Jane Ramsay specializes in Medicaid and Medicare cost reporting and analysis. She is skilled in Medicare’s Health Financial Systems (HFS) software and five states’ Medicaid software: Indiana, Ohio, North Carolina, Wisconsin and Kentucky. Prior to joining Health Management Associates (HMA), Jane worked as a senior consultant at FORVIS in Chicago. In this role, she prepared … Read More
Ryan Sandhaus has nearly 15 years’ experience using SAS® to perform complex data analytics within the healthcare industry. His work has included projects using large Medicaid claims datasets, member eligibility files, and provider files that range from hospital rate setting and rate evaluation, to access to care and report validations. Most recently, Ryan became the … Read More
HMA Principals Lori Weiselberg and Lynn Dierker recently achieved the National Committee for Quality Assurance’s (NCQA) Patient-Centered Medical Home Certified Content Expert™ (PCMH CCE™) status. NCQA is a private, 501(c)(3) not-for-profit organization dedicated to improving health care quality. Its certified content experts are required to complete two NCQA educational seminars, pass a comprehensive exam and … Read More
This webinar was held on February 7, 2018. With the current administration aiming to provide increased state flexibility in the use of federal healthcare funds, ACA Section 1332 State Innovation Waivers may attract renewed interest. Section 1332 waivers allow states to modify certain aspects of their health insurance Exchange markets and operating rules, for example, … Read More
On January 26, the Centers for Medicare & Medicaid Services (CMS) approved California’s (CA) section 1115 request to cover targeted healthcare services for incarcerated individuals 90 days before release. This historical partial rollback of the Medicaid Inmate Exclusion Policy empowers the CA Department of Health Care Services (DHCS) to collaborate with state agencies, counties, health … Read More
This webinar was held on July 26, 2023. In light of the recent Medicare regulatory and statutory expansion of behavioral health services and providers, this webinar focused on how those changes will impact the demand, delivery, and availability of behavioral health services. Experts covered how changes in Medicare coverage will affect different behavioral health provider … Read More
This week our In Focus section reviews the Centers for Medicare & Medicaid Services’ (CMS) Innovation Center’s newly announced model – Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH). CMS will accept applications from organizations interested in participating and is particularly interested in partnering with provider-led organizations and similar groups with direct … Read More
Mobile Crisis Intervention Rate Study Provider Survey 2023 03 10 FINAL
This webinar was held on February 13, 2019 and was the first webinar in a series about addressing the opioid crisis in America. No one questions the terrible impact opioid abuse has had on America – a grim tally measured in overdoses, dependency, broken families, and soaring health care costs. Less understood is how we got … Read More
This webinar was held on August 6, 2020. The COVID-19 pandemic shined a spotlight on funding pressures on providers and systems that rely largely on fee-for-service payment. This, along with additional stressors brought on by the pandemic, has led many health systems and providers to consider revenue diversification and service expansion strategies. During this webinar, … Read More