- Total Cost of Care Benchmarks and Physician Practices: An Early Stage Evaluation of 5 Regional Healthcare Improvement Collaboratives Funded by RWJFDecember 9, 2015Wednesday, December 9, 2015, 3 to 4 p.m. EST — The Total Cost of Care and Resource Use framework developed by HealthPartners is at the center of a pilot program funded by the Robert Wood Johnson Foundation (RWJF) to identify and address healthcare overuse and inefficiency in five areas of the country. RWJF funded the Network for Regional Healthcare Improvement (NRHI) – along with five regional healthcare improvement collaboratives (RHICs) – to implement the first phase of the pilot, which involves the use of multi-payer commercial claims data to produce and share total cost of care benchmarks with physicians and practices. During this webinar, representatives of NRHI, the Oregon Health Care Quality Corp., MN Community Measurement, and Health Management Associates (HMA) will share findings from an evaluation of this first phase of the pilot. The results of the evaluation, conducted by HMA, illustrate both the challenges and promises of using cost transparency initiatives to drive delivery system change.
- Provider Network Adequacy Monitoring: Findings and Recommendations from the 2015 Robert Wood Johnson Foundation-Funded Survey of States and Health PlansDecember 8, 2015Tuesday, December 8, 2015, 1 to 2 p.m. EST — Invest in network standards. Monitor program-wide provider capacity. Increase after-hours access. Deploy data analytics. Increase states’ role in network oversight. These are some of the key findings and recommendations from the Robert Wood Johnson Foundation-funded survey of health plans and state regulators concerning provider network adequacy compliance and monitoring standards. The survey, conducted by Health Management Associates (HMA), was designed to identify important trends and potential challenges in provider access monitoring and compliance given the dramatic increase in health insurance coverage under the Affordable Care Act. During this webinar, HMA Principals Karen Brodsky and Barbara Markham Smith will outline nearly a dozen findings and recommendations, providing a roadmap for both states and health plans seeking more effective and efficient ways of ensuring adequate provider access for members.
- Care Management Essentials: Practical Approaches to Implementing a Successful Care Management ProgramDecember 2, 2015Wednesday, December 2, 2015, 1 to 2 p.m. EST — Care management is growing in importance as healthcare providers taking on risk seek effective ways of improving patient outcomes while controlling costs. The most successful care management programs offer practical methods for identifying members in need of interventions, effective care plans, face-to-face consultation, and reliable methodologies for tracking results. During this webinar, HMA Principal Nancy Jaeckels Kamp will provide the key steps for designing and implementing a successful care management program – including the type of infrastructure and workflow redesign needed to ensure your organization’s care management efforts deliver measureable results.
- Tuesday, December 1, 2015, 1 to 2 p.m. EST — The only thing more important than offering healthcare coverage through Medicaid or an insurance exchange is making sure that people actually sign up. That’s why outreach and enrollment initiatives are vital. During this webinar, HMA Principal Cathy Kaufmann will report on various efforts by states, health plans and advocacy groups to maximize their outreach and enrollment efforts. The goal: making sure that all those eligible for healthcare coverage – even the hardest to reach populations – understand their options and get signed up.
- Medicaid Enrollment and Spending Trends: An Inside Look at Findings from the 15th Annual Kaiser 50-State Medicaid Budget SurveyNovember 19, 2015Thursday, November 19, 2015, 1 to 2 p.m. EST — Medicaid enrollment and spending both rose nearly 14 percent in fiscal 2015 among 50 states and the District of Columbia, according to the 15th annual Medicaid budget survey from the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured (KCMU). Spending growth is expected to slow to 6.9 percent in fiscal 2016, while enrollment growth slows to 4 percent, the study projects. What’s driving these trends, and what are states doing to improve healthcare quality while controlling costs? That’s the topic of this webinar from Health Management Associates, which works with KCMU each year to conduct the survey. HMA Managing Principals Eileen Ellis, Kathy Gifford, and Vern Smith will outline key findings from the budget survey and discuss what it all means for the future of Medicaid.
- November 18, 2015Wednesday, November 18, 2015, 1 to 2 p.m. EST — CCOs, RCOs, ACOs, Medicaid managed care, 1115 Waivers, 1332 Waivers, block grants, DSRIP, consumerism, integrated care, managed long-term care, patient-centered medical homes, duals demonstrations, evidence-based care. Let’s face it. There is a wide variety of economic and service delivery models emerging to serve the nation’s rapidly growing Medicaid population. While the use of Medicaid managed care continues to increase, other models are vying for relevance – and attracting interest and attention. During this webinar, HMA managing principal Tina Edlund and principals Barbara Coulter Edwards and Steve Fitton will provide a high-level, strategic look at trends in state Medicaid programs – with an emphasis on how innovations in payment reform, service integration, and coordinated care models may impact the future of Medicaid. They have decades of government policy experience – Fitton as former Michigan Medicaid director; Edlund as chief of policy for the Oregon Health Authority; and Edwards as director of CMS’s Disabled and Elderly Health Programs Group.