

In this webinar, HMA primary care experts discussed current payment flexibilities that allow physician practices to maintain revenues while operating in a virtual environment. Given the likelihood that many patients will continue to receive care virtually even after the pandemic, HMA experts explored mechanisms for alternative payment models that support virtual care and allow for efficient use of the care team. Speakers also shared necessary considerations for documentation to assure data capture and appropriate billing.

Learning Objectives

  1. Discuss current relaxation of regulations related to the National Emergency Declaration and CMS flexibility.
  2. Understand the use of alternative payment models to enhance revenue opportunities for practices providing virtual care.
  3. Understand the need for new templates and order sets to support virtual care.
  4. Discuss EHR optimization to improve care processes and capture data.

Speakers

Helen Duplessis, MD, Principal, Los Angeles, CA
Lisa Harrison, MS, MHS, PA-C, Senior Consultant, Denver, CO
Roxane Townsend, MD, Managing Principal, Raleigh, NC

Blog

Oklahoma Releases Medicaid Managed Care Request for Public Feedback

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This week, our In Focus section reviews the Oklahoma request for public feedback in the SoonerCare program design, released on June 18, 2020. The Oklahoma Health Care Authority (OHCA) and Governor Kevin Stitt are seeking stakeholder input for the state’s Medicaid managed care program design before finalizing a request for proposals (RFP). The RFP, which is currently in development, is scheduled to drop in the fall and has an implementation date of October 2021. Individuals, program participants, providers, trade associations, companies, and other organizations are encouraged to submit responses by August 17, 2020.

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Blog

HMA Announces Cancellation of 2020 Annual Conference

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Health Management Associates has made the decision to cancel its October 2020 conference on Trends in Publicly Sponsored Healthcare, given continuing developments concerning COVID-19 and out of an abundance of caution for the safety of attendees, speakers, and staff. Full refunds will be made to registered attendees and sponsors.

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Webinar

Nursing Home Revenue Diversification and Care Options Series: Understanding the Impact of Nursing Home Compare Five-Star Quality Ratings

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Even before COVID-19, nursing homes struggled with staffing shortages, inadequate reimbursement rates, and declining occupancy rates. The pandemic has amplified these challenges, forcing nursing homes to consider options for diversifying revenues and broadening services for both residents and individuals who qualify for institutional status but reside in the community. During this webinar (the second in a series), HMA quality experts will provide an overview of the Nursing Home Compare Five-Star Quality Rating System and its impact on nursing homes.

Learning Objectives

  • Understand the components of the Nursing Home Compare Five-Star Quality Rating System.
  • Find out how Nursing Home Compare ratings impact a nursing home’s business.
  • Learn the strengths and limitations of Nursing Home Compare as a true measure of nursing home quality.

HMA Speakers
Doug Elwell, COO, Chicago, IL
Susan Tucker, Principal, Tallahassee, FL

Webinar

Webinar Replay: Leveraging the Primary Care Team’s Strengths During Reopening: Part 2 – Adapting the Environment

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This webinar was held on July 22, 2020.

Before reopening for in-person visits, primary care practices must address a wide variety of safety considerations, including infection control protocols; modifications to offices, waiting areas, and exam rooms; staffing and workflow issues; and other strategies that minimize the risk of exposure to COVID-19 for both patients and staff. During this 30-minute webinar, HMA primary care experts discussed best practices for successfully reopening primary care practices during the COVID-19 pandemic.

Learning Objectives

  1. Understand key clinical, physical office, and financial considerations for reopening primary care practices to in-person patient care.
  2. Learn about the availability of decision-support tools and resources to assist primary care practices with reopening.
  3. Find out about infection control protocols and other best practices to ensure the safety of patients and staff during reopening.
  4. Learn how the “new normal” of operating during the COVID-19 pandemic variously impacts clinicians, administrative staff, and leadership, including a look at new protocols and workflows.

Speakers

Karen Hill, PhD, ANP-C, MSN, RN, Senior Consultant, San Francisco, CA
Brittany LaBarreare, Senior Consultant, Austin, TX
Gail Mayeaux, Principal, Albany, NY
Deb Peartree, Senior Consultant, Albany, NY

Blog

Medicaid and Exchange Enrollment Update – March 2020

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This week, our In Focus section reviews updated information issued by the Department of Health & Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) on Medicaid expansion enrollment from the “March 2020 Medicaid and CHIP Applications, Eligibility Determination, and Enrollment Report,” published on June 22, 2020. Additionally, we review 2020 Exchange enrollment data from the “Health Insurance Exchanges 2020 Open Enrollment Period: Final State-Level Public Use File,” published by CMS on April 2, 2020. Combined, these reports present a picture of Medicaid and Exchange enrollment in early 2020, leading up to the COVID-19 pandemic and representing 70.9 million Medicaid and CHIP enrollees and 11.4 million Exchange enrollees. Medicaid/CHIP and Exchange enrollment is expected to rise in 2020 according to a team of HMA Medicaid experts, health economists, and data analysts. A previous In Focus on HMA’s forecast model can be found here.

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Webinar

Webinar Replay: Leveraging the Primary Care Team’s Strengths During Reopening: Part 1 – The Workforce

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This webinar was held on July 15, 2020.

In this three-part series, HMA experts will cover topics that are important for primary care practices to consider and employ as they reopen for face-to-face visits.

As primary care practices reopen around the country, many of them are adopting novel hybrid models combining in-person and virtual care. In this half-hour presentation with primary care leaders and clinical innovators, we discussed the key challenges for flexing the primary care workforce in this hybrid environment.

Learning Objectives

  1. Learn more about a model of hybrid primary care that combines in-person and virtual visits…
  2. Identify best practices for changing workflows and managing staff members remotely in the hybrid primary care model.
  3. Discuss technological strategies for integrating behavioral health into the flow of hybrid primary care.

Speakers

Dr. Barry J. Jacobs, Principal, Philadelphia, PA
Gail Mayeaux, Principal, Albany, NY
Deb Peartree, Senior Consultant, Albany, NY
Caitlin Thomas-Henkel, Senior Consultant, Philadelphia, PA

Webinar

Webinar Replay: HMA Community Health Worker Webinar Series Part 2: The Role of Community Health Workers as COVID-19 Contact Tracers

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This webinar was held on July 13, 2020. 

Aggressive COVID-19 contact tracing is key to state reopening strategies. During this webinar, HMA community health experts addressed how community health workers can play a critical role in contact tracing, leveraging their trusted position in local communities and simultaneously furthering efforts to assist patients with multiple needs, including housing instability, food insecurity and co-morbidity. HMA experts also outlined best practices for establishing a contact tracing infrastructure and discuss how community health workers are positioned to emerge as the vanguard for COVID-19 vaccination efforts.

Learning Objectives:

  • Learn how to apply creative workforce strategies to address contact tracing, isolation support, co-morbid disease management, and immunization efforts.
  • Obtain creative financing and sustainability strategies for staffing and infrastructure.
  • Understand how community health workers and paraprofessionals can play an expanded role in the post-COVID-19 delivery system of the future.

HMA Speakers

Kathleen Nolan, Vice President, Washington, DC
Pat Casanova, Principal, Indianapolis, IN
Uma Ahluwalia, Principal, Washington, DC

 

A recording of the first webinar and supporting materials are now available here.