- 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.
- 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.