Briefs & Reports

21st Century LTSS: A Roadmap to Improved Outcomes, Lower Costs and Better Lives for Individuals with Complex Healthcare Needs Date: Wednesday, Sept. 23, 2015 Time: 1 to 2 p.m. EDT It’s time to take Long-Term Services and Supports (LTSS) to the next level. There is an urgent need for health plans, accountable care organizations, and … Read More

Sustainable Evidence-based Integration: A Step-by-Step Guide to Integrating Behavioral Health into the Primary Care Setting Date: Tuesday, Sept. 22, 2015 Time: 1 to 2 p.m. EDT There is a clear and growing body of evidence that supports the integration of behavioral health into the primary care setting. Numerous trials show that integration delivers upon the … Read More

Sustainable Funding for Asthma-Related Home Interventions  Date: Tuesday, Sept. 15, 2015 Time: 1 to 2 p.m. EDT There is a growing understanding that the environment in which people live can have a profound effect on their health, wellness and utilization of the healthcare system. The quality and safety of the home environment are part of … Read More

HMA staff will be featured in four presentations at the upcoming Medicaid Enterprise Systems Conference (MESC) Aug. 17-20 in Des Moines, Iowa. MESC is an annual meeting for state, federal and private sector professionals to exchange ideas related to Medicaid systems and heath policy affected by those systems. HMA Speaking Schedule “State Perspectives for Achieving … Read More

Medicaid Network Adequacy: A Proactive Approach to Ensuring and Demonstrating Compliance Date: Wednesday, August 26, 2015 Time: 1 to 2 p.m. EDT Medicaid managed care plans need to take a proactive approach to meet network adequacy requirements and demonstrate compliance to state regulators. Often that means more than just having the right network in place. … Read More

The Green & Healthy Homes Initiative® (GHHI®) recently released “Sustainable Funding and Business Case for GHHI Home Interventions for Asthma Patients.” HMA partnered with GHHI to create the publication which assesses ways in which effective, comprehensive home interventions can be integrated with the healthcare system payment structure. The report identifies sustainable health-related funding streams for … Read More

Managed Long-Term Services and Supports: Understanding the Impact of the New Medicaid Managed Care Regulations Date: Wednesday, July 1, 2015 Time: 1 to 2 p.m. EDT Get ready for a whole new regulatory framework for Managed Long-Term Services and Supports (MLTSS). As part of the newly proposed Medicaid managed care regulations, CMS is seeking to … Read More

HMA’s Jennifer Edwards, Sharon Silow-Carroll and Diana Rodin are part of a team that prepared the Year 1 annual report for the Strong Start for Mothers and Newborns initiative. The Strong Start initiative, funded by the Affordable Care Act, was designed to improve maternal and infant outcomes for pregnancies covered by Medicaid and the Children’s … Read More

Governing Staff Writer Chris Kardish tapped the expertise of two HMA colleagues for his article “5 of the Biggest Changes in New Medicaid Managed Care Rules.” HMA Senior Consultant Lisa Shugarman and Principal Matt Roan shared offered insights about quality ratings as well as accreditation and monitoring. The newly proposed regulations represent the first major … Read More

On May 26, 2015, the federal Centers for Medicare and Medicaid Services (CMS) released a proposed managed care rule intended to update and strengthen the Medicaid and Children’s Health Insurance Program (CHIP) regulations last updated in 2003. “This proposed rule would modernize the Medicaid managed care regulations to reflect changes in the usage of managed … Read More