As many states continue to utilize all-payer claims databases (APCDs) to help improve the quality, cost and effectiveness of care, the U.S. Supreme Court’s recent decision in Gobeille v. Liberty Mutual Insurance Company will present some hurdles for states using (or thinking about using) APCDs moving forward.
The shift from volume-based to value-based payment (VBP) requires primary care providers, including Federally Qualified Health Centers (FQHCs), and behavioral health providers to make fundamental changes to the delivery of care, operations, and financial management.
Our new web-based, self-assessment will help evaluate your readiness across multiple domains and identify critical care delivery, financial, and operational elements that will help you become ready to succeed under existing and emerging value-based payment models. We offer two versions of the tool: one for primary care providers and one for behavioral health providers.
Change is the new normal for healthcare today. The industry is in constant flux. Healthcare reform is prompting us to reimagine what we do and how we deliver healthcare. It seems many public, private and nonprofit stakeholders are taking different approaches, sparking a daily stream of research, studies and trends to inform your next move.
But who has time to sift through all that data? Keeping current with the latest developments alone is a full-time job. That’s where HMA can help.
You’ve counted on us for decades to provide clear insights into policy, programs and financing to get the job done. We provide counsel, research, whitepapers, webinars and weekly updates.
And now, we’re writing a blog.
HMA Information Services (HMAIS), a leading subscription database of Medicaid and government-sponsored healthcare information, is expanding into the hospital and provider market.
HMAIS recently added hospital and provider information in a dozen states, with others expected to come online in the weeks ahead. Data for each state includes rankings of acute care hospitals by Medicaid inpatient days and percentage of total bed days from Medicaid. Also included are historical Medicaid fee trends for more than 25 key physician procedures. HMAIS also has capitated rates paid to Medicaid managed care plans in states like Arizona, Florida, New Jersey, and Ohio; and accountable care organizations in states like Oregon.
In celebration of the 25th anniversary of the passage of the Americans with Disabilities Act (ADA) into law, we explore an important issue to individuals with disabilities – the need for conflict-free choice counseling. Conflict-free choice counseling is very relevant not only when individuals are choosing health plans in Medicaid and in the Exchanges, but also for when they receive referrals to other health-related services. It is a vital step in helping, protecting, and empowering vulnerable populations.
On June 26, 2015, the U.S. Supreme Court decided in Obergefell v. Hodges that same-sex marriage is a constitutional right under the Fourteenth Amendment. Despite this seminal moment in civil rights, individuals within the LGBT community still face numerous barriers, including equal access to healthcare and other rights afforded to heterosexuals.
Photo from the official White House Facebook page.
Image from Adam Fagen.
This past week has been momentous for the world of social justice in the United States. On Thursday, the Supreme Court upheld the legality of federal subsidies within the Affordable Care Act, which allows people across the United States to continue to better afford their health insurance purchased through the federal exchange. On Friday, the Court also ruled that same-sex marriage is a right granted by the U.S. Constitution.
Health starts in our homes, workplaces, and communities – and for young girls, it also starts in schools.
Access to education and access to and achievement in science, technology, engineering, and math (STEM) subjects are key to higher-paying jobs and career advancement later in life, but many girls continue to miss these opportunities.
Editor’s note: Co-authored with Leigh Fischer, Director of SBIRT Colorado
April is alcohol awareness month and over the last year, HMACS has worked on a number of projects related to the implementation of universal alcohol screening and brief intervention in primary care and other general health settings. Our experience with our partners has left us asking big questions.
In 2013, the teen birth rate was the lowest it has been since 1991, with 27 births per 1,000 teenage women. While this decrease of 57% from 1991 is certainly a move in the right direction, this rate is still high. According to the World Bank, the United States’ teen fertility rate was 31 births per 1,000 women in 2012, while other countries, such as Germany, Denmark, and China, had births per 1,000 in the single digits (4; 5; and 9, respectively).