- February 7, 2018Wednesday, February 7, 2018, 1 to 2 p.m. EST — With the current administration aiming to provide increased state flexibility in the use of federal healthcare funds, ACA Section 1332 State Innovation Waivers may attract renewed interest. Section 1332 waivers allow states to modify certain aspects of their health insurance Exchange markets and operating rules, for example, easing regulations on benefit levels, allowing flexibility in how subsidies are spent, and developing reinsurance programs to promote the stability of individual markets. While only a handful of states have applied to date, Section 1332 waivers remain an important policy lever to watch. During this webinar, HMA experts will provide an update on the status of Section 1332 waivers, address the types of modifications states are applying for, and assess the potential impact on health plans, providers, regulators, and consumers.
- Behavioral Health Mergers: A Step-by-Step Guide to Evaluating, Structuring, and Implementing a MergerDecember 6, 2017Wednesday, December 6, 2017, 2 to 3 pm EST — A growing number of behavioral health providers have made the decision to merge with one another, or with other health care entities, to achieve the scale, scope and sophistication necessary to thrive in an increasingly complex healthcare system. During this webinar, behavioral health and legal experts from HMA and Proskauer Rose will walk through how to successfully evaluate, plan, and implement such a merger. This includes not only the decision to merge, choice of partner, structural alternatives, and key deal terms, but also the pre- and post-merger work required to ensure a smooth and successful transition, identify and achieve stated goals, and address strategic, operational and legal concerns.
- What’s Next for CMS Innovation Center? A Guide to Building Successful Value-Based Payment Models Given CMMI’s New Focus on Voluntary, Home-Grown InitiativesNovember 30, 2017Thursday, November 30, 2017, 1 to 2 p.m. EST — CMS Administrator Seema Verma announced in September that the Center for Medicare & Medicaid Innovation (CMMI) would shift its focus from promoting mandatory, large-scale value-based payment initiatives to an approach that stresses voluntary, home-grown efforts. The upshot: expanded waiver flexibility that will allow providers freedom to develop and test a wide variety of value-based solutions. During this webinar, experts from HMA and Leavitt Partners will discuss why CMMI has adopted this new approach and what it means for providers. The webinar will also explore CMMI’s underlying desire to foster healthcare competition by promoting value-based payment models without creating market leverage.
- October 19, 2017HMA is launching a new series of 15-minute podcasts called On the Horizon, covering timely developments in Medicaid, publicly sponsored healthcare, and other topics important to managed care plans, providers, states, counties, and other healthcare stakeholders. The inaugural episode focuses on the California Medicaid managed care procurement, which encompasses more than 3 million of the state’s Medi-Cal members and represents a huge opportunity for health plans. Margaret Tatar, managing principal of HMA’s Sacramento office, will discuss key aspects of the procurement, including which health plans and programs are impacted, the size of the opportunity, the timing of the procurement process, and why this procurement is different from any other in the history of Medi-Cal. The session is moderated by Jason Silva, a senior consultant in HMA’s Sacramento office.
- Managing Social Determinants of Health: A Framework for Identifying and Addressing Disparities that Impact Healthcare Quality, Cost in Medicaid PopulationsSeptember 7, 2017Thursday, September 7, 2017, 1 to 2 pm EDT — Social determinants of health are increasingly recognized by Medicaid programs as important drivers of poor health outcomes and disparities that lead to higher costs. In response, Medicaid programs are beginning to analyze social determinants of health as potential causes of health disparities. During this webinar, Ellen Breslin and Anissa Lambertino of HMA, Dennis Heaphy of the Disability Policy Consortium, and independent consultant Tony Dreyfus will present an analytical framework for understanding the impact social determinants of health have on Medicaid populations. Leveraging work done by the Institute of Medicine, the framework includes measures and statistical methods that Medicaid programs, health plans, and accountable care organizations can use to generate the type of information needed to develop interventions that improve health outcomes.
- Merger Readiness: What Behavioral Health Providers and CBOs Need to Know Before Considering a Merger with Another Health Care OrganizationMay 10, 2017Wednesday, May 10, 2017, 1 to 2 p.m. EST — Behavioral health providers and community-based organizations increasingly face an important decision. Can they continue to go it alone? Or is it time to consider merging with another entity to achieve the scale, scope and sophistication necessary to thrive in a healthcare system that continues to grow only more complex? The answer involves not only an honest assessment of your existing goals, values, market prospects, and potential partners, but a clear understanding of what’s required from a strategic and operational standpoint to make your organization “merger ready.” During this webinar, HMA Principals Josh Rubin and Meggan Schilkie will outline what behavioral providers and community-based organizations (CBOs) need to know when considering and ultimately pursuing a potential health care merger and the steps to take during each merger phase (Pre-Merger, Merger Execution, and Post-Merger).