February 18, 2020 1 p.m to 2 p.m EST — On February 6, the Centers for Medicare & Medicaid Services (CMS) issued Part II of the Advance Notice of Methodological Changes for Calendar Year (CY) 2021 which includes proposed updates to Medicare Advantage (MA) payment rates. In a departure from previous years, the agency did not release a separate Call Letter which typically includes Part C and Part D policy guidance and bidding instructions. Instead, the agency released a proposed rule which includes proposed policy and technical changes, most of which are scheduled to go into effect in the 2022 plan year. CMS also issued separate bidding instructions for plans as they prepare their bids for CY2021.
During this webinar, HMA Managing Principal Jonathan Blum will be joined by Principal Eric Hammelman, Principal Julie Faulhaber, and Senior Consultant Narda Ipakchi to present an overview of the payment rate updates and proposed policy changes included in the Advance Notice and Proposed Rule. They weill provide interested stakeholders with an overview and analysis of the proposed changes as well as what these changes mean for Medicare Advantage plans’ existing strategies and opportunities.
Janauary 31, 2020, 12 to 1p.m. MT – HMA’s how-to session last year on development and implementation of social determinants of health (SDOH) partnerships for vulnerable Colorado populations was a tremendous success, offering frameworks and tools for effective SDOH initiatives among community-based organizations (CBOs), health systems, and other providers. As a follow-up to this discussion, HMA is hosting a “lessons learned” session, in which two CBOs who have implemented innovative SDOH partnerships will outline the results of their programs and provide insights on how to develop an effective SDOH collaboration.
July 24, 2019, 1 to 2 p.m. EDT– If your managed care organization or health system is considering joining the growing market for Medicare Advantage (MA) plans, including Special Needs Plans (SNPs), or expanding your MA service area, now is the time to start planning for a 2021 launch.
During this webinar, HMA Managing Principal and former CMS Deputy Administrator for Medicare Jonathan (Jon) Blum will be joined by HMA Managing Principal Mary Hsieh and Principal Julie Faulhaber to discuss the strategic, operational, and planning considerations every organization must address before initiating a successful Medicare Advantage plan. Our experts will discuss regulatory concerns, operational readiness, benefit structure, marketing, risk management, and other key considerations.
July 16, 2019, 1 to 2 p.m. EDT–The Massachusetts One Care program, which went out to bid this year, is an 1115A Duals Demonstration (both a Financial Alignment Demonstration and a state demonstration) for dually eligible Medicare and Medicaid beneficiaries age 21-64 at the time of enrollment and living with disabilities. To assist potential bidders, the state released a Databook containing historical demographic, cost and utilization information for individuals who are eligible for One Care but not currently enrolled.
During this webinar, HMA experts will break down the One Care Databook and provide an eye-opening review of the data that can help regulators, health plans, providers and community-based organizations strengthen the program and advance health equity for the eligible population. Speakers will also use sophisticated geo-mapping software to illustrate geographic variation in the cost and utilization of both Medicare and Medicaid services.
July 11, 2019, 1 to 2 p.m. EDT– The Centers for Medicare & Medicaid Services (CMS) has announced a new Primary Care Initiative, offering primary care providers (PCPs) in 26 regions nationally the opportunity to participate in new Medicare payment models beginning January 2020: Primary Care First (PCF).
During this webinar, experts from HMA will describe how this initiative builds on prior CMS innovation models in advancing primary care and will outline eligibility, payment models, and key considerations of the program. The PCF program includes an option to care for seriously ill patients who lack a primary care practitioner and opt to participate in this payment model option. It prioritizes the physician-patient relationship, reduces administrative burden, and financially incents improved health outcomes.
This is the seventh webinar in a series about addressing the opioid crisis in America.
June 12, 2019, 1 to 2 p.m. EDT – Medication Assisted Treatment (MAT) has been proven to successfully treat opioid use disorder and can be offered in outpatient settings alongside treatment for other chronic medical and behavioral health conditions. However, many providers are unfamiliar with the nuances of providing this treatment in their practices. What’s needed is a systematic understanding of the various operational and regulatory issues that providers will face when providing MAT.
During this webinar, HMA clinicians will address some of the key considerations for practices looking to offer MAT. They will also demonstrate how the use of a readiness assessment tool can help providers identify and work through a variety of potential problem areas, leading to implementation of a successful MAT program.
