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Finance and Reimbursement Strategies

Whether you’re a health care payer or provider, funding is a central concern – especially when it comes to Medicaid and other publicly financed programs.  Funding is impacted by federal and state budgets, policy change and many other factors that are difficult to predict and often beyond policymaker or provider control.  It is hard to keep up and even harder to get ahead. 

HMA is the leader in public health care financing and reimbursement solutions.  We have transformed payment systems and leveraged billions of new dollars for our clients. 

We partner with states to develop practical alternatives to traditional funding mechanisms.  We work with providers – public and private – to analyze spending, optimize current revenue streams and explore new finance and reimbursement options.  We are helping states, health plans, hospitals and other clients capitalize on new funding opportunities emerging from federal health reform.

Our finance and reimbursement professionals are uniquely qualified.  Each member of our team has decades of senior-level public health care experience.  We have worked for the federal and state agencies that regulate the industry, so we understand the ins and outs of the policy, programs and politics.  We have also sat in the CEO, COO and CFO chair, so we appreciate the challenges and demands on the provider side.

Our clients are committed to providing access to high quality health care for our nation’s most vulnerable.  HMA shares this commitment.  To advance the mission, we are implementing new ways to maximize funding and optimize provider reimbursement.  We partner with:

  • policymakers and industry stakeholders to create provider tax programs to restore Medicaid cuts and increase Medicaid revenue streams.
  • physician practices to increase Medicaid payments for both fee-for-service and managed care populations.
  • hospitals, other providers, and associations to allow for continuation of supplemental payments within the expanding managed care environment.
  • states and hospitals to address the Medicaid disproportionate share audit requirements and respond to audit findings.

Our financing and reimbursement approaches are constantly evolving in anticipation of, rather than reaction to, the changes occurring at the federal, state and local levels.  We adapt our solutions based on the unique circumstances of each client. 

HMA knows finance and reimbursement strategies.

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