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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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1425 Results found.

Blog

Highlights from NASBO Spring 2019 Fiscal Survey of States

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This week, our In Focus section section highlights some of the key findings of the Spring 2019 Fiscal Survey of States, released this month by the National Association of State Budget Officers (NASBO). The association conducted surveys of state budget officers in all 50 states from March through May 2019. The findings in the report focus on the key determinants of state fiscal health, highlighting data and state-by-state budget actions by area of spending. Below we summarize the major takeaway points from the report, as well as highlight key findings on Medicaid-specific and other health care budget items.

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Blog

New Opportunities and Requirements for Integrated Managed Care Models for Medicare-Medicaid Dually Eligible Individuals Served by Health Plans

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This week, our In Focus section provides a high-level overview and an analysis for how health plans should consider two related and significant policy statements from the Centers for Medicare & Medicaid Services (CMS) about opportunities to further integrate care for dually eligible individuals.  Specifically, the CMS April 24, 2019, State Medicaid Director letter (SMDL) outlines new opportunities for states, largely working with health plans, to test models of integrated care, including opportunities to continue current financial alignment initiatives (FAIs).[i] CMS also issued final rules related to Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) definitions and requirements for Medicare-Medicaid integration activities and unified grievances and appeals for calendar year 2021.[ii] Together, these guidance documents should present greater opportunities for health plans to partner with CMS and states to integrate care for dual eligible beneficiaries.[iii]

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Blog

HMA Collaborates on Connecticut HEC Initiative

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The Connecticut Office of Health Strategy and Department of Public Health recently announced that the State Innovation Model (SIM) Healthcare Innovation Steering Committee has approved the Health Enhancement Community (HEC) initiative proposed framework. This blueprint is designed to build or expand collaborations across the state to improve healthy weight and physical fitness, advance child well-being, and strengthen health equity. The HEC initiative will further residents’ health and well-being by addressing both clinical need and the social determinants that impact overall health.

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Blog

Texas 2020-21 Biennium Budget Overview

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This week, our In Focus section reviews the Texas 2020-21 biennium budget. The Texas Legislature adjourned its biennial legislative session on May 27, 2019, after adopting a $250.6 billion budget (all funds). The total budget is 6.3 percent higher than the 2018-19 budget with an increase of $14.8 billion. 

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Webinar

Webinar Replay: CMS Primary Care Initiative: Key Considerations Concerning New Value-Based Payment Options

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This webinar was held on July 11, 2019. 

The Centers for Medicare & Medicaid Services (CMS) has announced a new Primary Care Initiative, offering primary care providers (PCPs) in 26 regions nationally the opportunity to participate in new Medicare payment models beginning January 2020: Primary Care First (PCF).

During this webinar, experts from HMA described how this initiative builds on prior CMS innovation models in advancing primary care and outlined eligibility, payment models, and key considerations of the program. The PCF program includes an option to care for seriously ill patients who lack a primary care practitioner and opt to participate in this payment model option. It prioritizes the physician-patient relationship, reduces administrative burden, and financially incents improved health outcomes.

Learning Objectives

  1. Understand the eligibility requirements for the PCF programs.
  2. Describe program models including attribution and payment models.
  3. Understand the goals and quality metrics associated with PCF, including incentives aimed at reductions in hospital utilization and total cost of care.
  4. Lean how participation in this primary care initiative can help primary care practices expand their patient base, especially among high needs populations.

Speakers

  • Art Jones, MD, Principal, Chicago
  • Elizabeth Wolff, MD, MPA, Principal, New York

Who Should Listen

Physicians and executives from primacy care practices, IPAs, ACOs, hospitals, health systems, and other provider entities; health plans and other payers. Although eligibility for program participation is limited to the 26 targeted geographic areas, others may be interested in learning how CMS is progressing toward increasing primary care payment through capitation.

Webinar

Webinar Replay: Medication Assisted Treatment: Are You Ready?

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This webinar was held on June 12, 2019 and was the seventh webinar in a series about addressing the opioid crisis in America.

Medication Assisted Treatment (MAT) has been proven to successfully treat opioid use disorder and can be offered in outpatient settings alongside treatment for other chronic medical and behavioral health conditions. However, many providers are unfamiliar with the nuances of providing this treatment in their practices. What’s needed is a systematic understanding of the various operational and regulatory issues that providers will face when providing MAT.

During this webinar, HMA clinicians addressed some of the key considerations for practices looking to offer MAT. They also demonstrated how the use of a readiness assessment tool can help providers identify and work through a variety of potential problem areas, leading to implementation of a successful MAT program.

Learning Objectives

  1. Learn how to institute new workflows and manage the type of change that will come with providing access to MAT.
  2. Understand best practices for integrating MAT into an already busy practice, including the issues of staffing and scheduling.
  3. Find out how to make MAT financially sustainable, including an understanding of billing and coding rules.
  4. Learn how to ensure compliance with Drug Enforcement Administration regulations and requirements.

HMA Speakers

  • Scott Haga PA-C, Senior Consultant, Lansing
  • Jean Glossa, MD, MBA, Managing Principal for Clinical Services Washington, DC

Who Should Listen

Outpatient primary care and behavioral health providers considering adding MAT to their scope of practice, health systems interested in supporting outpatient providers, payers and health plans.