Deborah Rose is an experienced executive with a demonstrated history of designing and scaling new initiatives in the healthcare industry. She has extensive experience working with managed Medicaid, procurement and grant writing, nonprofit management, integrated care, care coordination, program development, supported housing and homeless service models, stakeholder engagement, and social determinants of health. Before joining … Read More
Jing Xu is a strategic, team-oriented consultant with comprehensive knowledge and firsthand experience with government policies and regulations, grant writing and management, project planning, and community development. Prior to joining HMA, Jing was a resource development program director with the Indiana Primary Healthcare Association (IPHCA). In this role, he reconceptualized the health center development program … Read More
This week, our In Focus section reviews the Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule, published on January 17, 2024. This is CMS’s latest effort to flesh out regulations mandating payer interoperability and fully electronic prior authorization (PA) policies. The 2024 final rule also represents a new phase in the agency’s work … Read More
In this week’s In Focus, we continue our review of Medicare developments from this summer and look ahead at Centers for Medicare & Medicaid Services (CMS) activities to watch for this fall. CMS ACO Strategy Update In a July 31, 2023, Health Affairs Forefront blog, CMS leaders outlined the agency’s plan to further accelerate the growth and accessibility of accountable care … Read More
On March 15 2016, HMA Information Services hosted the webinar, “Transgender Care and Transitioning: Implications of New Health Insurance Coverage Guidelines and Research Findings on the Experiences of Transgender Individuals in the Health Care System.” New proposed federal regulations require health plans to cover all medically necessary care for transgender individuals, including transition-related services. But … Read More
Leaders at the Centers for Medicare and Medicaid Services (CMS) announced in the New England Journal of Medicine this month a new initiative called the “Universal Foundation,” which seeks to align quality measures across the more than 20 CMS quality initiatives. The implications for the broader healthcare system are immense. At Health Management Associates upcoming … Read More
Nicole Lehman is an experienced healthcare professional specializing in the improvement, development, and growth of multifaceted, high-paced managed care organizations. She is an expert on implementing regulatory guidance as well as complying with state, federal, and quality audits. She has additional experience in health plan management and developing new policies. An advocate and champion for … Read More
The upcoming HMA event, Unlocking Solutions in Medicaid, Medicare, and Marketplace, offers extensive opportunities to engage with leaders from various sectors who are designing and implementing Medicare-Medicaid integration initiatives. Join us for main stage panel discussions with distinguished health plan executives from national and local plans and Medicaid directors from Iowa, New Mexico, New York, and … Read More
Be sure to register soon for HMA’s conference on What’s Next for Medicaid, Medicare, and Publicly Sponsored Healthcare: How Payers, Providers, and States Are Navigating a Future of Opportunity and Uncertainty, October 26-27, at the Fairmont Chicago, Millennium Park. The Early Bird registration rate of $1595 per person expires on July 29. After that, the … Read More
This webinar was held on May 19, 2021. Member experience measures from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey play a growing role in the quality rankings of Medicaid and Medicare health plans, with the difference between high and low plan scores often amounting to a few percentage points. During this webinar, … Read More