Integrating primary care and behavioral health is a central focus in health care delivery reform for many states and payers as they work towards addressing quality and cost containment. Significant research demonstrating the effect of co-morbid behavioral health conditions on overall health outcomes, and the subsequent cost increases, has led to exploring the implementation of new models of care.
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On April 25, 2016, the Centers for Medicare & Medicaid Services (CMS) issued the final Medicaid managed care rules to modernize federal Medicaid managed care regulations. Many of the new rules go into effect July 2017. The hard work of implementing the new Medicaid managed care regulations will fall squarely on the shoulders of states and Medicaid managed care health plans. For managed care plans, they must step up their operational, administrative, and reporting capabilities to accommodate new state oversight requirements across all aspects of the contract performance.
HMA’s inaugural conference “The Future of Publicly Sponsored Healthcare: Building Integrated Delivery Systems for Vulnerable Populations” is slated for October 10-12 in Chicago. This premier event, presented by HMA and HMA’s Accountable Care Institute, will address key issues facing health systems, hospitals, clinics and provider practices seeking to integrate care in an environment of rising quality and cost expectations. More than 30 speakers have been confirmed to date. Early Bird registration is now open. Click here for complete conference details.
Based on a presentation at the NCCHC’s 2015 Leadership Institutes, “A Call for New Models of Care in Correctional Health” takes a look at components of new primary care models, how they’ve advanced care – and how they can be used in correctional settings.
The comment period for MACRA proposed rules started a couple of weeks ago and ends June 26, 2016. CMS is to be commended for valiantly translating MACRA legislation into specific rules that will apply at the start of the first performance period scheduled to be January 1, 2017 (wow!). However commendable though, we should all be clear about the inherent problems, of which there are a number. I’ll briefly outline one central problem: behavioral economics.
Transformation of healthcare delivery is requiring those of us who serve vulnerable populations to cultivate new leaders and form new kinds of teams inside and outside of our organizations.
HMA and Rush University Medical Center-Chicago are launching a new, one-day intensive workshop that will introduce proven strategies for developing a deep bench of collaborative leaders and empowered providers.
As many states continue to utilize all-payer claims databases (APCDs) to help improve the quality, cost and effectiveness of care, the U.S. Supreme Court’s recent decision in Gobeille v. Liberty Mutual Insurance Company will present some hurdles for states using (or thinking about using) APCDs moving forward.
The shift from volume-based to value-based payment (VBP) requires primary care providers, including Federally Qualified Health Centers (FQHCs), and behavioral health providers to make fundamental changes to the delivery of care, operations, and financial management.
Our new web-based, self-assessment will help evaluate your readiness across multiple domains and identify critical care delivery, financial, and operational elements that will help you become ready to succeed under existing and emerging value-based payment models. We offer two versions of the tool: one for primary care providers and one for behavioral health providers.
Change is the new normal for healthcare today. The industry is in constant flux. Healthcare reform is prompting us to reimagine what we do and how we deliver healthcare. It seems many public, private and nonprofit stakeholders are taking different approaches, sparking a daily stream of research, studies and trends to inform your next move.
But who has time to sift through all that data? Keeping current with the latest developments alone is a full-time job. That’s where HMA can help.
You’ve counted on us for decades to provide clear insights into policy, programs and financing to get the job done. We provide counsel, research, whitepapers, webinars and weekly updates.
And now, we’re writing a blog.