Insights

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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Webinar

Webinar Replay: Continuing the Path to Medicare-Medicaid Integration

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This webinar was held on October 4, 2021.

Federal and state policy makers have long been working to expand enrollment in Medicare-Medicaid integrated care programs (ICPs). ICPs can advance independent living and health equity for individuals who are dually eligible for both programs. However, approximately only one in 10 dually eligible individuals was enrolled in an ICP as of 2019. To encourage ICP enrollment and retention, HMA identified 10 essential elements of ICPs centered around, informed by, and made available to dually eligible individuals. (See HMA Brief #3 and the brief fact sheet.)

During this webinar, HMA shared these 10 essential elements for establishing and simplifying ICPs specifically tailored to diverse individuals’ needs and preferences. Panelists involved in health justice and community-based healthcare offered practical next steps for advancing ICPs.

Learning Objectives

  • Hear about the 10 essential elements for ICPs identified through interviews with diverse stakeholders
  • Engage panelists to share their views on how to advance ICPs tailored around members’ needs
  • Consider the types and level of investment required to advance the essential elements for ICPs

Speakers

  • Arielle Mir, MPA, Vice President of Health Care, Arnold Ventures, Washington, DC
  • Sarah Barth, JD, Principal, HMA, New York, NY
  • Ellen Breslin, MPP, Principal, HMA, Boston, MA
  • Dennis Heaphy, M.Div., M.Ed., MPH, Health Justice Policy Analyst, Disability Policy Consortium, Malden, MA
  • Linda Little, MBA, RN, CCM, President and CEO, Neighborhood Service Organization (NSO), Detroit, MI
HMA News

Health Management Associates Acquires Wilson Strategic

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State of Reform™ to Continue Independent Convening of Healthcare and Health Policy Leaders

Today, Jay Rosen, founder, president, and co-chairman of Health Management Associates (HMA), announced the firm’s acquisition of Wilson Strategic, a Washington state-based company that operates State of Reform™ health policy conferences.

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Brief & Report

Case study examines Georgia’s experience unbundling LARC payments from Medicaid prospective payment system

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A new case study prepared by colleagues from Health Management Associates (HMA) analyzes the Georgia Medicaid program’s experience with unbundling long-acting, reversible contraception (LARC) devices and services from the Medicaid prospective payment system (PPS) for reimbursement in Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).

HMA examined Medicaid claims data from 2012-2019 as well as conducted key interviews to understand whether the unbundling reimbursement policy change could have increased LARC utilization and provided analysis for policymakers and stakeholders in other states pursuing similar strategies and programs.

Additional findings and the full report are available here.

HMA’s research was supported by Medicines360 and Waxman Strategies with support from Arnold Ventures. The HMA team included Rebecca Kellenberg, Diana Rodin, and Jim McEvoy.

Blog

New Jersey Shares its Five-Year Vision for the Latest 1115 Waiver Renewal Draft

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This week, our In Focus reviews the the New Jersey Department of Human Services (DHS), Division of Medical Assistance and Health Services (DMAHS) draft proposal for the renewal of its 1115 Comprehensive Demonstration Waiver, released on September 10, 2021. The waiver was initially approved and implemented in October 2012. This demonstration is in its second five-year period and is slated to expire on June 30, 2022.

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Blog

Texas Releases STAR Health Draft RFP; Seeks Public Input on STAR+PLUS, STAR Kids ACO

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This week, our In Focus reviews the Texas Health and Human Services Commission (HHSC) draft request for proposals (RFP) for Texas STAR Health, the state’s Medicaid managed care program for foster care kids. The state is also seeking public input for the STAR+PLUS and STAR Kids Accountable Care Organization (ACO) programs, in anticipation of the reprocurement of these Medicaid managed care programs.

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Blog

HMA Launches Novel Project ECHO for MOUD in County Jails

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Aimed at shifting and improving the delivery of addiction treatment within county jails, Health Management Associates (HMA) will partner with the Washington/Baltimore High Intensity Drug Trafficking Area (W/B HIDTA) and Fairfax County Sheriff’s Office to deliver a novel Project ECHO clinic. Funded by W/B HIDTA to support county jails in their region, the Medication for Opioid Use Disorder (MOUD) in County Jails ECHO Clinic will provide participants with HMA training specifically focused on initiating or expanding the use of MOUD within their facilities. The project will broaden county knowledge and understanding of MOUD and its place in the criminal justice system, increase the use of MOUD with evidence-based and emerging promising practices, and promote a culture that supports MOUD in jails.

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