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.

Show All | Blogs | Webinars | Weekly Roundup | Expert Videos | Case Studies | MI Update | Briefs & Reports | HMA News | Solutions

Filter by topic:

Receive timely expert insights on topics you care about.

Select Topics

197 Results found.

Webinar

Webinar Replay: National and State Strategies for Long-Term Care at Home

Watch Now

This webinar was held on August 31, 2020.

The COVID-19 pandemic has created greater impetus for the growth of home-based care alternatives to hospital and institutional care. In this webinar, HMA experts provided a national overview of the trend toward home-based care and highlighted innovations in state policies, payer programs, clinical models, and payment models. Speakers also took an in-depth look at California’s new LTC at Home benefit.

Learning Objectives:

  • Understand how the pandemic is spurring new interest and growth in home-based alternatives to institutional care.
  • Identify trends among home health and home care providers in the era of COVID-19.
  • Learn about promising state and payer initiatives for promoting home-based long-term care (LTC)
  • Explore the details and ramifications of California’s new LTC at Home benefit.

HMA Speakers

Karen Brodsky, MHS, Principal, New York
Jody Gastfriend, LCSW, Principal, Boston
Barry Jacobs, Psy.D., Principal, Philadelphia
Jason Silva, JD, Senior Consultant, Sacramento

Materials Referenced in this Webinar

Continuum of Care Table
​​​​​​​​​​​DHCS Long-Term Care at Home​

Webinar

Webinar Replay: Exploring Medicare Advantage Plans as a New Business Strategy

Watch Now

This webinar was held on August 6, 2020.

The COVID-19 pandemic shined a spotlight on funding pressures on providers and systems that rely largely on fee-for-service payment. This, along with additional stressors brought on by the pandemic, has led many health systems and providers to consider revenue diversification and service expansion strategies. During this webinar, HMA Medicare Advantage experts addressed the option of using Medicare Advantage as a strategy to better manage care of patients and provide a steady stream of predictable revenues.

Learning Objectives:

  • Evaluate the benefits and risks of exploring a Medicare Advantage business strategy.
  • Understand the evolving national Medicare Advantage policy landscapes and competitive marketplace.
  • Assess various Medicaid Advantage plan options and strategic business considerations.
  • Find out about the unique market opportunities of Medicare Advantage Special Needs Plans.
  • Learn what needs to be done for a successful Medicare Advantage launch or expansion in 2022.

HMA Speakers

Jon Blum, Managing Principal, Washington, DC
Mary Hsieh, Managing Principal, Atlanta, GA

Webinar

Webinar Replay: Leveraging the Primary Care Team’s Strengths During Reopening: Part 3 – Payment and Documentation

Watch Now

This webinar was held on July 29, 2020.

In this webinar, HMA primary care experts discussed current payment flexibilities that allow physician practices to maintain revenues while operating in a virtual environment. Given the likelihood that many patients will continue to receive care virtually even after the pandemic, HMA experts explored mechanisms for alternative payment models that support virtual care and allow for efficient use of the care team. Speakers also shared necessary considerations for documentation to assure data capture and appropriate billing.

Learning Objectives

  1. Discuss current relaxation of regulations related to the National Emergency Declaration and CMS flexibility.
  2. Understand the use of alternative payment models to enhance revenue opportunities for practices providing virtual care.
  3. Understand the need for new templates and order sets to support virtual care.
  4. Discuss EHR optimization to improve care processes and capture data.

Speakers

Helen Duplessis, MD, Principal, Los Angeles, CA
Lisa Harrison, MS, MHS, PA-C, Senior Consultant, Denver, CO
Roxane Townsend, MD, Managing Principal, Raleigh, NC

Webinar

Webinar Replay: Nursing Home Revenue Diversification and Care Options Series: Understanding the Impact of Nursing Home Compare Five-Star Quality Ratings

Watch Now

This webinar was held on July 24, 2020. 

Even before COVID-19, nursing homes struggled with staffing shortages, inadequate reimbursement rates, and declining occupancy rates. The pandemic has amplified these challenges, forcing nursing homes to consider options for diversifying revenues and broadening services for both residents and individuals who qualify for institutional status but reside in the community. During this webinar (the second in a series), HMA quality experts will provide an overview of the Nursing Home Compare Five-Star Quality Rating System and its impact on nursing homes.

Learning Objectives

  • Understand the components of the Nursing Home Compare Five-Star Quality Rating System.
  • Find out how Nursing Home Compare ratings impact a nursing home’s business.
  • Learn the strengths and limitations of Nursing Home Compare as a true measure of nursing home quality.

HMA Speakers
Doug Elwell, COO, Chicago, IL
Susan Tucker, Principal, Tallahassee, FL

Webinar

Webinar Replay: Leveraging the Primary Care Team’s Strengths During Reopening: Part 2 – Adapting the Environment

Watch Now

This webinar was held on July 22, 2020.

Before reopening for in-person visits, primary care practices must address a wide variety of safety considerations, including infection control protocols; modifications to offices, waiting areas, and exam rooms; staffing and workflow issues; and other strategies that minimize the risk of exposure to COVID-19 for both patients and staff. During this 30-minute webinar, HMA primary care experts discussed best practices for successfully reopening primary care practices during the COVID-19 pandemic.

Learning Objectives

  1. Understand key clinical, physical office, and financial considerations for reopening primary care practices to in-person patient care.
  2. Learn about the availability of decision-support tools and resources to assist primary care practices with reopening.
  3. Find out about infection control protocols and other best practices to ensure the safety of patients and staff during reopening.
  4. Learn how the “new normal” of operating during the COVID-19 pandemic variously impacts clinicians, administrative staff, and leadership, including a look at new protocols and workflows.

Speakers

Karen Hill, PhD, ANP-C, MSN, RN, Senior Consultant, San Francisco, CA
Brittany LaBarreare, Senior Consultant, Austin, TX
Gail Mayeaux, Principal, Albany, NY
Deb Peartree, Senior Consultant, Albany, NY

Webinar

Webinar Replay: Leveraging the Primary Care Team’s Strengths During Reopening: Part 1 – The Workforce

Watch Now

This webinar was held on July 15, 2020.

In this three-part series, HMA experts will cover topics that are important for primary care practices to consider and employ as they reopen for face-to-face visits.

As primary care practices reopen around the country, many of them are adopting novel hybrid models combining in-person and virtual care. In this half-hour presentation with primary care leaders and clinical innovators, we discussed the key challenges for flexing the primary care workforce in this hybrid environment.

Learning Objectives

  1. Learn more about a model of hybrid primary care that combines in-person and virtual visits…
  2. Identify best practices for changing workflows and managing staff members remotely in the hybrid primary care model.
  3. Discuss technological strategies for integrating behavioral health into the flow of hybrid primary care.

Speakers

Dr. Barry J. Jacobs, Principal, Philadelphia, PA
Gail Mayeaux, Principal, Albany, NY
Deb Peartree, Senior Consultant, Albany, NY
Caitlin Thomas-Henkel, Senior Consultant, Philadelphia, PA

Webinar

Webinar Replay: HMA Community Health Worker Webinar Series Part 2: The Role of Community Health Workers as COVID-19 Contact Tracers

Watch Now

This webinar was held on July 13, 2020. 

Aggressive COVID-19 contact tracing is key to state reopening strategies. During this webinar, HMA community health experts addressed how community health workers can play a critical role in contact tracing, leveraging their trusted position in local communities and simultaneously furthering efforts to assist patients with multiple needs, including housing instability, food insecurity and co-morbidity. HMA experts also outlined best practices for establishing a contact tracing infrastructure and discuss how community health workers are positioned to emerge as the vanguard for COVID-19 vaccination efforts.

Learning Objectives:

  • Learn how to apply creative workforce strategies to address contact tracing, isolation support, co-morbid disease management, and immunization efforts.
  • Obtain creative financing and sustainability strategies for staffing and infrastructure.
  • Understand how community health workers and paraprofessionals can play an expanded role in the post-COVID-19 delivery system of the future.

HMA Speakers

Kathleen Nolan, Vice President, Washington, DC
Pat Casanova, Principal, Indianapolis, IN
Uma Ahluwalia, Principal, Washington, DC

 

A recording of the first webinar and supporting materials are now available here.

Webinar

Webinar Replay: Nursing Home Revenue Diversification and Care Options Series: Exploring Medicare Advantage as an Alternative Revenue Source for Post-Acute Providers

Watch Now

This webinar was held on July 17, 2020.

Even before COVID-19, post-acute providers such as nursing homes struggled with inadequate reimbursement rates and declining occupancy rates. This, along with additional stressors brought on by the pandemic, has led many nursing homes to consider revenue diversification and service expansion strategies. During this webinar (the first in a series), HMA Medicare Advantage and long-term care experts addressed two such options for nursing homes: Medicare Advantage Institutional Special Needs Plans (I-SNP) and Institutional-Equivalent Special Needs Plans (IE-SNP).

Learning Objectives

  • Understand Medicare Advantage, its significance and its growth
  • Identify types of Medicare Advantage options for residents and community-based beneficiaries
  • Explore how Medicare Advantage can serve as a potential revenue diversification strategy
  • Learn about the benefits and risks of   Medicare Advantage, in particular for I-SNPs
  • Identify how to assess if an I-SNP or an IE-SNP is the right opportunity for your organization

HMA Speakers

Mary Hsieh, Managing Principal, Atlanta, GA
Susan Tucker, Principal, Tallahassee, FL

Webinar

Webinar Replay: HMA Community Health Worker Webinar Series Part 1: Health and Human Services Workforce Needs in the Context of COVID-19

Watch Now

This webinar was held on June 30, 2020.

In the midst of the COVID-19 pandemic, state and local governments and safety net providers are faced with a clear indication of disparities in population health outcomes and looming budgetary challenges across the nation. These entities are committed to their residents and are looking for creative strategies to mitigate health risks and deliver responsive health and human services despite budgetary challenges. As such, the role of the community health worker or the navigator rises to the top. Engaging and integrating trusted community health workers and other paraprofessionals is a promising, cost-effective and trust-building practice that can support the seamless dissemination of these essential services in these unprecedented times.

This webinar was the first in HMA’s Community Health Worker Series. During this webinar, HMA experts put forth a value proposition for the timely engagement and integration of community health workers/navigators/peer support specialists in the delivery of health and human services. Presenters provided several compelling case studies and three successful implementation models for integrating paraprofessionals into the delivery system. Participants learned how community health workers are poised to support the unique needs of residents in urban, suburban, rural, and public health and human services settings. Finally, respondents reflected on the paraprofessional role from a social determinants of health standpoint and from the perspective of minority populations and their communities.

Learning Objectives: 

  • Understand the role community health workers and other paraprofessionals can play in the health and human services workforce in the COVID-19 era.
  • Learn how select states explored the certification, education, financing and roles of community health workers and other paraprofessionals when integrated into specific health and human services.
  • Find out how to build trust in minority communities, incorporating social determinants of health in the COVID-19 recovery response at the crossroads of health disparities and racial inequities.

HMA Speakers

Uma Ahluwalia, Principal, Washington, DC
Heidi Arthur, Principal, New York, NY
Stephanie Denning, Principal, Denver, CO
Julia Elitzer, Senior Consultant, San Francisco, CA
Iliana Gilman, Principal, Austin, TX
Catherine Guerrero, Principal, Denver, CO
Lori Weiselberg, Managing Principal, Chicago, IL

Reference Materials:

The National Academy of State Health Policy (NASHP) has a great website of state CHW models:  https://www.nashp.org/state-community-health-worker-models/

The Association of State and Territorial Health Officials (ASTHO) features tools and information about CHWs at: https://www.astho.org/Community-Health-Workers/

There is also a helpful image describing the ever-changing picture of state approaches to CHW certification as well: https://www.astho.org/Programs/Clinical-to-Community-Connections/Documents/Map-of-State-Approaches-to-CHW-Certification/

Multnomah County training: https://multco.us/health/community-health/community-health-worker-training

SAMHSA has great resources: https://www.samhsa.gov/brss-tacs/recovery-support-tools/youth-young-adults

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6703286/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3343233/

The VT interview is the March 4, 2020 podcast.  https://www.aha.org/advocacy/small-or-rural/rural-report-podcast-series

Webinar

Webinar Replay: Federal COVID-19 Response: Medicare Advantage Policy Changes and Impacts

Watch Now

This webinar was held on June 11, 2020.

In response to the rapid spread of the COVID-19 virus, Congress and the Centers for Medicare & Medicaid Services (CMS) have made significant policy changes to Medicare Advantage regulations, allowing for expanded benefits and other flexibilities designed to better serve the Medicare population.

During this webinar, HMA experts addressed the impact of these changes, including a look at policies affecting cost sharing, telehealth, Star Ratings, prescription drugs, provider funding, appeals, and Special Needs Plans (SNP). Speakers also addressed the likelihood that these policies remain in place even after the COVID-19 emergency ends.

Learning Objectives: 

  • Learn about changes in federal Medicare Advantage policies in response to COVID-19.
  • Understand how Medicare Advantage plans, including Special Needs Plans, are adjusting to the new rules, including the impact on benefit design, care delivery, payment models, and quality.
  • Identify operational implications of Medicare Advantage policy changes to ensure continued delivery of high-quality care to beneficiaries.

HMA Speakers:

  • Julie Faulhaber, MBA, Principal, Chicago
  • Mary Hsieh, PharmD, MPH, Managing Principal, Atlanta
  • Narda Ipakchi, MBA, Senior Consultant, Washington, DC
  • Sarah Owens, Principal, Philadelphia
  • Danielle Pavliv, MPH, PMP, Senior Consultant, Atlanta
Webinar

Webinar Replay: Tracking State Responses to COVID-19 for Home Health and Home Care Providers: Survey Results and Provider Perspectives

Watch Now

This webinar was held on June 9, 2020. 

With most federal COVID-19 funding going to hospitals and nursing homes, states are implementing various Medicaid authorities, legislation, and policies of their own to improve access to long-term services and supports, including home and community-based services. HMA home care experts have tracked these state efforts and presented the results during this informational session. They were joined by home health and home care industry leaders, who offered important perspectives on state actions as well as thoughts on additional steps that will be necessary over the long term.

Learning Objectives:

  • Understand state COVID-19 legislation, executive orders, and policy guidance and how it affects home health and home care providers.
  • Gain perspective from home health and home care providers on how state COVID-19 efforts are playing out.
  • Understand the immediate and long-term challenges and opportunities home health and home care providers are likely to face as they respond to COVID-19.

Speakers

Karen Brodsky, Principal, HMA
Pat Kelleher, Executive Director, Home Care Alliance of Massachusetts
Linda Mintz, Co-Chair, CareFinders Total Care
Susan Tucker, Principal, HMA

Webinar

Webinar Replay: Supporting the Behavioral Health Workforce During the COVID-19 Response: Strategies for Providers to Sustain and Strengthen the Behavioral Health System

Watch Now

This webinar was held on May 18, 2020.

Even as behavioral health providers work tirelessly to respond to COVID-19, the most forward-looking organizations also recognize that the pandemic has laid bare the need to develop a wide variety of short- and long-term solutions to ongoing and emergent needs. The most pressing of these needs concern strategies to support and strengthen the behavioral health system workforce.

During this webinar, HMA experts showed how leading behavioral health providers are using new regulatory flexibilities, emerging staffing models, and new delivery formats to develop and implement organizational changes and innovations that sustain workforce excellence.

Learning Objectives:

  • Hear how behavioral health providers around the country are supporting their workforce and continuing to meet ongoing and emergent behavioral health needs.
  • Learn how collaborative efforts among states and providers can lead to meaningful changes in rules, roles, tools, and approaches to delivering behavioral healthcare.
  • Obtain cross-cutting strategies for management and leadership during a crisis.
  • Find out how to ensure organizational structures are in place to help staff adjust to change, foster resilience, and provide bereavement support when appropriate.
  • Understand the available resources and emerging practices for workforce support, including training, technology, and strategies for enhancing the ability of the behavioral health workforce to meet the needs of special populations.

HMA Speakers

Barry Jacobs, PsyD, Principal, Philadelphia, Pennsylvania
Gina Lasky, PsyD, Principal, Denver, Colorado
Shannon Mong, PsyD, Principal, San Francisco, California
Lori Raney, MD, Principal, Denver, Colorado
Meggan Schilkie, MBA, Managing Principal, New York
Tim Sheehan, MSW, Principal, Chicago, Illinois