- Thursday, February 25, 2016, 3 to 4 p.m. EST — A growing number of states are transitioning Long-Term Services and Supports programs to managed care – raising important concerns about provider network adequacy. For health plans, the challenge is how to best meet state mandated access requirements given a fragmented market in which more than half of the care is delivered by home and community-based services providers. During this webinar, HMA experts Sarah Barth and Karen Brodsky will provide an overview of the market for Managed Long-Term Services and Supports (MLTSS), outline the challenges of maintaining an adequate network, and provide a framework that health plans and states can follow to ensure that MLTSS members receive the best possible care.
- February 25, 2016Thursday, February 25, 2016, 1 to 2 p.m. EST — Let’s face facts. Talking about dying is difficult. To shift from talking about curative care to palliative care can make people so uncomfortable that they avoid the conversation: patients and families are sometimes reluctant to accept diagnoses and prognoses or have fears about what care may not be provided as part of an end-of-life care plan; and providers are reluctant to deliver bad news and may focus on pursuing curative options rather than shifting the discussion to a patient-centered plan for dying. Furthermore, risk-bearing healthcare payers, like managed care entities, are in danger of being accused of a conflict of interest if they appear to be steering patients into palliative-only care. However, there is growing evidence that end-of-life planning and value-based end-of-life care is a win-win for patients, providers, and payers – resulting in higher quality care that is aligned with patients’ preferences and eliminates relatively high cost futile care. During this webinar, HMA experts Sukey Barnum, Laurie Lockert, and Suzanne Mitchell, MD, will build the case for value-based end-of-life care and planning, and provide a roadmap for health plans and providers looking to launch end-of-life care policies and educational programs.
- California Medi-Cal 2020: What the State’s 1115 Waiver Renewal Means for Medicaid Providers, Health Plans and PatientsFebruary 3, 2016Wednesday, February 3, 2016, 3 to 4 p.m. EST — California has received federal approval for a five-year, $6.2 billion 1115 waiver renewal, which can best be described as a mix of old and new. The waiver reauthorizes Medi-Cal managed care and other existing state Medicaid programs – as well as initiating important reforms and innovations. Though scaled down from the state’s original proposal, the new waiver moves California closer to value-based purchasing in Medicaid in several ways. Among the most significant is the successor to the state’s DSRIP program: an initiative called PRIME (Public Hospital Redesign and Incentives in Medi-Cal), which aims to move 60 percent of the Medicaid managed care population of public and district/municipal hospitals into value-based payment arrangements. Other new programs target behavioral integration, promote primary care over emergency care, and seek to shore up access to dental care. During this webinar, business and policy experts from HMA’s California offices will provide a comprehensive overview of the waiver’s various components, with an emphasis on the type of organizational structures, systems, and performance measurement capabilities providers and health plans will need to successfully compete in the state’s emerging value-based environment.
- January 28, 2016Thursday, January 28, 2016, 1 to 2 p.m. EST — A strong and effective healthcare system depends on sustaining the vitality and well-being of the provider workforce. That’s not easy, especially among providers working in communities where social determinants weigh heavily on patient health and where the pent-up medical needs of the underserved can overwhelm even the most dedicated healthcare worker. Add to the mix growing state and federal quality reporting requirements, and it’s no wonder healthcare practitioners are at the breaking point. During this webinar and interactive workshop, HMA Principal Jeffrey Ring, PhD, will discuss the dangers of provider burnout. More importantly, he’ll outline a series of concrete steps healthcare organizations can take to ensure providers remain energized, find meaning in their work, and continue to provide the highest quality care to their patients.
- Making Healthcare Data Actionable: Solutions for Converting Data into Information for More Effective Reporting, Decision Making and Strategic PlanningJanuary 14, 2016Thursday, January 14, 2016, 1 to 2 p.m. EST — We live in a digital universe, and the volume of data is growing exponentially. That’s especially true in healthcare, where the need for information is being driven by changes in regulatory and compliance reporting requirements, demand for quality and performance measures, and a focus on value-based purchasing. But unless all this healthcare data can be converted into the type of information that supports decision-making and strategic planning, it’s just taking up space. During this webinar, HMA data specialist Lisa Maiuro, PhD, will outline some practical approaches healthcare organizations can take to convert data into information, including an understanding of how to share data across organizational and functional teams, how to organize data to drive business decisions, and how to present and use data without specialized analytic expertise.
- Thursday, December 10, 2015, 1 to 2 p.m. EST — Designing and implementing population-based integrated delivery systems, particularly those involving multiple medical, behavioral health, dental and social service providers, has become a focus of states, health plans and providers themselves. This focus is growing to include people covered by Medicaid and other government programs, in addition to Medicare. New models are emerging and lessons being learned about effective approaches. During this webinar, you’ll hear from HMA experts about some of these approaches, as well as experiences to build upon.