Insights

HMA Expands Medicare Services, Team of Experts

Health Management Associates (HMA), a leading independent national healthcare consulting firm, is expanding its Medicare services and expert team of consultants.

Specializing in publicly funded healthcare, HMA has long been recognized as a leader in Medicaid consulting services. As Medicare continues to evolve and serve as a catalyst for payment and delivery system innovations, HMA is significantly expanding the depth and breadth of the firm’s expertise of the nation’s single largest health program.

HMA Colleagues Played Pivotal Role in Launching Forum for the Brooklyn Perinatal Network

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HMA New York colleagues Heidi Arthur and Annalisa Baker played a pivotal role in launching a forum for the Brooklyn Perinatal Network on Jan. 11.

The forum, entitled, “A Community Response to Addressing Maternal Morbidity and Mortality,” was a collaboration between a network of community-based organizations (CBOs) making up the Brooklyn Coalition for the Health Equity for Women and Families Coalition Leadership Team.

Oregon Releases Medicaid Coordinated Care Organizations 2.0 RFA

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This week, our In Focus reviews the Oregon Health Plan’s Coordinated Care Organizations (CCO) 2.0 request for applications (RFA), released by the Oregon Health Authority (OHA) on January 25, 2019. Under CCO 2.0, the CCOs will provide full-risk coordinated care for approximately 840,000 Medicaid members.

Arkansas PASSE Program Readies for Full Risk Capitation

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This week, our In Focus section reviews Arkansas’ Provider-led Arkansas Shared Savings Entity (PASSE) model, scheduled to transition to full risk capitation in March 2019. The PASSE program provides care coordination to improve the health of Medicaid members with behavioral health needs or developmental/intellectual disabilities.

Medicaid Managed Care Enrollment Update – Q4 2018

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This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 29 states.[1] Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed care organizations. All 29 states highlighted in this review have released monthly Medicaid managed care enrollment data into the fourth quarter (Q4) of 2018. This report reflects the most recent data posted. HMA has made the following observations related to the enrollment data shown on Table 1 (below):

HMA Conducts Multi-Layered Study to Address Alarming Youth Suicide Trends Across Colorado

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On January 3, 2019, Colorado Attorney General Cynthia H. Coffman released the study, Community Conversations to Inform Youth Suicide Prevention. The multi-layered study, conducted by HMA, analyzes and characterizes the trends and patterns in the fatal and non-fatal suicidal behaviors among young people in the four Colorado counties with the highest rates of youth suicide: El Paso, La Plata, Mesa, and Pueblo. The purpose of the study was to determine the best strategies for addressing and preventing youth suicide in Colorado and to see where the state’s efforts and dollars can be used most effectively.

HMA Experts Contribute to Report on Health Disparities in Minnesota’s Medicaid Population

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Editors Note: This post was authored by HMA Principal Ellen Breslin, MPP.

The Minnesota Department of Human Services (DHS) recently submitted a report to the Minnesota Legislature, called Accounting for Social Risk Factors in Minnesota Health Care Program Payments. This report represents a multi-year effort on the part of DHS, and a real step forward in moving from social risk as a concept to a quantifiable methodology to explain its impact on health. The report delivers DHS recommendations to reduce health disparities among Medicaid and other DHS program participants.

HMA Experts Aid Delivery System Transformation Efforts

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Editor’s Note: This post was authored by Managing Principal Roxane Townsend, MD, and Senior Consultant Jeannine Hinton, LCSW, MHA.

HMA recently completed efforts to help the State of Louisiana and Louisiana State University (LSU) enter into a cooperative endeavor agreement with Ochsner LSU Health System of North Louisiana, a private nonprofit corporation.

Exploring the Behavioral Health Independent Practice Association in an Era of Managed, Value-based Care

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Editor’s Note: HMA Principals Karen Batia, David Bergman, Meggan Schilkie and Senior Consultants Meghan Manilla and Nicola Pinson contributed to this post.

Across the country, behavioral healthcare is stretched thin and access to specialty care is a challenge. As value-based payment makes its way to the forefront, more than ever government entities, providers, payers and community-based organizations are exploring new avenues to meet shifting priorities and the requirements that accompany them.

Medicaid Expansion Considerations For Non-Expansion States

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This week, our In Focus section is led by Matt Powers, a Principal in our Chicago office, who worked with HMA colleagues to summarize the factors that non-expansion states weigh when considering whether or not to expand Medicaid under the Affordable Care Act. Including the states where Medicaid expansion ballot initiatives passed, 37 states have chosen Medicaid expansion or are moving toward Medicaid expansion. More than 12 million newly eligible individuals are insured by state Medicaid programs through the expansion. Comments on recent ACA Court Ruling:

HMA Evaluation of Montana’s Tribal Systems of Care Grant

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Editor’s Note: This post was authored by Principal Rebecca Kellenberg.

Montana Office of Public Instruction (OPI) contracted with HMA to serve as the independent evaluator of the Tribal Systems of Care grant from the Substance Abuse and Mental Health Services Administration (SAMHSA). In this four-year role, HMA will assist in reporting on project evaluation data to show progress in meeting the goals and objectives of the grant as well as the fidelity, implementation, and impact of the project in the participating tribal communities.

Medicaid and Exchange Enrollment Update – September 2018

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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 “September 2018 Medicaid and CHIP Application, Eligibility Determination, and Enrollment Report,” published on November 30, 2018. Additionally, we review 2018 Exchange enrollment data from the “Health Insurance Marketplaces 2018 Open Enrollment Period: Final State-Level Public Use File,” published by CMS on April 3, 2018. Combined, these reports present a picture of Medicaid and Exchange enrollment in 2018, representing 73 million Medicaid and CHIP enrollees and nearly 12 million Exchange enrollees.

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HMA Expands Medicare Services, Team of Experts

HMA Colleagues Played Pivotal Role in Launching Forum for the Brooklyn Perinatal Network

Oregon Releases Medicaid Coordinated Care Organizations 2.0 RFA

Arkansas PASSE Program Readies for Full Risk Capitation

Medicaid Managed Care Enrollment Update – Q4 2018

HMA Conducts Multi-Layered Study to Address Alarming Youth Suicide Trends Across Colorado

HMA Experts Contribute to Report on Health Disparities in Minnesota’s Medicaid Population

HMA Experts Aid Delivery System Transformation Efforts

Exploring the Behavioral Health Independent Practice Association in an Era of Managed, Value-based Care

Medicaid Expansion Considerations For Non-Expansion States

HMA Evaluation of Montana’s Tribal Systems of Care Grant

Medicaid and Exchange Enrollment Update – September 2018

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HMA Insights: Your source for healthcare news, ideas and analysis.

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