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
Linking Medicaid and Supportive Housing: Opportunities and On-the-Ground Examples
February 13, 2017
Research suggests that a broad range of social factors affect individual and population health. Indeed, acknowledging the role of social factors in determining health, the U.S. Department of Health and Human Services’ Healthy People 2020 report included as one its four overarching goals for the 2010-2020 decade: “Create social and physical environments that promote good … Read More
Annual Survey Finds Slower Growth in Total Medicaid Spending Nationally
October 19, 2016
Implementing Coverage and Payment Initiatives: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2016 and 2017 Growth in Medicaid enrollment and total Medicaid spending nationally slowed significantly in fiscal year 2016, and it looks like a continued slowdown will occur in fiscal year 2017. This is just one finding in the 16th … Read More
Report Evaluates Uncompensated Care and Medicaid Payments in Texas Hospitals
September 7, 2016
HMA was engaged by the Texas Health and Human Services Commission to perform an independent evaluation of Texas’ Uncompensated Care Pool, as required under the Special Terms and Conditions (STCs) of the State’s Section 1115 waiver, to submit to the Centers for Medicare and Medicaid Services (CMS). The report was submitted to CMS on August … Read More
Initiative to Decriminalize Mental Illness: Recommendations for a Treatment Center and Continuum of Care
March 3, 2016
The Baton Rouge Area Foundation (BRAF) tapped HMA to assess and recommend a comprehensive model of care for individuals in East Baton Rouge (EBR) Parish with behavioral health and substance use needs who, under the current system in place in EBR, may otherwise end up behind bars. HMA also took into account a model proposed … Read More
The Value of Medicaid Managed Care
December 9, 2015
In “The Value of Medicaid Managed Care,” HMA authors Lisa Shugarman, Jaimie Bern and Jessica Foster review the literature describing the evolving Medicaid delivery system, focusing specifically on the growth of Medicaid managed care in the form of comprehensive risk-based managed care (RBMC) organizations. The paper, prepared for United HealthCare, also explores the role of … Read More
HMA Releases Medicaid Managed Care White Paper
December 9, 2015
Medicaid Managed Care is the subject of a recently released HMA white paper. In “The Value of Medicaid Managed Care,” HMA authors Lisa Shugarman, Jaimie Bern and Jessica Foster review the literature describing the evolving Medicaid delivery system, focusing specifically on the growth of Medicaid managed care in the form of comprehensive risk-based managed care … Read More
HMA’s Smith Part of NAMD Panel Reviewing Medicaid at 50
November 4, 2015
HMA Managing Principal Vern Smith was one of four experts who took part in the plenary panel discussion “Medicaid at 50: Past, Present and Future” at the National Association of Medicaid Directors (NAMD) fall conference Tuesday. He was joined by: Thomas Betlach, NAMD President, Arizona Medicaid Director, AHCCCS Deborah Bachrach, Partner, Manatt, Phelps & Phillips … Read More
Making Affordable Care Act Coverage a Reality: A National Examination of Provider Network Monitoring Practices by States and Health Plans
October 28, 2015
This qualitative study examines the standards and practices that state agencies and health plans use to ensure access to care in the period following the implementation of the Affordable Care Act (ACA). Based on evidence gathered through surveys of and interviews with key informants in state agencies and plans, the study explores the standards applied … Read More