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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Webinar

Webinar Replay: A Deep Dive into Improving CAHPS Member Experience Measures at Health Plans

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This webinar was held on May 19, 2021.

Member experience measures from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey play a growing role in the quality rankings of Medicaid and Medicare health plans, with the difference between high and low plan scores often amounting to a few percentage points. During this webinar, HMA quality expert David Wedemeyer delved into how Medicaid and Medicare plans can improve their CAHPS scores and thereby benefit from incentive payments tied to high quality performance.

Learning Objectives

  • Understand the growing role CAHPS measures have in health plan quality rankings and incentive payment models.
  • Learn how to develop a comprehensive member experience improvement structure, including a process for identifying and engaging members most likely to be dissatisfied.
  • Find out how the use of data analytics can drive a deeper understanding of trends in member experience and help identify real opportunities to improve.
  • Discover techniques for obtaining point-of-service feedback that can help address potential member experience issues before they arise

Speaker

David Wedemeyer, BSN, Principal, Los Angeles, CA

Webinar

Webinar Replay: Continuous Quality – How Medicaid and Medicare Plans Can Stay Ahead of Evolving HEDIS, CAHPS, and Accreditation Requirements

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This webinar was held on April 6, 2021. 

Medicaid and Medicare Advantage plans can avoid the disruptive triannual accreditation fire drill by instituting a process-driven approach to continuous quality improvement, driving member satisfaction, improving health outcomes, and ensuring a smooth accreditation process. During this webinar, HMA experts provided strategies and best practices for maintaining ongoing quality processes. Speakers also provided an understanding of the growing role that HEDIS and CAHPS measures play in member assignment, plan ratings, and pay-for-performance programs.

Learning Objectives: 

  • Identify key trends in health plan accreditation and how to position your organization for success.
  • Understand the growing importance of HEDIS and CAHPS measures in ensuring member health and long-term plan success.
  • Learn about upcoming changes in key quality metrics along with best practices and processes for hitting new member outcome and satisfaction targets.
  • Find out how to establish an ongoing process for quality reporting and evaluation, ensuring optimal accreditation results.

HMA Speakers

Diana Criss, Principal, Lansing, MI
Margaret Williams, Principal, Los Angeles, CA
David Wedemeyer, Principal, Los Angeles, CA

Blog

The future of quality reporting: understanding digital quality measurement practices

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In the wake of the COVID-19 pandemic, the need for greater health information technology interoperability, “digital” measures of healthcare quality and performance, and advanced value-based care systems has grown. In January 2021, the National Committee for Quality Assurance (NCQA) publicly released its vision for healthcare quality measurement to the Biden-Harris Department of Health and Human Services (HHS) transition team. The paper, “The Future of Healthcare Quality,”  focuses on four core areas, with three of them being specific to the evolution of a digital quality ecosystem:

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Brief & Report

HMA prepares NCQA distinction in multicultural health care report

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Health Management Associates (HMA) was engaged by Covered California to evaluate and make recommendations about whether the state’s Marketplace should require Qualified Health Plan (QHP) Issuers to gain National Committee for Quality Assurance (NCQA) Distinction in Multicultural Health Care.

With a mission to increase insurance coverage in California and improve quality of care while reducing costs and health disparities, Covered California sought to learn how achieving Distinction in Multicultural Health Care has helped Issuers promote meaningful change and reduce disparities to advance health equity, in order to determine whether requiring the Distinction would help the Marketplace assure QHP Issuers effectively deliver quality care and improve population health.

The HMA team reviewed the Distinction’s standards and guidelines within Attachment 7, Article 3interviewed four Issuers that have earned the Distinction. They recommended Covered California update its language in Article 3.04, requiring Issuers to achieve NCQA Distinction in Multicultural Health Care and allocate resources to deliberately address disparities and health equity, increasing infrastructure and reinforcing organizational commitment to this work.

HMA consultants Michael Anderson-Nathe, Nora Leibowitz and Michele Melden completed the assessment.

Blog

HMA announces cancellation of 2020 annual conference

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Health Management Associates has made the decision to cancel its October 2020 conference on Trends in Publicly Sponsored Healthcare, given continuing developments concerning COVID-19 and out of an abundance of caution for the safety of attendees, speakers, and staff. Full refunds will be made to registered attendees and sponsors.

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