Briefs & Reports

Finance: A Guide to Safety Net Provider Reimbursement

The prevailing healthcare reimbursement system in the United States has failed to create effective incentives for providers to improve quality and contain costs. The current system has rewarded volume over value and has discouraged providers from working together toward improved health for the populations they serve. These issues are even more acute within the safety … Read More

Medicaid Waiver Means Coverage For Up To 30,000

HMA is proud to have helped The MetroHealth System secure a Medicaid Section 1115 waiver that will ensure more Ohio residents get the medical care they need. The new program, MetroHealth Care Plus, offers free health care coverage for people with low incomes who do not qualify for Medicaid and have no insurance. It’s expected the program will provide … Read More

Empanelment in an Accountable Care Environment: IMPLEMENTATION GUIDE

A foundation of both the Patient Centered Medical Home (PCMH) model of care and accountable care, “empanelment” is the process of creating and maintaining a relationship between each patient and a primary care provider (PCP). This document is a guide to implementing this foundational process in organizations that deliver primary care and are seeking to … Read More

The ACA’s Impact on Corrections

New opportunities. New challenges. The Patient Protection and Affordable Care Act (ACA) serves up both when it comes to correctional health care. The changing landscape in the corrections world will also impact Medicaid health plans and commercial plans sold on State Health Insurance Exchanges. HMA Principal Donna Strugar-Fritsch maps out what implementation of the ACA … Read More

HMA Efforts Helping to Improve Pediatric Care

HMA is proud to be one of several partners to help with Florida’s Change for Kids Initiative, a Pediatric Medical Home Demonstration Project. The project helps practices adopt multiple facets of medical homes, including being family-centered, coordinating care with other providers in the community, using electronic information exchange, and adopting best care models. Sixteen practices … Read More

HMA’s Henneberry Appointed to Bipartisan Commission

Joan Henneberry, a Principal in HMA’s Denver office, has been named to the State Health Care Cost Containment Commission. The goal of the bipartisan Commission is to develop a process and practical policies that states can adopt and implement to hold the growth rate of all health care spending in a state to a growth … Read More

Policy Speakout: What’s next for health reform?

If people were busy with health reform implementation before the election, hold onto your hats. Now that it appears we’ll be “staying the course” with the Affordable Care Act, expect a great deal of activity and planning in 2013.

Medicaid Today; Preparing for Tomorrow – A Look at State Medicaid Program Spending, Enrollment and Policy Trends Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2012 and 2013

The findings in this report are drawn from the 12th consecutive year of the Kaiser Commission on Medicaid and the Uninsured (KCMU) and Health Management Associates (HMA) budget survey of Medicaid officials in all 50 states and the District of Columbia. This survey reports on trends in Medicaid spending, enrollment and policy initiatives for FY … Read More

Washington Post: Medicaid spending is slowing. Yes, really.

The Kaiser Family Foundation surveyed all states on their Medicaid spending this year. The biggest takeaway might surprise you: Medicaid spending growth hit a “near-record low” in 2012, with similar trends expected in 2013. That’s good news for the federal budget. The entitlement program is growing more slowly than we expected at the start of this fiscal … Read More