Medicare policy expert and HMA Managing Principal Jonathan Blum weighed in on the Trump administration’s recently proposed rules for pharmacy rebates and plans to reduce prescription drug prices in a blog post for Health Affairs. Blum provided insight to questions about implementation of the proposed drug rebate reforms and whether they will lead to lower … Read More
This week, our In Focus reviews the New Hampshire Medicaid Care Management (MCM) Services Draft request for proposals (RFP), released by the state Department of Health and Human Services (DHHS) on July 9, 2018. The MCM program, worth $750 million in annualized spending, will provide full-risk, fully capitated Medicaid managed care services to approximately 181,000 … Read More
This week, our In Focus reviews the Oregon Health Plan’s Coordinated Care Organizations (CCO) 2.0 request for applications (RFA), released by the Oregon Health Authority (OHA) on January 25, 2019. Under CCO 2.0, the CCOs will provide full-risk coordinated care for approximately 840,000 Medicaid members.
This week our In Focus section reviews the Louisiana Medicaid managed care request for proposals (RFP) released on June 23, 2021, by the Louisiana Department of Health. Louisiana is seeking full-risk health plans to serve approximately 1.6 million Medicaid beneficiaries. Contracts are worth approximately $9 billion annually.
Medicaid Managed Care is the subject of a recently released HMA white paper. In “The Value of Medicaid Managed Care,” HMA authors Lisa Shugarman, Jaimie Bern and Jessica Foster review the literature describing the evolving Medicaid delivery system, focusing specifically on the growth of Medicaid managed care in the form of comprehensive risk-based managed care … Read More
In “The Value of Medicaid Managed Care,” HMA authors Lisa Shugarman, Jaimie Bern and Jessica Foster review the literature describing the evolving Medicaid delivery system, focusing specifically on the growth of Medicaid managed care in the form of comprehensive risk-based managed care (RBMC) organizations. The paper, prepared for United HealthCare, also explores the role of … Read More
On December 2, 2015, HMA Information Services hosted the webinar, “Care Management Essentials: Practical Approaches to Implementing a Successful Care Management Program.” Care management is growing in importance as healthcare providers taking on risk seek effective ways of improving patient outcomes while controlling costs. The most successful care management programs offer practical methods for identifying … Read More
On May 17, 2016, HMA Information Services hosted the webinar, “Marrying Strategic, Operational and Information Technology Planning: Two Separate Frameworks in Support of Common Goals for Healthcare Organizational Efficiency and Effectiveness.” Strategic planning and operations needs assessment go hand-in-hand. That’s especially true for healthcare organizations in an emerging world of risk-sharing, population health management, and … Read More
This webinar was held on July 22, 2020. Before reopening for in-person visits, primary care practices must address a wide variety of safety considerations, including infection control protocols; modifications to offices, waiting areas, and exam rooms; staffing and workflow issues; and other strategies that minimize the risk of exposure to COVID-19 for both patients and … Read More
This webinar was held on June 15, 2021. It was the fifth webinar in the series Exploring the Landscape of Behavioral Healthcare, covering the growing impact of behavioral healthcare on clinical outcomes and cost. Behavioral health staff face new challenges, anxiety, and risk of burnout as they attempt to deliver the best care possible to … Read More