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
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A diligent and forward-thinking leader with expertise in managed accountable care and operations that bridges health plan and provider sides of business, Sarah M. Owens is an accomplished and compassionate healthcare leader. Throughout her career, Sarah has utilized collaboration while partnering with physicians, healthcare executives, and cross-functional teams and taken a “get it done” approach … Read More
The successful operation of the health insurance marketplaces created by the Affordable Care Act remains a key federal and state policy priority and an important business opportunity for managed care organizations (MCOs). At Health Management Associates (HMA), we are prepared to support both states and MCOs to achieve success in the operation of and participation … Read More
This week, our In Focus section looks at the voluntary Accountable Care Organization Primary Care Flex (ACO PC Flex) Model, which the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced on March 19, 2024. This model is designed to increase the number of low revenue ACOs in the Medicare Shared Savings Program (MSSP). Model participants … Read More
This week, our In Focus summarizes the findings of an HMA Information Services analysis of Medicaid managed care plan profitabilty, based on data from annual statutory filings made with the National Association of Insurance Commissioners (NAIC). For information on how to subscribe to HMA Information Resources, contact Carl Mercurio. Underwriting Margin An analysis by HMA … Read More
A purpose-driven healthcare professional, Geneva Vogelheim leverages her data analysis skills and her background in finance and health policy to inform strategic decision-making and identify growth opportunities. She is passionate about improving healthcare’s cost effectiveness and accessibility for underserved populations. Before joining Health Management Associates’ Strategy and Transformation team, Geneva held various roles with a … Read More
Our clients HMA works with national and state associations, managed care organizations, delivery systems, federal and state public health programs, as well as interested and existing PACE programs to support the promotion and continued improvement of the PACE model. Having led PACE programs, managed care organizations, delivery systems, and federal and state public health programs, … Read More
An accomplished health plan executive, Michael Engelhard has more than 30 years of executive, operational and financial leadership experience in healthcare, banking, and business services. He has a keen understanding of all aspects of publicly funded healthcare programs. A strategic thinker, he knows how to strengthen an organization’s business operations and outcomes. Michael is a … Read More
Kyle Murphy is a researcher and process expert with experience in commercial diligence, competitive research, and market strategy. He focuses his work on addressing vulnerable populations’ needs and facilitating innovation in Medicaid. Kyle works with The Focus Group, an HMA Company, where he uses his skills to help clients understand opportunities, manage change, and identify … Read More