The paper—co-written by the AARP Public Policy Institute and Health Management Associates—highlights examples of how progressive managed care plans are supporting family caregivers who are caring for plan members with LTSS needs. The purpose of this paper is for plan administrators, policymakers, and community-based organizations to learn from one another and ultimately adopt these practices, … Read More
Annual Survey Finds Medicaid Enrollment Growth Slowing, Uptick in Spending Growth
October 19, 2017
Medicaid Moving Ahead in Uncertain Times: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2017 and 2018 Medicaid enrollment continues to slow in FY 2017 and FY 2018; however, states project an uptick in spending in FY 2018. This is just one finding in the 17th annual 50-state Medicaid Budget Survey conducted … Read More
Hospital Charges and Reimbursement for Drugs: Analysis of Markups Relative to Acquisition Cost
October 18, 2017
Analyses of prescription drug spending trends may not always include the role various parts of the pharmaceutical supply chain play in those trends. This analysis examines hospital charges and reimbursement for 20 drugs for which hospital reimbursement data is provided in the Magellan Rx Management Medical Pharmacy Trend Report™: 2016 Seventh Edition (the Magellan report). … Read More
Report Summarizes Key Survey Findings Related to States’ Readiness to Implement Electronic Visit Verification
August 21, 2017
In December 2016, the 114th U.S. Congress enacted the 21st Century Cures Act. Section 12006 of the Act requires states to implement Electronic Visit Verification (EVV) for Medicaid-financed Personal Care Services and Home Health Care Services by January 1, 2019 and January 1, 2023, respectively, to avoid an escalating reduction in their federal match.
Report Provides Analysis and Technical Assistance on Oklahoma’s Section 1332 Waiver
August 21, 2017
This report was prepared by HMA and Leavitt Partners for the Oklahoma State Department of Health. During the 2016 session, Oklahoma’s legislature enacted Senate Bill (SB) 1386, which authorized the development of a Section 1332 State Innovation Waiver. The goals of the legislation were to improve healthcare quality and access in the state while reducing … Read More
Medicaid and Social Determinants of Health: Adjusting Payment and Measuring Health Outcomes
July 20, 2017
With the support of State Health and Value Strategies, Ellen Breslin and Anissa Lambertino of Health Management Associates, in partnership with Dennis Heaphy of the Disability Policy Consortium and Tony Dreyfus, prepared a recently released issue brief “Medicaid and Social Determinants of Health: Adjusting Payment and Measuring Health Outcomes.” This brief answers two key questions … Read More
Report Examines State Medicaid Coverage of Perinatal and Maternal Benefits
May 2, 2017
Medicaid Coverage of Pregnancy and Perinatal Benefits: Results from a State Survey This report, authored by the Kaiser Family Foundation and Health Management Associates (HMA), analyzes the status of Medicaid benefit policies for perinatal and family planning services in 40 states and the District of Columbia. While inpatient and outpatient hospital care must be covered for pregnant … Read More
Report Shares Lessons as Affordable Housing Providers, MMC Programs Forge Partnerships
April 25, 2017
A growing body of literature continues to validate the importance of addressing the social and structural determinants of health to improve health outcomes, and promote opportunity and economic mobility. Affordable, service-enriched housing plays a vital role in this work, with a growing momentum to collaborate across the health and housing sectors through lessons learned from … Read More
Medicaid and Health Policy Highlights from Governors’ Proposed Budgets
April 19, 2017
Governor’s Proposed Budgets for FY 2018: Focus on Medicaid and Other Health Priorities This issue brief, authored by the Kaiser Family Foundation and Health Management Associates (HMA), analyzes governors’ proposed budgets for state fiscal year (FY) 2018. Despite nearly half of the states facing budget challenges for FY 2018, many governors are recommending enhancements to … Read More
The Case for Relationship-Centered Care and How to Achieve It
February 15, 2017
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