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Medicare’s 2024 proposed payment rules offer a mix of opportunities and policy changes for physicians and hospitals

This week’s In Focus section is the first in a summer series of analysis and insights from Health Management Associates (HMA) on recent Medicare payment and policy developments. Our series kicks off with a big-picture take on the slew of regulations the Centers for Medicare & Medicaid Services (CMS) has released over the past two weeks. In … Read More

HMA Opioid Experts Are in Demand

As the national opioid epidemic continues, HMA experts are sharing their vast knowledge and experience related to substance use disorders (SUD) and addiction treatment systems with providers, policymakers and other stakeholders addressing this crisis.

David Wedemeyer

Headshot of David Wedemeyer

David Wedemeyer is an established data expert and a seasoned consultant with expertise developing Healthcare Effectiveness Data and Information Set (HEDIS) and risk programs, process improvements, and software tools. In the medical management field, he has experience with quality improvement and has provided subject matter expertise in building software tools to auto-code service and diagnosis … Read More

Medicaid managed care spending in 2023

This week, our In Focus section analyzes preliminary 2023 Medicaid spending data collected in the annual CMS-64 Medicaid expenditure report. After submitting a Freedom of Information Act request to the Centers for Medicare & Medicaid Services (CMS), HMA received a draft version of the CMS-64 report that is based on preliminary estimates of Medicaid spending by state … Read More

Annalisa Baker

Headshot of Annalisa Baker

Along with a comprehensive understanding of the behavioral healthcare continuum, Annalisa Baker’s experience includes business operations, project management, finance, and direct clinical social work. As an integral part of HMA’s behavioral health team, she offers specialized policy and operational expertise to nonprofit providers, government agencies, and diverse healthcare stakeholders. Annalisa’s responsibilities include navigating the complexities … Read More

Healthcare Providers

For large and small, public and private providers, we have answers. Today’s healthcare environment is putting providers of all sizes at a critical crossroads. On one hand, it offers a unique opportunity to be part of a more efficient, more patient-focused, more sustainable healthcare delivery system. On the other, the need to adapt to constant change is … Read More

CMS Announces Primary Cares Initiative

On April 22, 2019, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced the Primary Cares Initiative (PCI), which will present eligible providers and other entities with the opportunity to engage in value-based payment and direct contracting payment models for primary care beginning in January 2020. CMS designed PCI to reduce expenditures and … Read More

Examining Key Considerations for Implementing Group Prenatal Care

A team of HMA consultants have authored a peer-reviewed journal article drawing on data from the recently completed five-year evaluation of the Strong Start for Mothers and Newborns II Initiative to discuss key considerations for implementing a group prenatal care model, including barriers to implementation and sustainability as well as strategies for overcoming barriers and sustaining the model.

HMA opens registration for fall conference: Unlocking Solutions in Medicaid, Medicare, and Marketplace

Unlock Solutions in Medicaid, Medicare, and the Marketplace at HMA’s Fall Conference, October 7−9  This week, we preview what to expect at the 7th annual Health Management Associates, Inc. (HMA) Fall Conference “Unlocking Solutions in Medicaid, Medicare, and Marketplace,” October 7−9, 2024, at the Marriott Marquis Chicago, IL. Learn more about our Keynote Speaker and take advantage … Read More