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 … Read More
A new issue brief and accompanying data set by HMA colleagues examines models implemented by the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (The Innovation Center) over the past decade and provides evaluation of the findings.
ASAM Level of Care Certification Due to the growing focus on quality in the healthcare industry, including the treatment of substance use disorder (SUD), residential treatment programs have an opportunity to establish a foundation of quality and creditability for their efforts to improve addiction treatment by earning the American Society of Addiction Medicine (ASAM) Level … Read More
This week’s In Focus section delves into the Next Generation MyCare Ohio managed care program, spotlighting the request for applications (RFA) that the Ohio Department of Medicaid (ODM) released on May 31, 2024. The MyCare Ohio Program, which serves people who are dually eligible for both Medicaid and Medicare, is undergoing a substantial transformation. Transitioning from the … Read More
This week, our In Focus section reviews publicly available data on enrollment in capitated financial and administrative alignment demonstrations (“Duals Demonstrations”) for individuals dually eligible for Medicare and Medicaid (dual eligibles) in nine states: California, Illinois, Massachusetts, Michigan, New York, Ohio, Rhode Island, South Carolina, and Texas. Each of these states has begun either voluntary … Read More
Cara Henley is a New York Medicaid policy expert, focusing on reimbursement and regulations impacting delivery systems, behavioral health, long term services and supports, managed care, and value-based payment. She provides clients with guidance on how Medicaid policy changes impact operational decision-making. Offering consultation and leadership, Cara specializes in facilitation, strategic planning, technical assistance, and … Read More
A self-motivated healthcare professional, Andrew Puza has established a reputation of reliability, commitment, teamwork and flexibility in fast-paced environments. Andrew has more than a decade of experience in SAS programming, and he specializes in mathematical computation, including statistical analysis, modeling and proofs. Before joining HMA, Andrew worked with Health Services Advisory Group, where he held … Read More
Children and families involved in the behavioral health and child welfare systems are often the most vulnerable and in need of intensive supports. Fragmented systems of care across child welfare, behavioral health, and Medicaid often cause families “to fall through the cracks,” leading to increased use of high-cost services that separate families and results in … Read More
This webinar was held on February 18, 2020. On February 6, the Centers for Medicare & Medicaid Services (CMS) issued Part II of the Advance Notice of Methodological Changes for Calendar Year (CY) 2021 which includes proposed updates to Medicare Advantage (MA) payment rates. In a departure from previous years, the agency did not release … Read More
HMA New York colleagues Heidi Arthur and Annalisa Baker played a pivotal role in launching a forum for the Brooklyn Perinatal Network on Jan. 11. The forum, entitled, “A Community Response to Addressing Maternal Morbidity and Mortality,” was a collaboration between a network of community-based organizations (CBOs) making up the Brooklyn Coalition for the Health … Read More