Dedicated to supporting the effectiveness of publicly financed healthcare programs, Health Management Associates (HMA) is committed to promoting the design, financing and operation of effective models of person-centered long-term services and supports (LTSS) which:
Support an individual’s ability to receive services in the most integrated setting
Promote successful community living
Improve integration of LTSS with quality physical and behavioral healthcare
Support Medicare and Medicaid integration and coordination
Address the social determinants of health for people with support needs
Support direct care workforce initiatives for states, managed care organizations and long-term care providers
Support strategic planning focused on long-term care
Support managed care readiness initiatives
What we offer
With deep expertise in the field, our colleagues and the work we do help to shape current system trends. In addition, we support improved outcomes for beneficiaries and successful participation for the wide range of LTSS providers including managed care organizations, states offering critical services, and purchasers through:
LTSS Models of Care
Developing and promoting person-centered integrated, and holistic LTSS models of care
LTSS Quality Standards
Supporting the development of LTSS quality standards and metrics, including technical assistance for NCQA and other accreditation and credentialing
LTSS Regulatory Compliance
Facilitating readiness and compliance with federal and state regulations, including home and community-based settings of care, Medicaid managed care, the Fair Labor Standards Act, and the Americans with Disabilities Act
LTSS Integration
Implementing care management and service delivery models that promote integration of services across physical, behavioral, and LTSS providers and between Medicare and Medicaid including those developed under PACE, managed LTSS, and managed fee-for-service
LTSS Stakeholder Engagement
Supporting effective community engagement by public policy makers, and empowering advocacy organizations and other stakeholders in understanding, shaping, and responding to change
LTSS Delivery and Payment Models
Assisting organizations and providers to prepare and respond to payment and structural changes in LTSS (e.g., managed care, accountable care, value-based purchasing)
LTSS and Social Determinants Design
Designing innovative approaches to addressing the social determinants of health, including improved strategies for affordable and accessible housing, competitive employment for persons with disabilities, access to technology, and social equity-based care delivery models
LTSS Market Analysis
Providing expert market analysis for investors relating to LTSS providers, managed care organizations, service vendors, or emerging trends in the LTSS landscape
LTSS Research and Evaluation
Enabling the use of data to uncover opportunities for improvement and to demonstrate value to ACOs, hospital systems, payers, and funders
Our wide-ranging expertise includes:
Medicaid LTSS waiver and state plan authority options
Operation and oversight of managed LTSS
Public procurements
LTSS provider operations
Federal and state compliance
Care management and care coordination
Workforce development
Strategic planning and practice redesign
LTSS policy analysis
Value-based purchasing
Quality monitoring, evaluation and research
Community capacity and network adequacy
Readiness reviews
Our Clients Include:
Federal, state and local governments
For-profit, not-for-profit and public health plans
Institutional and home and community-based services providers and their associations
National, state and local advocacy organizations
National and regional foundations
Direct care workforce representatives
Investment services entities
Contact our experts:
Sharon Lewis
Principal
