Briefs & Reports

State Levers for Improving Managed Care for Vulnerable Populations: Strategies with Medicaid MCOs and ACOs

HMA recently published a report detailing the 10 leading states’ strategies for using managed care to promote quality, cost-effectiveness, and better health outcomes for vulnerable Medicaid populations. Authors examined Medicaid “levers” used with both licensed managed care organizations (MCOs) and new integrated delivery systems such as accountable care organizations (ACOs). After a thorough review, report … Read More

HMA Principal Inducted into Hall of Fame

HMA Principal Tony Rodgers is one of the newest members of the UCLA Fielding School of Public Health’s Alumni Hall of Fame. The 2013 hall of fame induction ceremony took place Feb. 25 during the 39th Annual Lester Breslow Distinguished Lecture event. For more than 30 years Tony has been a leader and an innovator … Read More

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.