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HMA’s Medicare team brings together consultants from several HMA companies to assist clients in all facets of Medicare
As HMA has grown, we have added significant breadth and depth to our Medicare team to better offer our clients comprehensive expertise on Medicare, Medicare Advantage, Dual-Eligibles, payment systems, pricing, and more. When looking for a partner to help navigate the complexities and changes of Medicare, our clients know that by engaging HMA experts they … Read More
Succeeding in the world of value-based payments: assess your organization’s VBP readiness
In the ever-evolving landscape of healthcare, the shift towards value-based care (VBC) has emerged as a transformative force, promising improved outcomes, reduced costs, and enhanced patient experiences. While the benefits of VBC are clear, the path to implementation can be complex and challenging, particularly for behavioral health (BH) providers. In this blog post, we delve … Read More
Unlocking Solutions in the Medicaid, Medicare, and Marketplace Programs
HMA is hosting its 2024 Fall Conference October 7−9 in Chicago, IL. Unlocking Solutions in Medicaid, Medicare, and Marketplace Programs promises to enhance your ability to navigate and shape healthcare programs and systems, focusing on improving health and well-being. In a landscape dominated by endless video meetings, the HMA Fall Conference offers a refreshing change. Join us for an … Read More
Medicaid and Exchange Enrollment Update – March 2020
This week, our In Focus section reviews updated information issued by the Department of Health & Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) on Medicaid expansion enrollment from the “March 2020 Medicaid and CHIP Applications, Eligibility Determination, and Enrollment Report,” published on June 22, 2020. Additionally, we review 2020 Exchange enrollment data … Read More
Navigating the impact of Medicare drug price negotiations: Current insights and future considerations
This week’s second In Focus continues the conversation on drug policies and trends, providing updates and insights into the current landscape of Medicare’s drug price negotiations. The Centers for Medicare & Medicaid Services (CMS) recently released the negotiated prices for the first 10 Medicare Part D drugs under the Inflation Reduction Act’s (IRA’s) negotiation authority. … Read More
Illinois D-SNP RFP: Highlights and signals of forthcoming trends
This week, our In Focus section from the HMA Weekly Roundup highlights the Illinois Department of Healthcare and Family Services request for proposals (RFP) for a dual-eligible special needs plan (D-SNP) to replace its current Medicare-Medicaid Alignment Initiative (MMAI) demonstration. Overview Illinois is one of the states affected by the Centers for Medicare & Medicaid Services (CMS) decision … Read More
Michigan Medicaid Managed Care Results Announced
In previous editions of The Michigan Update (most recently in August) we have reported on the Michigan Department of Health and Human Services’ (MDHHS) release of a Request for Proposals (RFP) to re-procure its Medicaid managed care contracts. The RFP was released in early May with bidder responses due in early August. This procurement … Read More
Rachel Bembas
Rachel Bembas is a results-driven leader in behavioral health quality and population health analytics who has worked extensively to advance population health outcomes through the development of targeted quality improvement strategies and meaningful performance metrics. She has led cross-functional teams to improve health outcomes by using publicly reported measures including Healthcare Effectiveness Data and Information … Read More
Helping Clients Succeed in Value Based Payments
As Medicare, state Medicaid agencies, Medicare Advantage plans, Medicaid managed care organizations, and commercial insurers increasingly adopt alternative payment models (APMs), Health Management Associates (HMA) provides a range of innovative and successful approaches to value-based care (VBC). Our subject matter experts can help you succeed with value-based payments (VBP). WHAT WE DO Offer insights for … Read More