- 21st Century LTSS: A Roadmap to Improved Outcomes, Lower Costs and Better Lives for Individuals with Complex Healthcare NeedsSeptember 23, 2015Wednesday, September 23, 2015, 1 to 2 p.m. EDT — It’s time to take Long-Term Services and Supports (LTSS) to the next level. There is an urgent need for health plans, accountable care organizations, and providers to integrate LTSS into their overall concept of person-centered care for individuals with complex needs. Being responsive to the needs of consumers in an effective manner requires a fresh conceptualization of LTSS, one that will provide the flexibility needed to deliver person-centered care in a manner that improves overall quality of life while bending the cost curve through reduction of unnecessary hospital use. This means leveraging LTSS touch points at the community level, proactively identifying member needs, and linking individuals to appropriate community-based care before an emergency room visit or hospitalization is necessary. During this webinar, you’ll find out how payers and providers can work together to create financial incentives and protocols that drive 21st Century LTSS – linking payments to patient-defined metrics and offering real potential to improve the delivery of LTSS around the needs of patients.
- Evidence-based Integration: A Step-by-Step Guide to Integrating Behavioral Health into the Primary Care SettingSeptember 22, 2015Tuesday, September 22, 2015, 1 to 2 p.m. EDT — There is a clear and growing body of evidence that supports the integration of behavioral health into the primary care setting. Numerous trials show that integration delivers upon the triple aim, generating a measurable return on investment over time, improving outcomes for patients, and resulting in a high quality experience for patients. Furthermore, health plans, state and national demonstrations, and accrediting bodies are moving in this direction. One example would be the 2014 NCQA Standards for Patient Centered Medical Homes, which require primary care practices to demonstrate some degree of integration in order to be certified. During this webinar, HMA experts Lori Raney, MD, and Nancy Jaeckels Kamp will provide a step-by-step guide to integration, including key structural and organizational investments, process improvements, and the type of training required to make integration work.
- September 15, 2015Tuesday, September 15, 2015, 1 to 3 p.m. EDT — There is a growing understanding that the environment in which people live can have a profound effect on their health, wellness and utilization of the healthcare system. The quality and safety of the home environment are part of the social determinants of health. Including home assessments and repairs in a care plan for asthma patients clearly demonstrates the importance of transcending the walls of the traditional health care delivery system to obtain better health outcomes and lower total spending. Home interventions aimed at eliminating key drivers of asthma attacks like mold, dust, pests and tobacco smoke can improve the lives of those with asthma and dramatically reduce the cost of this chronic disease. Unfortunately, not all asthma-related home interventions are reimbursed by payers, despite the well-documented return on investment. During this webinar, you’ll learn how to make the business case for asthma-related home interventions and build a sustainable stream of funding for these initiatives.
- August 26, 2015Wednesday, August 26, 2015, 1 to 2 p.m. EDT — Medicaid managed care plans need to take a proactive approach to meet network adequacy requirements and demonstrate compliance to state regulators. Often that means more than just having the right network in place. It also means being able to identify and address potential problems before they negatively affect member access and trigger regulatory action. During this webinar, HMA Principal Karen Brodsky (who previously oversaw managed care contracting for the state of New Jersey) discusses the warning signs state regulators look for when assessing the adequacy of a Medicaid managed care plan’s network. Brodsky will also outline some practical ways plans can get out in front of these potential problems – not only demonstrating compliance to regulators but also improving access and satisfaction for members.
- Managed Long-Term Services and Supports: Understanding the Impact of the New Medicaid Managed Care RegulationsJuly 1, 2015Wednesday, July 1, 2015, 1 to 2 p.m. EST — Get ready for a whole new regulatory framework for Managed Long-Term Services and Supports (MLTSS). As part of the newly proposed Medicaid managed care regulations, CMS is seeking to codify the way in which state and federal regulators oversee MLTSS programs. It’s no surprise CMS is taking action, given the dramatic growth of MLTSS. But the proposed rules mean states, health plans, and providers will have to shoulder a wide variety of new compliance requirements in areas such as network adequacy, patient-centered planning, care coordination and quality measurement. During this webinar, HMA experts will outline the proposed MLTSS rules and discuss the implications for states, health plans, and providers serving the long-term care market. Speakers: Lisa Shugarman, Senior Consultant, HMA Susan Tucker, Managing Principal, HMA
- What the New Medicaid Managed Care Regulations Mean for Health Plan Quality and Performance MeasurementJune 17, 2015Wednesday, June 17, 2015 1:00 p.m. EST — The proposed Medicaid managed care regulations released last month by CMS include fundamental changes in the way quality and performance is measured among health plans in state-sponsored programs. The rules seek to align quality and performance measures with existing government programs like Medicare Advantage, institute a quality ratings system, support a variety of performance improvement projects, and increase the role of external quality review. During this webinar, HMA experts will outline the proposed quality rules and discuss the implication for states, Medicaid managed care plans and other stakeholders.