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
Report Examines Provider Network Monitoring Practices
October 28, 2015
HMA released findings from a qualitative study this week in the report, “Making Affordable Care Act Coverage a Reality: A National Examination of Provider Network Monitoring Practices by States and Health Plans.” The study examined the standards and practices that state agencies and health plans use to ensure access to care in the period following … 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
HMA’s Breslin Authors Primer on Medicaid Managed Care Capitation Rates
October 27, 2015
HMA Senior Consultant Ellen Breslin prepared the recently released “Primer on Medicaid Managed Care Capitation Rates: Understanding How MassHealth Pays MCOs” for the Massachusetts Medicaid Policy Institute. It includes: An explanation of how state Medicaid programs generally pay their managed care organizations (MCOs) The overall process for setting Medicaid managed care capitation rates; and The … Read More
A Primer on Medicaid Managed Care Capitation Rates: Understanding How MassHealth Pays MCOs
October 27, 2015
HMA Senior Consultant Ellen Breslin prepared this recently released primer for the Massachusetts Medicaid Policy Institute. It includes: An explanation of how state Medicaid programs generally pay their managed care organizations (MCOs) The overall process for setting Medicaid managed care capitation rates; and The various tools states use to mitigate the risks that MCOs face … Read More
Annual Survey Finds ACA Drove Record Annual Increases in Enrollment, Total Medicaid Spending
October 16, 2015
The Affordable Care Act’s Medicaid expansion resulted in record increases in Medicaid enrollment and spending nationally in fiscal year 2015, with both rising an average of nearly 14 percent. This is just one finding in the 15th annual 50-state Medicaid budget survey by the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured. Released Oct. … Read More
Putting Medicaid in the Larger Budget Context: An In-Depth Look at Three States in FY 2015 and 2016
October 16, 2015
This issue brief was released Oct. 15 by the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured (KCMU) in conjunction with its 15th annual budget survey of Medicaid officials, “Medicaid Reforms to Expand Coverage, Control Costs and Improve Care: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2015 and 2016.” HMA … Read More
Annual Survey Finds ACA Drove Record Annual Increases in Enrollment, Total Medicaid Spending
October 16, 2015
The Affordable Care Act’s Medicaid expansion resulted in record increases in Medicaid enrollment and spending nationally in fiscal year 2015, with both rising an average of nearly 14 percent. This is just one finding in the 15th annual 50-state Medicaid budget survey by the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured. Released Oct. … Read More