Recent years have witnessed a growing bipartisan call to reform how Medicare reimburses for physician and other health professional services. Stakeholders assert that the current system—the Medicare Physician Fee Schedule (PFS)—is misaligned to today’s practice patterns and market dynamics. Many constituencies maintain that the current approach is insufficiently updated, embeds known pricing distortions, and does … Read More
Compassionate Overdose Response: Summit Highlights and Key Takeaways
May 1, 2024
HMA’s Compassionate Overdose Response Summit suggests “high dose” naloxone isn’t necessary. More than 100,000 people in the United States die every year from drug overdoses, driven by the availability of illicitly manufactured fentanyl. On March 19, 2024, HMA held the Compassionate Overdose Response Summit to discuss overdose response and reversal drugs like naloxone in the … Read More
HMA white paper examines expanding home care value through innovative client and caregiving supports
February 6, 2024
As the U.S. population ages, non-medical personal care services are increasingly important for supporting Americans to remain in homes, as the vast majority of them prefer. But in-home personal care services will remain in short supply throughout the country unless home care agencies have greater success recruiting and retaining caregivers. In this HMA white paper, … Read More
Analyzing the Expanded Landscape of Value-Based Entities: Implications and Opportunities of Enablers for the CMS Innovation Center and the Broader Value Movement
January 25, 2024
New Report Analyzes the Expanding Landscape of Value-Based Entities Research from HMA and LP VBP experts segments and sizes the growing enabler market, considering benefits and risks, and proposing guiding principles and policy recommendations for the CMS Innovation Center A new in-depth HMA report analyzes the landscape of emerging value-based entities and the implications … Read More
Medicaid Business Transformation DC: Recommendations for Technical Assistance
December 5, 2023
HMA was engaged by the Washington, District of Columbia Department of Health Care Finance (DHCF) to lead their Medicaid Business Transformation D.C. Initiative, assessing the technical assistance needs of Medicaid providers and organizations in the areas of legal analysis, budgeting, and business development as they move toward value-based care arrangements. HMA partnered with the D.C. … Read More
A Look at Swedish Maternity Care with Medicaid in Mind
November 28, 2023
Health Management Associates (HMA) collaborates with state and federal agencies, health service providers, and community-based organizations to enhance access to comprehensive reproductive healthcare and address disparities in birth outcomes, particularly in the context of Medicaid. This involves evaluating and supporting the implementation of perinatal care models, addressing health determinants affecting birth outcomes, and overcoming barriers … Read More
Opportunities to Enhance HCBS for Older Adults and Individuals Providing Care
November 21, 2023
Minnesota Department of Human Services partnered with HMA to study Minnesota’s home- and community-based services (HCBS) trends; changes in its demographics, including the experiences of diverse communities; and successful local and national HCBS models to inform future efforts to improve access to supports for older Minnesotans and their informal caregivers. The report outlines recommendations to … Read More
23rd annual Kaiser Family Foundation state Medicaid budget survey released
November 14, 2023
The 23rd annual Medicaid Budget Survey conducted by The Kaiser Family Foundation (KFF) and Health Management Associates (HMA) was released on November 14, 2023 in the report: “Amid Unwinding of Pandemic-Era Policies, Medicaid Programs Continue to Focus on Delivery Systems, Benefits, and Reimbursement Rates”. Survey results show that states expect a sharp increase in Medicaid … Read More
Unwinding Medicaid Data: A Real-Time 50-State Assessment as Redeterminations Approach the Midpoint
November 13, 2023
The Medicaid program is currently undergoing the largest change in enrollment since the program’s inception in 1965. With millions of individuals transitioning out of the program, a key issue is assessing how redeterminations are going relative to expectations in “real-time.” An assessment is especially relevant since timely and systematic tracking is cumbersome and state approaches … Read More
State Policy and Practice Recommendations to Advance Improvements in Children’s Behavioral Health
November 6, 2023
Health Management Associates (HMA) has partnered with the National Association of State Mental Health Program Directors (NASMHPD) Technical Assistance Coalition to produce a series of briefs that characterize the opportunities to improve coordination of services for children. In this brief, “State Policy and Practice Recommendations to Advance Improvements in Children’s Behavioral Health,” the HMA team … Read More