This week, our In Focus section highlights a presentation from HMA and Wakely, an HMA company, titled “Staying Ahead of the Star Rating Curve – A Case Study,” which was given at the 12th Medicare Stars, HEDIS, Quality Assurance, & Risk Adjustment Summit on June 15, 2022. The presentation provided an overview of major changes in … Read More
Today, the Substance Abuse and Mental Health Services Administration (SAMHSA) released the highly anticipated Cooperative Agreements for Certified Community Behavioral Health Clinic (CCBHC) Planning Grants Notice of Funding Opportunity (NOFO). The NOFO can be found here. The CCBHC model provides integrated and coordinated community-based care for individuals across the lifespan with and at risk for … Read More
Sunday, October 9, 2022 Pre-Conference Workshop-The Future of Payment Reform: Delivering Value, Managing Risk in Medicare and Medicaid Monday, October 10, 2022 Keynote AddressPolitics and the ‘New Normal’ for U.S. Healthcare The COVID-19 pandemic may have led to a “new normal” for the U.S. healthcare industry, but one thing remains the same: the politics around … Read More
This webinar was held on October 25, 2022. Industry stakeholders are non-traditional partners who can be effective in supporting and expanding opioid overdose prevention efforts. During this webinar, attendees heard about one state’s experience using data to identify and target stakeholders in high-risk industries, including construction and food services. We shared a framework for industry-specific … Read More
What are your plans to minimize your risk to avoid dropping in your Star Rating or to plan a head to maintain or improve your Star Rating? On February 1, 2023, the Center for Medicare and Medicaid Services (CMS) released the 2024 Advance Notice and included some key specifics on the upcoming changes to the … Read More
Background:Texas Health Action (THA) is a community informed, non-profit organization dedicated to providing access to culturally affirming, quality health services in a safe and supportive environment. THA provides sexual health and behavioral health programs and services with an expertise in serving LGBTQIA+ people and those impacted by, or at risk of, HIV in Texas. The … Read More
HMA is pleased to welcome new experts to our family of companies in July 2023. Zach Davis – Senior Consulting ActuaryWakely Zach has a wide range of actuarial experience helping both payers and providers manage risk. Read more about Zach. Vicki Loner – PrincipalHMA Vicki Loner has nearly 30 years of dedicated experience as an … Read More
This week, our In Focus section reviews the New Hampshire Medicaid Care Management (MCM) request for proposals (RFP), which the state’s Department of Health and Human Services released on September 8, 2023. The new contracts will be worth approximately $1.1 billion and will provide full-risk, fully capitated Medicaid managed care services to approximately 190,000 beneficiaries. Implementation will … Read More
Child welfare services face challenges every day to prevent, treat, and reduce risk of maltreatment, neglect, trauma, housing instability, and violence in communities. These issues need to be seen as a priority for public health and community wellbeing and not just the jurisdiction and responsibility of child welfare agencies. Contact our experts:
This week, our In Focus section reviews the Florida Statewide Medicaid Prepaid Dental Program invitation to negotiate (ITN) released October 6, 2023, by the Florida Agency for Health Care Administration (AHCA). Contracts will serve 4.4 million Statewide Medicaid Managed Care (SMMC) members. Background The Florida Statewide Medicaid Prepaid Dental Program is a full-risk capitated dental program, which … Read More