1679 Results found.
Webinar Replay: The future of healthcare quality improvement
This webinar was held on November 2, 2021.
The future of quality improvement is continuously changing, especially within the clinical and member experience space. New and emerging technologies like Data Aggregator Validation (DAV) certification, Natural Language Processing (NLP), digital measurement, member engagement platforms, and new health disparities stratifications are entering the Medicare and Medicaid quality space at a growing rate. This webinar looked at trends in Medicare/Medicaid quality and addressed how new and emerging quality technologies are positioned to help organizations improve their quality scores at multiple levels.
Learning Objectives
- Find out how new and emerging quality concepts can be used to improve quality scores and better engage within the health plan and provider space.
- Learn how to take advantage of trends within the Medicare and Medicaid quality space to position your organization for success.
- Understand key factors impacting quality improvement scores such as HEDIS and CAHPS.
- Identify emerging technologies like DAV certification, NLP, digital measurement, new member engagement platforms, and new health disparities stratifications.
Speaker
HMA Brief Examines Options for CMMI to Refine Approach for Testing Medicare Program Improvements
This week, our In Focus highlights a recent issue brief, Center for Medicare and Medicaid Innovation: Recommendations for Future Direction, revisits questions raised in a previous HMA report and offers potential answers to guide progress and changes for demonstrations within the Centers for Medicare & Medicaid Services’ (CMS) Center for Medicare and Medicaid Innovation (CMMI) or the Innovation Center.
Accreditation Association for Ambulatory Healthcare
A health plan with a newly awarded contract was entering a new market to provide long-term services and supports (LTSS) and was seeking required, nationally recognized accreditation in order to comply with the state contract requirements. The client was working against a short three-month timeline and needed document review, report analysis, policy and procedure development, and assistance preparing for the review and evaluation process to secure accreditation.
Download the read the approach and results.
Identification of states for possible market expansion via De Novo start-up or acquisition
HMA was engaged to evaluate a set of ten states for possible market expansion via either a de novo start-up or acquisition.
Download the read the approach and results.
Evaluation of investment in multi-state personal care services provider for LTSS qualifiers
The client was evaluating an investment opportunity in a multi-state personal care services (PCS) provider for elderly and disabled Medicaid beneficiaries that qualify for long term services and supports (LTSS). HMA was asked to evaluate the market environment for personal care services providers in 13 states to determine the stability of the regulatory environment and the outlook for Medicaid funding. The timeline for this due diligence engagement was five weeks.
Download to read the approach and results.
Study examines Austin LGBTQIA+ community, quality of life
A new report summarizing the ShoutOut Austin Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual (LGBTQIA+) Quality of Life Study, has been released. The report summarizes research conducted by HMA Community Strategies (HMACS) which included town hall meetings, surveys, stakeholder interviews, and focus group responses from a diverse group of community members.
2022 Star Ratings, An Historical Year
This week, our In Focus provides an analysis of 2022 Medicare Advantage (MA) Star Ratings, including a look at how regulatory changes during the COVID-19 pandemic resulted in a record number of Medicare plans receiving historically high scores. HMA Managing Director Anthony Davis and Principal Sarah Owens rely on data from the Centers for Medicare & Medicaid Services (CMS) to take a deep dive into ratings for nearly 500 Medicare plans serving 26.8 million members.
HMA brief examines options for CMMI to refine approach for testing Medicare program improvements
A recent issue brief, Center for Medicare and Medicaid Innovation: Recommendations for Future Direction, revisits questions raised in a previous HMA report and offers potential answers to guide progress and changes for demonstrations within the Centers for Medicare & Medicaid Services’ (CMS) Center for Medicare and Medicaid Innovation (CMMI) or the Innovation Center.
The brief examines options for how CMMI could refine their approach to testing ideas for improving the Medicare program. HMA colleagues Jennifer Podulka, Yamini Narayan, and Lynea Holmes wrote the brief which was supported by Arnold Ventures.
HMA’s earlier brief examined the progress the Innovation Center has made in learning from Medicare-focused models during its first decade and raised questions to guide policymakers as they plan for the next phase of the Innovation Center’s work. In the new report, the team returns to those questions and offers potential answers.
The brief outlines seven pairs of competing goals and offers four recommendations that may, in part, help to balance these competing goals, as they are designed to increase the transparency of Innovation Center efforts and improve the likelihood that more models succeed in decreasing spending or improving quality. The recommendations include:
- The Department of Health and Human Services (HHS) should establish a National Healthcare Transformation Strategy
- CMMI should articulate a vision for how different models work together
- CMMI should tailor models to test ideas that address the largest areas of spending growth and key areas of quality concerns, including
- Include Part D in models
- Include Part C in models
- Promote primary care as a counterbalance to excessive low-value care
- Address social determinants of health and other drivers of quality and access disparities
- Congress and HHS should revisit the Physician-Focused Payment Model Technical Advisory Committee (PTAC)