Briefs & Reports

Case Study Examines Georgia’s Experience Unbundling LARC Payments from Medicaid Prospective Payment System

A new case study prepared by colleagues from Health Management Associates (HMA) analyzes the Georgia Medicaid program’s experience with unbundling long-acting, reversible contraception (LARC) devices and services from the Medicaid prospective payment system (PPS) for reimbursement in Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). HMA examined Medicaid claims data from 2012-2019 as … Read More

HMA Colleagues Conduct Environmental Scan of NEMT Benefit to Medicaid Enrollees

As part of a larger Medicaid and CHIP Payment and Access Commission (MACPAC) study on Medicaid non-emergency medical transportation (NEMT) in response to a request from the Senate Appropriations Committee, a team of HMA colleagues conducted a 50-state environmental scan of NEMT programs and stakeholder interviews to better understand approaches and trends in the provision … Read More

HMA Briefs on Medicare-Medicaid Integration

This issue brief from Health Management Associates, Medicare-Medicaid Integration: Essential Program Elements and Policy Recommendations for Integrated Care Programs for Dually Eligible Individuals is part of a multi-phased research initiative to increase enrollment in integrated care programs (ICPs)[1] that meet full benefit dually eligible individuals’[2] needs and preferences. Dually eligible individuals have a range of chronic conditions and disabilities requiring … Read More

HMA Prepared Issue Briefs Explore MLTSS Impacts on State Medicaid Programs

In a recent pair of reports prepared for Arizona for Better Medicaid, HMA colleagues examined the impact of managed long-term services and supports (LTSS) in state Medicaid programs. The first report, Growth in MLTSS and Impacts on Community-Based Care, examines the historical increase in the adoption of LTSS by state Medicaid programs and how that … Read More

HMA Colleagues, Report Examines Cost of Stemming Gun Violence

In a new report, “Cost Estimate for Federal Funding for Gun Violence Research and Data Infrastructure,” HMA colleagues were engaged by Arnold Ventures and the Joyce Foundation, to examine the cost to fund research and create a data infrastructure aimed at reducing gun violence. Each organization had previously released separate, but complimentary, reports outlining recommendations to … Read More

HMA Brief Examines State Efforts to Integrate Care Across Medicaid FFS LTSS and Medicare Advantage D-SNPs

Funded by UnitedHealthcare, the issue brief, State Efforts to Integrate Care Across Medicaid Fee-for-Service Long-Term Services and Supports and Medicare Advantage Dual Eligible Special Needs Plans, outlines approaches taken by Medicaid programs seeking to coordinate Medicare and Medicaid services for dually eligible individuals without first implementing standalone Medicaid managed long-term services and supports (MLTSS) programs. … Read More

HMA Examines CMS Innovation Models Over the Past Decade

A new issue brief and accompanying data set by HMA colleagues examines models implemented by the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (The Innovation Center) over the past decade and provides evaluation of the findings.

HMA Authors Report Examining Future of COVID-19 Medicare Regulation Changes

A new Issue Brief, authored by Jennifer Podulka and Jon Blum, examines the many changes to Medicare regulations put in place during the COVID-19 pandemic. The brief, Which Medicare Changes Should Continue Beyond the COVID-19 Pandemic? Four Questions for Policymakers, tracks and categorizes the regulatory changes, describes the benefits and risks of the changes, and … Read More

Issue Brief Explores Personal Health Record for Children, Youth, and Families Involved with Child Welfare in California

HMA Senior Consultant Suzanne Rabideau, Principals Heidi Arthur and Eileen Moscaritolo and Consultant Anh Pham recently developed the issue brief Exploration of a Personal Health Record for Children, Youth, and Families Involved with Child Welfare in CA for California’s Medicaid CalAIM Foster Care Model of Care Workgroup. The issue brief was developed to assist the … Read More