Category Archives: HMA Weekly Roundup
CMS Innovation Center Announces ACO PC Flex Model to Improve Access for Medicare Beneficiaries
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.
State Teams Convene to Strengthen Collaboration across Child Welfare, Behavioral Health, and Medicaid
This week, our In Focus section highlights the Children’s Behavioral Health (CBH) State Policy Lab, held February 7−9, in Baltimore, MD.
Federal Policymakers Consider Current and Future Spending Measures on Simultaneous Tracks
This week, our In Focus section covers Congress’s and the Administration’s parallel efforts to finalize fiscal year (FY) 2024 spending bills and begin the budget process for FY 2025.
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.
Driving Change in Healthcare Delivery: HMA Spring Workshop Builds Towards Policy and Strategy Frameworks Necessary to Implement Value-based Care
Last chance to register! Online registration closes February 28. Federal policy frameworks establishing alternative payment models in Medicare and Medicaid have been the kick-starter of value-based care (VBC) innovation in healthcare delivery.
NC Releases Foster Care Specialty Plan Program RFP
This week, our In Focus section reviews the statewide North Carolina request for proposals (RFP) for the new Children and Families Specialty Plan (CFSP), which the North Carolina Department of Health and Human Services (DHHS) released on February 7, 2024.
Interoperability and Patient Access Final Rule: The Next Phase in the Data Exchange Journey
This week, our In Focus section reviews the Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule, published on January 17, 2024.
CMS Releases Advance Notice of Methodological Changes for MA Capitation Rates and Medicare Part C and Part D Payment Policies
This week, our In Focus section reviews the Centers for Medicare & Medicaid Services (CMS) Calendar Year (CY) 2025 Advance Notice for the Medicare Advantage (Part C) and Part D Prescription Drug Programs published on January 31, 2024.
New HMA Report Analyzes the Expanded Landscape of Value-Based Entities and Market Growth Opportunities
This week, our In Focus section highlights a new report released on January 25, 2024, Analyzing the Expanded Landscape of Value-Based Entities: Implications and Opportunities of Enablers for the CMS Innovation Center and the Broader Value Movement. The second In Focus section reviews the request for applications (RFA) that the Commonwealth of Pennsylvania Department of Human Services (DHS) released January 30, for the Community HealthChoices (CHC) Program.
CMS Announces Innovation in Behavioral Health Model
This week, our In Focus section highlights the Innovation in Behavioral Health (IBH) model, which the Centers for Medicare & Medicaid Services (CMS) announced January 18, 2023.
