Briefs & Reports

Huffington Post: Medicaid Costs Rose At Slowest Rate Since 2006, Report Says

Medicaid spending increased during the 2012 fiscal year at the lowest rate since 2006, as a recovering economy reduced demand for the health care program for the poor and states enacted cost-cutting policies, according to a report issued by the Henry J. Kaiser Family Foundation Thursday. Medicaid spending by state and federal governments, which share … Read More

Kaiser Health News: Medicaid Spending Growth Drops As Enrollment Slows

In a sign of the improving national economy, Medicaid spending growth this year slowed to 2 percent as enrollment in the state-federal health insurance program for the poor also slowed for the third consecutive year, according to a report released Thursday. In 2011, Medicaid spending soared by nearly 10 percent, which helped put the entitlement program … Read More

‘Key Lessons from Hospitals with Low Readmissions’ in Readmissions News

This article presents key lessons from an HMA study of hospitals that achieved exceptionally low readmission rates. Despite a growing knowledge base about how to reduce readmissions, there remains a great deal of variability in readmission rates across hospitals. This summary article is based on a longer report and case studies that identify clinical and … Read More

Delivery of Very Low Birth Weight Infants Georgia: Improving Performance

The Georgia OBGyn Society contracted with Health Management Associates (HMA) to conduct an analysis of factors contributing to the state’s low performance on the national maternal-child health measure related to very low birth weight infants (VLBW, defined as < 1,500 gm) and their delivery hospital within the state’s Regional Perinatal System (RPS). The RPS designates … Read More

Politics, budgets and reform pummel state Medicaid programs

State Medicaid directors are caught in the vice grip of competing interests driven by the looming election, lean state budgets, uncertainty about expansion caused by the Supreme Court health reform decision and the threat that Congress will cut the health program to help balance the federal budget. At the same time, Medicaid directors have an … Read More

Governance of Accountable Care

As the nation moves in the direction of reorganizing how health care services are delivered and paid for, new structures will need to be developed to ensure coordination, lack of duplication, and incentives for best practices.  This document addresses some elements of organization and governance that are critical to multi-provider, population-focused delivery models.

Making the Connection: The Role of Community Health Workers in Health Homes

The development of health homes creates a unique opportunity to develop and implement care management models that meet the complex needs of high-need and high-cost patients. Incorporating community health workers (CHWs) into care management teams is an effective—and cost-effective—approach to achieving the goals of health homes. The roles and tasks CHWs perform already align well with the six core … Read More

HMA to host one-day seminar for IL FQHCs

Several states are developing accountable care organizations (ACOs) for their Medicaid populations. Under this model, financial incentives are changed to encourage better-coordinated care delivery across providers, and accountability for patients shifts from health plans down to the practice level, where providers are better positioned to assess and help address patient needs.  HMA has been involved … Read More

The Future of Medicaid in Colorado: Impacts of U.S. Supreme Court Ruling

This paper provides background on the optional Medicaid expansion under the ACA identifies key assumptions about who the newly eligible Medicaid populations will be lists the choices states could consider regarding a Medicaid expansion and what data should be analysed to inform the choices and decisions and lays out the issues of greatest interests to … Read More

Integrated Care for Dual Eligibles

In previous editions of The Michigan Update we have written about Michigan’s plan to implement an integrated delivery system of health care for persons dually eligible for Medicare and Medicaid. DCH submitted a proposal to CMS in April 2012, which CMS posted for public comment. Based on questions and comments from CMS, the department has … Read More