- 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).
- Building a Community Collaborative: Evidence-Based Interventions that Bring Together Healthcare Providers, Community-Based Organizations, and the Criminal Justice SystemApril 12, 2017Wednesday, April 12, 2017, 1 to 2 p.m. EST — Individuals with complex challenges arising from chronic health conditions, mental health and/or substance-abuse disorders, or involvement in the criminal justice system are among the highest-cost utilizers of the healthcare system. A multi-pronged Community Collaborative can ensure evidence-based interventions that identify and effectively treat high utilizers – helping to keep them out of the emergency room and out of jail. During this webinar, HMA Principal Bren Manaugh and Senior Consultant Amanda Ternan will provide a case study of a successful Community Collaborative in Bexar County, Texas. The webinar will offer practical considerations for building and operating a Community Collaborative, ensuring best practices, and creating a shared recognition of the need for trust and coordination among healthcare providers, community-based organizations (CBOs), and the criminal justice system.
- How Community-Based Organizations Contract and Receive Reimbursement for Home and Community-Based Services in Medicaid Arrangements – A Blueprint for SuccessMarch 1, 2017Wednesday, March 1, 2017, 1 to 2 p.m. EST — Community-based organizations (CBOs) have a long history of supporting people with disabilities and older adults to live and thrive in the community, through a variety of funding structures. States are increasingly realizing the value of these organizations as providers and partners in their Medicaid-funded programs. At the same time, many states are partnering with Medicaid managed care organizations to provide long-term services and supports (MLTSS) and considering value-based payment structures for LTSS. This creates both opportunities and challenges for CBOs who have had experience serving individuals who need assistance to be able to live independently in their own homes. During this webinar, a panel of experts will provide real-world strategies that CBOs can use to effectively expand access to their services, work with state Medicaid programs, contract with managed care, and ensure sufficient reimbursements.