Helping Community Based Organizations Establish Successful Healthcare Partnerships Community Based Organizations (CBOs) have a key role in improving the healthcare delivery system. CBOs and healthcare providers must partner effectively to advance health equity and drive successful and sustainable system transformation. HMA and HMA Community Strategies work with CBOs across the country to build healthy communities. … Read More
This week, we reviewed recent Medicaid enrollment trends in capitated, risk-based managed care in 24 states.[1] Many state Medicaid agencies elect to post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed care organizations. Nearly … Read More
This week, our In Focus reviews a case study called, “Spotlight on Health Center Payment Reform: Washington State’s FQHC Alternative Payment Methodology,” authored and prepared for the National Association of Community Health Centers by Health Management Associates’ Principal Art Jones and Senior Consultant Liz Arjun. The study, published in May 2018, looks at Washington’s fourth … Read More
This week, our In Focus section reviews Texas’ biennial legislative appropriations request (LAR) for fiscal years 2020-21, submitted by the Texas Health and Human Services Commission (HHSC). The document, which totals 1358 pages, includes summary program data as well as budget breakouts by agency strategies, priorities, and source of funds.
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As the urgent needs of COVID-19 Public Health Emergency (PHE) continue to subside, state Medicaid agencies are exploring pathways and concepts to further address the historic inequities and health disparities laid bare by the pandemic. These efforts are closely aligned with the current Administration’s policy objectives for the Medicaid program, specifically: Addressing health equity Improving … Read More
Pamela Stanley has over 25 years of experience in healthcare administration, clinical practice and healthcare consulting. Pam has worked in a myriad of healthcare aspects throughout her 25-plus year career in healthcare. Her work has been in very diverse aspects of the healthcare system, from working in large hospital delivery systems nationally to working for … Read More
In the wake of the COVID-19 pandemic, the need for greater health information technology interoperability, “digital” measures of healthcare quality and performance, and advanced value-based care systems has grown. In January 2021, the National Committee for Quality Assurance (NCQA) publicly released its vision for healthcare quality measurement to the Biden-Harris Department of Health and Human Services … Read More
Looking ahead The provisions of the final rule range in their effective dates from as early as the final rule’s effective date, July 9, 2024, to as late as the first rating period on or after four years after July 9, 2024. Because of these variable effective dates, states, MCOs, and providers will need to … Read More