Insights

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

HMA Insights – including our new podcast – 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 podcast, blogs, webinars, case studies, reports and more.

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1804 Results found.

Blog

CMS’s hospital inpatient regulation proposes the use of novel methods to calculate 2023 payment rates

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This week, our In Focus section reviews the policy changes included in the Centers for Medicare & Medicaid Services’ (CMS) Fiscal Year (FY) 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Acute Care Hospital (LTCH) Proposed Rule (CMS-1771-P). This year’s IPPS Proposed Rule includes several important policy changes that will alter hospital margins and change administrative procedures, beginning as soon as October 1, 2022.

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Blog

HMA conference “The New Normal for Medicaid, Medicare, and Other Publicly Sponsored Programs to Feature Insights from Health Plan Leaders, State Medicaid Directors, Providers”

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Pre-Conference Workshop: October 9, 2022
Conference: October 10-11, 2022
Location: Fairmont Chicago, Millennium Park

HMA Conference on the New Normal for Medicaid, Medicare, and Other Publicly Sponsored Programs to Feature Insights from Health Plan Leaders, State Medicaid Directors, Providers

Early Bird registration is now open for HMA’s fifth national conference on trends in publicly sponsored healthcare. Early Bird Registration Ends July 11th.

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Blog

Nebraska releases Medicaid managed care RFP

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This week, our In Focus section reviews the Nebraska Heritage Health request for proposals (RFP), released by the Nebraska Department of Health and Human Services (DHHS) on April 15, 2022. DHHS will award statewide contracts to two or three Medicaid managed care organizations (MCOs) to serve approximately 342,000 individuals. Implementation is set to begin July 1, 2023. Contracts are currently worth $1.8 billion annually.

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Webinar

Webinar replay: New York State 1115 waiver amendment and the federal climate for waiver approval

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This webinar was held on April 26, 2022. 

On April 13, New York State announced it is requesting $13.52 billion over five years to fund a new amendment to its 1115 Waiver Demonstration that addresses health disparities and systemic healthcare delivery issues highlighted and intensified by the COVID-19 pandemic. During this webinar, speakers provided an overview and analysis of the contents of the state waiver amendment request, including Health Equity Regional Organizations (HEROs), Social Determinant of Health Networks (SDHNs), and Value Based Payment Incentive Payments. Speakers also discussed the current federal climate as CMS begins its review and consideration of New York’s waiver amendment request.

Learning Objectives

  • Understand the components and initiatives included in the New York State 1115 waiver amendment request, including lessons learned from the prior Delivery System Reform Incentive Payment (DSRIP) program
  • Learn about dynamics and considerations at the federal level and how they may impact the evaluation of state 1115 waiver requests
  • Identify potential upcoming funding streams and strategic considerations for your organization as it relates to the initiatives in the New York waiver amendment request

HMA Speakers

Josh Rubin, Principal, New York, NY

Cara Henley, Senior Consultant, Albany, NY

Andrea Maresca, Principal, Federal Policy, Washington, DC

Blog

The family glitch and changes to premium tax credit eligibility

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This week, our In Focus section reviews the Biden Administration’s proposed rule revising eligibility standards for premium subsidies for families, released on April 5, 20221. The proposed rule would “fix” the family glitch and, therefore, dramatically increase the number of people eligible for premium tax credits. This brief describes what the regulation would do and the implications for the individual market.

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