This week, our In Focus section reviews the Nevada Medicaid and Child Health Insurance Program (CHIP) managed care request for proposals (RFP) released by the Nevada Department of Health and Human Services, Division of Health Care Financing and Policy (DHCFP) on March 17, 2021. The RFP is for the current service area covering two urban counties of the state, Clark and Washoe; however, the state may extend the geographic service area under the contract. Through this RFP, Nevada seeks to advance the state’s goals of “improved clarity and oversight of requirements; increased focus on care management, member engagement, and access; and continued progress towards integration of services and efficiency.”
1012 Results found.
Youth needs assessment published
With a focus on the needs of young people in detention and correctional facilities, a team of Health Management Associates (HMA) colleagues completed an in-depth assessment designed to guide future planning and decision making around mental health services for youth.
Nursing home report highlights benefits of single resident rooms
The COVID-19 pandemic highlighted nursing home safety and infection control as critical public health issues. A new report authored by HMA colleagues found compelling evidence that single rooms in nursing homes have numerous benefits for both public health and residents’ experience. The authors conclude that transitioning from multi-resident rooms to single rooms should be a component of person-centered nursing home reform. The report calls on stakeholders to come to the table to discuss options and strategies for long-term care redesign and transformation.
The report, Fundamental Nursing Home Reform: Evidence on Single-Resident Rooms to Improve Personal Experience and Public Health, was developed for a Michigan-based long-term care provider and owner of skilled nursing facilities.
HMA colleagues Sharon Silow-Carroll, MBA, MSW, Deborah Peartree, RN, MS, Susan Tucker, CPA, and Anh Pham conducted the research and analysis and prepared this report. An appendix prepared by the national accounting firm Plante Moran provides estimates of new costs and other considerations related to transitioning to single-resident rooms, based on data from two Michigan-based multi-facility long-term care organizations.
New HMA report advocates for single rooms in nursing homes as essential for public health and resident experience
The COVID-19 pandemic highlighted nursing home safety and infection control as critical public health issues. A new report authored by HMA colleagues found compelling evidence that single rooms in nursing homes have numerous benefits for both public health and residents’ experience. The authors conclude that transitioning from multi-resident rooms to single rooms should be a component of person-centered nursing home reform. The report calls on stakeholders to come to the table to discuss options and strategies for long-term care redesign and transformation.
Webinar Replay: Continuous Quality – How Medicaid and Medicare Plans Can Stay Ahead of Evolving HEDIS, CAHPS, and Accreditation Requirements
This webinar was held on April 6, 2021.
Medicaid and Medicare Advantage plans can avoid the disruptive triannual accreditation fire drill by instituting a process-driven approach to continuous quality improvement, driving member satisfaction, improving health outcomes, and ensuring a smooth accreditation process. During this webinar, HMA experts provided strategies and best practices for maintaining ongoing quality processes. Speakers also provided an understanding of the growing role that HEDIS and CAHPS measures play in member assignment, plan ratings, and pay-for-performance programs.
Learning Objectives:
- Identify key trends in health plan accreditation and how to position your organization for success.
- Understand the growing importance of HEDIS and CAHPS measures in ensuring member health and long-term plan success.
- Learn about upcoming changes in key quality metrics along with best practices and processes for hitting new member outcome and satisfaction targets.
- Find out how to establish an ongoing process for quality reporting and evaluation, ensuring optimal accreditation results.
HMA Speakers
Diana Criss, Principal, Lansing, MI
Margaret Williams, Principal, Los Angeles, CA
David Wedemeyer, Principal, Los Angeles, CA
Individualized technical assistance to Medicaid providers in the My Health GPS program
The My Health GPS (MHGPS) initiative, a Health Homes program, was launched by the District of Columbia, Department of Health Care Finance (DHCF) to deliver care coordination services to Medicaid beneficiaries with multiple chronic conditions. The MHGPS program was led by multi-disciplinary teams within the primary care setting to coordinate care across medical, behavioral, and social service systems.
The initiative was designed to improve MHGPS enrollees’ health outcomes and reduce avoidable and preventable hospital admissions and emergency room visits.
Download to read the approach and results.
Highlights from Kaiser/HMA 50-state Medicaid director survey: COVID-19 update for FY 2021 and FY 2022
This week, our In Focus section shares key takeaways from the Kaiser Family Foundation (KFF) and Health Management Associates (HMA) mini-survey of Medicaid directors in all 50 states and the District of Columbia titled, Medicaid Spending and Enrollment Trends Amid the COVID-19 Pandemic – Updated for FY 2021 & Looking Ahead to FY 2022. The survey, released on March 12, 2021, is an update to the 20th annual Medicaid Budget Survey conducted by KFF and HMA. The brief is authored by Elizabeth Hinton, Lina Stolyar, and Robin Rudowitz from KFF with survey assistance and dissemination from HMA Principal Kathy Gifford and Consultant Anh Pham.
Health Management Associates Awarded on the Forbes America’s Best Management Consulting Firms 2021 List
Health Management Associates (HMA) has been awarded on the Forbes list of America’s Best Management Consulting Firms 2021. This prestigious award is presented by Forbes and Statista Inc., the world-leading statistics portal and industry ranking provider. The awards list was announced on March 16th, 2021 and can currently be viewed on the Forbes website.
California Releases Revised CalAIM Proposal
This week, our In Focus section summarizes the revised California Advancing and Innovating Medi-Cal (CalAIM) proposal, released on February 17, 2021. Medi-Cal, the state’s Medicaid program, covers over 12 million individuals, with over 11 million in managed care. CalAIM seeks to standardize and streamline the Medi-Cal program and address health disparities and social determinants of health for high-risk, high-cost Medi-Cal members through broad-based delivery system, program, and payment reform. CalAIM was originally scheduled to begin its tiered implementation in January 2021, but due to COVID-19 has been delayed until January 2022. The revised proposal incorporates additional stakeholder input, learnings from the workgroup meetings, and ongoing policy development.
Webinar Replay: CMS’ Interoperability Rule – Magnifying Data and Powering your Analytics
This webinar was held on March 31, 2021.
During this Health Performance Accelerator by HMA & HealthEC webinar, our panel of experts summarized the CMS Interoperability and Patient Access Final Rule, walked through what this data will do for your organization, and explored how it could positively impact the economics of healthcare.
Speakers
Laura Zaremba, Principal, HMA
Alexandra Gorman, Managing VP, Private Sector, HealthEC
Robert Chouinard, VP, Public Sector, HealthEC