This week, our In Focus section releases a new brief from Health Management Associates, Medicare-Medicaid Integration: Essential Program Elements and Policy Recommendations for Integrated Care Programs for Dually Eligible Individuals. The authors are Sarah Barth, Ellen Breslin, Samantha DiPaola and Narda Ipakchi.[1]
A seasoned executive with more than 30 years of experience in healthcare delivery organizations, Doug Elwell is a skilled collaborator with extensive operational and financial expertise. Doug previously served as Illinois Medicaid director in the Department of Healthcare and Family Services. In this position he played a key role leading the Medical Division’s work on … Read More
Gina Lasky is a licensed psychologist with expertise in public sector behavioral health system design and programming including integration of behavioral health and primary care. She evaluates organizational readiness for integration and guides development and implementation of new models of collaborative care for delivery systems, county health systems, community behavioral health centers, and state corrections … Read More
A licensed clinical social worker and a certified project management professional, Deborah (Debby) McNamara came to HMA from the Florida Medicaid program. Her areas of expertise include Medicaid policy, clinical behavioral health care, managed care, and correctional health care. Debby is experienced in procurement and contract development, program evaluation, regulatory compliance monitoring, and quality and … Read More
Surah Alsawaf is a senior consultant specializing in Medicare and Medicaid managed care regulatory compliance. She has experience with regulatory implementation, creating reports based on new regulatory guidance, and advising business units on how to modify operational processes to ensure compliance. Prior to joining HMA, Surah worked at L.A. Care Health Plan where she held … Read More
Government Medical Programs & The Uninsured: Turning complexity into opportunity. Our team of experts comes from top positions in government, health plans, foundations and community-based organizations. We have first-hand experience navigating the complexities of federal and state regulations and identifying new reform opportunities. Our expertise includes: Whether you’re a funder or provider of services to these underserved … Read More
A health policy analyst and regulatory expert, Kristie Lee has worked on the analysis and implementation of federal regulations from a health plan perspective. She has a deep understanding of the actions required when new regulations are released and experience establishing oversight and project management-driven initiatives. Kristie joins HMA after serving with an information technology/health … Read More
R.J. is an expert in operations and patient/member engagement across government-sponsored plans, with a focus on Social Determinants of Health (SDoH). Prior to joining The Focus Group, R.J. Briscione led SDoH for CVS Health, scaling SDoH Strategy across the CVS Health enterprise for all lines of CVS and Aetna business. Prior to this role, R.J. … Read More
A new person-centered assessment framework and issue brief, authored by HMA experts in conjunction with Manatt Health, examine the temporary regulatory Medicare and Medicaid flexibilities implemented during the COVID-19 public health emergency (PHE) and aimed at ensuring access to care for older adults and people with chronic conditions and disabilities. As these temporary flexibilities are … Read More
A new issue brief authored by HMA Principal Donna Strugar-Fritsch, MPA, BSN, dispels myths about, and objections to, the use of medication-assisted treatments (MAT) to treat opioid addiction. The brief is a clear and concise look at MAT, how and why it works, and what its use can mean for those impacted by opioid use … Read More