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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: Leveraging Your SAMHSA Certified Community Behavioral Health Center Grant

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This webinar, held on August 18, 2021, was the ninth webinar in the series “Exploring the Landscape of Behavioral Healthcare,” covering the growing impact of behavioral healthcare on clinical outcomes and cost.

Winning a SAMHSA Certified Community Behavioral Health Center (CCBHC) grant is just the beginning.  Now the real work beings. During this webinar, SAMHSA grant experts and a previous grant winner provided a step-by-step guide to implementing and leveraging CCBHC grants for maximum results. Speakers addressed the key steps to achieving CCBHC certification, meeting SAMHSA grantee requirements, and strategically building toward sustainability beyond the two-year grant period.

Learning Objectives

  • Learn what makes the CCBHC grant opportunity unique.
  • Understand the activities and processes needed to help ensure a successful implementation.
  • Find out how to develop strategies that support long-term sustainability.
  • Obtain case studies and lessons learned from a previous CCBHC grantee.

Speakers:

Heidi Arthur, Principal, HMA, New York, NY

Kristan McIntosh, Senior Consultant, HMA, New York, NY

Melissa Jillson, Senior Director, Liberty Resources Inc., Syracuse, NY

Liz Krell, Assistant Director of Process Optimization, Liberty Resources Inc., Syracuse, NY

Blog

Senate Infrastructure Bill Has Both Direct, Indirect Impact on U.S. Health Care System, Leavitt Partners Analysis Shows

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President Biden and Senator Majority Leader Schumer have been pursuing a two-track strategy to advance major policy objectives in 2021. The first track, the bipartisan “Infrastructure Investment and Jobs Act,” passed the Senate 69-30. Attention now turns to the House, where Speaker Pelosi has indicated she will not consider the bill until the Senate passes a Democratic-only reconciliation bill – which is the second track in Democrats’ policy strategy. While the Senate vote reflects a major bipartisan milestone, the bill still faces a trip through the House of Representatives before it gets to President Biden’s desk.

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Webinar

Webinar Replay: The Growing Role of Business Intelligence and Information Technology in State Medicaid Population Health Management Programs

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This webinar was held on August 5, 2021. 

State Medicaid agencies (SMAs) are increasingly relying on business intelligence platforms and other information technology (IT) solutions to provide the type of robust analytics needed for successful population health management programs. During this webinar, experts from Health Management Associates (HMA) and Cerner discussed the business intelligence and related IT needs of SMAs specific to population health management, based in part on the results of a recent, proprietary survey of SMAs.  Speakers also discussed how modern IT solutions can be leveraged to address these needs, especially in a world in which modularity and interoperability are king.

Learning Objectives

  • Understand the major SMA drivers of IT investments in support of population health management goals and programs, including the need to better manage cost and improve outcomes among high acuity beneficiaries.
  • Identify common gaps in information technology and business intelligence capabilities at SMAs which can impact the success of population health management initiatives.
  • Find out how business intelligence platforms and information technology solutions can promote interstate and intrastate collaboration on population health management programs, including enterprise initiatives across Medicaid agencies and health and human services agencies.
  • Gain insights into the evolution of population health management analytics, business intelligence platforms, and IT solutions that promote modularity and interoperability.

Speakers

Jake Engle, Senior Director, State Government, Cerner
Nathan Gray, Senior Manager, Information System Architecture, Cerner
Juan Montanez, Managing Director, IT Advisory Services, Health Management Associates

Blog

HMA Prepares Issue Briefs Exploring MLTSS Impacts on State Medicaid Programs

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This week, our In Focus section highlights a recent pair of reports prepared for Arizona for Better Medicaid. HMA colleagues examined the impact of managed long-term services and supports (MLTSS) in state Medicaid programs. The first report, Growth in MLTSS and Impacts on Community-Based Care, examines the historical increase in the adoption of LTSS by state Medicaid programs and how that has contributed to a shift in long-term care from institutions to the community. The second report, Managed LTSS Improves Quality of Care, describes the evidence on the impact of managed LTSS in state Medicaid programs on the quality of care.

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Brief & Report

HMA briefs on Medicare-Medicaid integration

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This issue brief from Health Management Associates, Medicare-Medicaid Integration: Essential Program Elements and Policy Recommendations for Integrated Care Programs for Dually Eligible Individuals is part of a multi-phased research initiative to increase enrollment in integrated care programs (ICPs)[1] that meet full benefit dually eligible individuals’[2] needs and preferences. Dually eligible individuals have a range of chronic conditions and disabilities requiring both Medicare and Medicaid services, which makes integrated programs important to their lives.

For a succinct overview of the essential elements and policy recommendations, please access the brief fact sheet. For a full discussion of the elements and policy recommendations, please access the full brief.

The authors are Sarah Barth, Ellen Breslin, Samantha DiPaola and Narda Ipakchi.[3]

For further information or questions, contact Sarah Barth at [email protected], Ellen Breslin at [email protected], or Samantha DiPaola at [email protected].

[1] Integrated Care Programs (ICPs): For this research, we defined ICPs as financing and care delivery organizing entities or programs that coordinate and integrate Medicare and Medicaid-covered services and supports for dually eligible individuals.They include the Centers for Medicare & Medicaid Services (CMS) Financial Alignment Initiative (FAI) capitated and fee-for-service models; the Program of All-Inclusive Care for the Elderly (PACE); Medicare Advantage (MA) Fully Integrated Dual Eligible Special Needs Plans (FIDE SNPs); Medicaid Managed Long-Term Service and Supports Program (MLTSS) managed care organizations and aligned MA dual eligible special needs plans (D-SNPs); and state-specific programs that may be proposed to CMS.

[2] Dually Eligible Individuals: When using the term dually eligible individuals, we are referencing Medicare-Medicaid full benefit dually eligible individuals (FBDEs), those who qualify for full Medicaid benefits.

[3] Narda Ipakchi was formerly a Senior Consultant with HMA.

Blog

Vermont Proposes Risk-Bearing, State-Run Medicaid Managed Care Entity

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This week our In Focus section reviews Vermont’s Global Commitment to Health Section 1115 waiver renewal application. In the proposed five-year demonstration extension, Vermont seeks to move the Medicaid population to a new a risk-bearing public, state-run managed care organization (MCO). Under the arrangement, the Department of Vermont Health Access (DVHA) would transition into the new entity and accept capitated risk for the state’s Medicaid population, covering physical and mental health, pharmacy services, substance use disorder (SUD) services, and long-term services and supports (LTSS) beginning January 1, 2022.

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