The Medicare program has rapidly transformed how it pays for healthcare providers in response to the COVID-19 pandemic. In an effort to capture these changes, HMA, commissioned by The Commonwealth Fund and The SCAN Foundation, tracked, categorized, and analyzed the 212 Medicare policy modifications made in response to the public health emergency. HMA Senior Consultant Jennifer Podulka and Managing … Read More
Inland Empire Health Plan releases health homes program year one implementation report
June 24, 2020
A new report has been released outlining Inland Empire Health Plan’s (IEHP) efforts to establish 50 care teams to support the delivery of core Health Homes Program services for IEHP’s most vulnerable members with complex health conditions. HMA contributed to the new report and has supported implementation of IEHP’s Health Homes Program since 2018, providing … Read More
Issue brief outlines Medicare Advantage supplemental benefit flexibilities
May 28, 2020
An HMA-authored issue brief examines beneficiary access to, and plan adoption of, newly expanded Medicare Advantage (MA) supplemental benefit flexibilities and raises questions regarding the expected impacts of new supplemental benefit offerings on beneficiary satisfaction, outcomes, and total cost of care. The new flexibilities for MA plans include innovative supplemental benefits offered through expansion of … Read More
HMA report examines COVID-19 toll on Pennsylvania hospitals
May 11, 2020
A report completed by HMA colleagues estimated the potential financial impact on hospitals and health systems of the current COVID-19 pandemic in the Commonwealth of Pennsylvania. The analysis, completed in mid-April, concluded that Pennsylvania hospitals and health systems are likely to experience losses in excess of $7 billion for the final 10 months of 2020 … Read More
HMA experts publish 50-state Medicaid pharmacy study with Kaiser Family Foundation
May 8, 2020
In conjunction with the Kaiser Family Foundation (KFF), a team of HMA experts have published survey results and analysis examining administration of the Medicaid pharmacy benefit. HMA contributing colleagues were Kathleen Gifford, Anne Winter and Linda Wiant. Rachel Dolan, Marina Tian, and Rachel Garfield from KFF also contributed. The report, How State Medicaid Programs are Managing Prescription Drug … Read More
Medicare-Medicaid integration: integrated model enrollment rates show majority of Medicare-Medicaid dual eligible population not enrolled
April 21, 2020
Working in conjunction with Arnold Ventures, a team of HMA consultants has written an issue brief, Medicare-Medicaid Integration: Integrated Model Enrollment Rates Show Majority of Medicare-Medicaid Dual Eligible Population Not Enrolled. This brief presents key findings on their examination of the availability of integrated programs in states, the growth in enrollment rates, and differences in … Read More
HMA experts provide guide to California county behavioral health programs
April 9, 2020
A team of HMA behavioral health experts have developed a webinar and white paper addressing changes to California’s county behavioral health programs and provide a guide to help counties and stakeholders determine the best path forward.
Framework examines behavioral health crisis diversion facilities
March 24, 2020
Individuals with behavioral health needs often find themselves involved with law enforcement or in hospital emergency rooms during times of crisis. Health Management Associates (HMA) has released a model framework examining a third option for care – Crisis Diversion Facilities.
HMA experts author LA city and county studies
March 5, 2020
HMA Community Strategies (HMACS) experts have released a pair of evaluation reports commissioned by the City of Los Angeles and the County of Los Angeles. HMACS worked with the Los Angeles Housing + Community Investment Department (HCIDLA) to facilitate the inaugural, interactive Los Angeles Poverty Prevention Summit and produced a report and policy recommendations. The … Read More
HMA explores potential issues for individuals with end-stage renal disease enrolling in Medicare Advantage
February 12, 2020
Starting in 2021, Medicare beneficiaries with End-Stage Renal Disease (ESRD) will be able to enroll in any Medicare Advantage (MA) plan. The Anthem Public Policy Institute asked HMA to explore some of the potential issues associated with how MA plans are currently paid by the Centers for Medicare & Medicaid Services (CMS) for individuals with … Read More