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CMS Transforming Maternal Health Model offers state Medicaid agencies an opportunity to accelerate improvements in quality and outcomes

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This week, our In Focus section reviews the new Transforming Maternal Health (TMaH) Model, which the Centers for Medicare & Medicaid Services (CMS) Center for Medicaid and Medicare Innovation (the Innovation Center) announced on December 15, 2023. TMaH is the fourth major model that the Innovation Center has introduced to its payment portfolio since July. Pregnancy-related deaths have … Read More

HMA conference “The New Normal for Medicaid, Medicare, and Other Publicly Sponsored Programs to Feature Insights from Health Plan Leaders, State Medicaid Directors, Providers”

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Pre-Conference Workshop: October 9, 2022Conference: October 10-11, 2022Location: Fairmont Chicago, Millennium Park HMA Conference on the New Normal for Medicaid, Medicare, and Other Publicly Sponsored Programs to Feature Insights from Health Plan Leaders, State Medicaid Directors, Providers Early Bird registration is now open for HMA’s fifth national conference on trends in publicly sponsored healthcare. Early … Read More

Webinar Replay: What Matters Most: Essential Attributes of a High-Quality System of Care for Adults with Complex Care Needs

This webinar was held on November 22, 2016.  What are the Essential Attributes of a high-performing healthcare system for adults with complex care needs? The SCAN Foundation convened a working group of national experts that identified four “Essential Attributes,” based on person-centered care that serves the goals and needs of individuals, their families, and caregivers. During … Read More

Jesse Eng

Headshot of Jesse Eng

With more than 13 years of expereince in programming and data analysis, Jesse Eng has worked on rate setting projects, Healthcare Effectiveness Data and Information Set (HEDIS) measurement compilation, and focus studies related to the evaluation of public programs in six states. Jesse has held positions including lead programmer for multiple inpatient rate setting projects … Read More

Staying ahead of the star rating curve – a case study

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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

New CMS Guidelines to Expedite Approval of 1115 Waivers and State Plan Amendments

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This week, our In Focus section reviews the new guidelines issued by the Centers for Medicare & Medicaid Services (CMS) on expediting the approval process for Medicaid waivers and state plan amendments (SPAs) and improving quality, accessibility, outcomes, and transparency. The guidelines, titled Section 1115 Demonstration Process Improvements and State Plan Amendment and 1915 Waiver … Read More

New Medicare Benefit: Opioid Use Disorder Treatment

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This week, our In Focus section examines the new Medicare benefit for Opioid Use Disorder (OUD) treatment that includes counseling, as well as medication-assisted treatment (MAT) and related items and services. This benefit was established by Congress in the SUPPORT Act of 2018 and is now being implemented by the Centers for Medicare & Medicaid … Read More