Be sure to register soon for HMA’s conference on What’s Next for Medicaid, Medicare, and Publicly Sponsored Healthcare: How Payers, Providers, and States Are Navigating a Future of Opportunity and Uncertainty, October 26-27, at the Fairmont Chicago, Millennium Park. The Early Bird registration rate of $1595 per person expires on July 29. After that, the rate is $1795.
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Webinar Replay: Leveraging the Primary Care Team’s Strengths During Reopening: Part 1 – The Workforce
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
- Learn more about a model of hybrid primary care that combines in-person and virtual visits…
- Identify best practices for changing workflows and managing staff members remotely in the hybrid primary care model.
- 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 Replay: Tracking State Responses to COVID-19 for Home Health and Home Care Providers: Survey Results and Provider Perspectives
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

HMA conference on trends in publicly sponsored healthcare
HMA Conference 2020
What’s Next for Medicaid, Medicare, and Publicly Sponsored Healthcare:
How Payers, Providers, and States Are Navigating a Future of Opportunity and Uncertainty
Pre-Conference Workshop: October 25
Conference: October 26-27
Location: Fairmont Chicago, Millennium Park

Proposed Medicare payment and policy changes for FY 2021: hospice, inpatient psychiatric facilities, and skilled nursing facilities
Recently, the Centers for Medicare & Medicaid Services (CMS) issued proposed rules to update the Medicare payment rates and implement other policy changes for three types of Part A providers: hospice, inpatient psychiatric facilities (IPFs), and skilled nursing facilities (SNFs). CMS is publishing these proposed rules in accordance with existing statutory and regulatory requirements to update Medicare payment policies for these providers on an annual basis. This brief summarizes the proposed payment rates and key policy changes for each of these provider types.

Medicare and Medicaid telehealth coverage in response to COVID-19
Telehealth service expansions by Medicare and most Medicaid programs aim to rapidly increase access to care and reduce transmission, but also provide a natural experiment for policymakers.
This week, our In Focus section examines the extensive scope of flexibilities Federal and State governments have made to Medicare and Medicaid telehealth coverage in response to the COVID-19 national emergency. In March and April 2020, federal and state policymakers responded to the COVID-19 emergency by temporarily and aggressively expanding the definition of and reimbursement for telehealth services—moves intended to improve access to care and reduce virus transmission. Under the Medicare and Medicaid programs, these temporary expansions have been rapid and historic in scope, and will have substantial implications for patients, providers, payers, and federal/state financing. For policymakers, this temporary expansion may serve as a natural experiment for assessing which forms of telehealth services successfully expand access to care and should become permanent healthcare policy.

Webinar Replay: Reflecting on HCBS Policies and Practices in Response to COVID-19
This webinar was held on April 17, 2020.
Medicaid-covered home and community-based services (HCBS) are critical to the health and well-being of millions of individuals with intellectual or developmental disabilities, physical disabilities, and/or behavioral health conditions.
In response to COVID-19, the Centers for Medicare and Medicaid Services (CMS) has provided state Medicaid programs with increased flexibility to modify HCBS programs to continue to provide timely high-quality care. State Medicaid programs have secured approval for new initiatives through a combination of Section 1135 Waivers, 1115 Emergency Amendments, Emergency State Plan Amendments, and Appendix K amendments to HCBS 1915(c) waivers.
During this webinar, our HMA experts outlined what these changes mean for states, providers, and individuals who rely on HCBS. Speakers provided an overview of key flexibilities, offered examples of promising practices, and shared insights about the present and the future of HCBS as reshaped by COVID-19.
Learning Objectives
- Learn how state Medicaid programs have used CMS-approved waivers and amendments to temporarily modify HCBS policies and practices to protect people during the COVID-19 pandemic.
- Understand how new HCBS flexibilities impact HCBS providers on-the-ground.
- Understand what these changes mean for individuals who receive services and supports.
- Learn more about how the pandemic may be changing the future of HCBS.
HMA Speakers
Sarah Barth, JD, Principal, New York, NY
Ellen Breslin, MPP, Principal, Boston, MA
Sharon Lewis, Principal, Portland, OR
Susan Tucker, CPA, Tallahassee, FL

Exploring value-based payment opportunities for long-term care providers
This week, our In Focus section reviews value-based payment (VBP) opportunities for long-term care providers. HMA Principal Dana McHugh authored the article, “Life Plan Communities and Value-Based Payments: Aligning Incentives So Everyone Benefits”, for LeadingAge national magazine, discussing how life plan communities can establish value-based payment arrangements with managed care organizations (MCOs) to maximize value and add additional revenue streams.

Los Angeles County complex care management training for registered nurses
The client’s goal was to increase and enhance leadership skills and critical thinking approaches as well as increase chronic disease expertise of the 100 Registered Nurse (RN) Care Managers in the Los Angeles County Department of Health Services (LACDHS) ambulatory care system through training, standardized complex care management (CCM) across the county, hiring new care managers and integration of care management software.
Download to read the approach and results.

Health Management Associates Acquires California-based Firm NPO Solutions
Today, Jay Rosen, founder and president of Health Management Associates (HMA), announced the acquisition of NPO Solutions, a California-based management consulting firm that specializes in expanding the capacity of social sector organizations.

Jonathan Blum to Join HMA as Managing Principal
Jonathan (Jon) Blum will join HMA as a managing principal on Aug. 31 working out of the Washington, DC office.
He has more than 20 years of senior-level experience working in public and private healthcare financing organizations, including the Centers for Medicare and Medicaid Services (CMS).

HMA Expands West Coast Footprint, Opens Office in Los Angeles
Health Management Associates (HMA), a leading independent national consulting firm specializing in publicly funded healthcare, continues its growth with the opening of a new office in downtown Los Angeles.