Briefs & Reports

The Case for Relationship-Centered Care and How to Achieve It

American healthcare has entered a period of unprecedented debate regarding our healthcare delivery system. Adjectives such as affordable, accountable, integrated, and coordinated care routinely used to describe healthcare, but in the midst of reorganizing healthcare, have we lost the critical element of healthcare?—namely, “care” itself?  This element of true caring within the healthcare debate is … Read More

Linking Medicaid and Supportive Housing: Opportunities and On-the-Ground Examples

Research suggests that a broad range of social factors affect individual and population health. Indeed, acknowledging the role of social factors in determining health, the U.S. Department of Health and Human Services’ Healthy People 2020 report included as one its four overarching goals for the 2010-2020 decade: “Create social and physical environments that promote good … Read More

Annual Survey Finds Slower Growth in Total Medicaid Spending Nationally

Implementing Coverage and Payment Initiatives: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2016 and 2017 Growth in Medicaid enrollment and total Medicaid spending nationally slowed significantly in fiscal year 2016, and it looks like a continued slowdown will occur in fiscal year 2017. This is just one finding in the 16th … Read More

Report Evaluates Uncompensated Care and Medicaid Payments in Texas Hospitals

HMA was engaged by the Texas Health and Human Services Commission to perform an independent evaluation of Texas’ Uncompensated Care Pool, as required under the Special Terms and Conditions (STCs) of the State’s Section 1115 waiver, to submit to the Centers for Medicare and Medicaid Services (CMS). The report was submitted to CMS on August … Read More

The Value of Medicaid Managed Care

In “The Value of Medicaid Managed Care,” HMA authors Lisa Shugarman, Jaimie Bern and Jessica Foster review the literature describing the evolving Medicaid delivery system, focusing specifically on the growth of Medicaid managed care in the form of comprehensive risk-based managed care (RBMC) organizations. The paper, prepared for United HealthCare, also explores the role of … Read More

HMA Releases Medicaid Managed Care White Paper

Medicaid Managed Care is the subject of a recently released HMA white paper. In “The Value of Medicaid Managed Care,” HMA authors Lisa Shugarman, Jaimie Bern and Jessica Foster review the literature describing the evolving Medicaid delivery system, focusing specifically on the growth of Medicaid managed care in the form of comprehensive risk-based managed care … Read More

HMA’s Smith Part of NAMD Panel Reviewing Medicaid at 50

HMA Managing Principal Vern Smith was one of four experts who took part in the plenary panel discussion “Medicaid at 50: Past, Present and Future” at the National Association of Medicaid Directors (NAMD) fall conference Tuesday. He was joined by: Thomas Betlach, NAMD President, Arizona Medicaid Director, AHCCCS Deborah Bachrach, Partner, Manatt, Phelps & Phillips … Read More

Making Affordable Care Act Coverage a Reality: A National Examination of Provider Network Monitoring Practices by States and Health Plans

This qualitative study examines the standards and practices that state agencies and health plans use to ensure access to care in the period following the implementation of the Affordable Care Act (ACA). Based on evidence gathered through surveys of and interviews with key informants in state agencies and plans, the study explores the standards applied … Read More

Report Examines Provider Network Monitoring Practices

HMA released findings from a qualitative study this week in the report, “Making Affordable Care Act Coverage a Reality: A National Examination of Provider Network Monitoring Practices by States and Health Plans.” The study examined the standards and practices that state agencies and health plans use to ensure access to care in the period following … Read More