- Implementing the Final Medicaid Managed Care Rules: How to Drive Compliance and Delivery System Performance for States and Health PlansMay 24, 2016Tuesday, May 24, 2016, 3 to 4 p.m. EDT — The hard work of implementing the new Medicaid managed care regulations will fall squarely on the shoulders of states and health plans. For states, the changes come at a time when Medicaid staff are already stretched thin by budgetary constraints and the impact of the continual state and federal regulatory and innovation projects. Now states must drive and oversee new requirements, including a variety of tighter rules around encounter data quality and submission, provider network adequacy, quality rating systems, provider screenings, and program integrity. Medicaid managed care plans, meanwhile, must step up their operational, administrative, and reporting capabilities to accommodate new state oversight requirements across all aspects of the contract performance. During this webinar, experts from HMA and CNSI will demonstrate the value of using automated dashboard technology and data analytics to establish a single electronic data and reporting portal between states and Medicaid managed care plans for the submission of data and tracking of performance – creating an efficient and centralized compliance audit trail in real time.
- Patient-Centered Medical Home Transformation: The Right Thing to Do for Patients and for Your OrganizationMay 18, 2016Wednesday, May 18, 2016, 1 to 2 p.m. EDT — Physician practices and clinics have good reason to transform themselves into Patient-Centered Medical Homes (PCMH). While many of the care coordination services provided by PCMHs aren’t currently reimbursed, a growing number of payers are looking to reward providers for these services – and providers need to be ready to benefit from all payment opportunities. More importantly, PCMH transformation is the right thing to do for patients. PCMHs are positioned to provide the highest quality care to members, with improved outcomes, prevention and patient satisfaction. Even if there isn’t an immediate financial reward, practices benefit strategically by positioning themselves as care leaders in the local community and solidifying relationships with other healthcare institutions. During this webinar, HMA experts Linda Follenweider and Jodi Bitterman will outline the steps physician practices must take to transform into PCMHs and provide a list of lessons learned from various transformations to date.
- Tuesday, May 17, 2016, 3 to 4 p.m. EDT — After months of comment, discussion, and revision, CMS has released the final version of its new Medicaid managed care regulations, and now it’s up to health plans, states, and providers to comply. What’s required is not just an understanding of what’s in the final rule, but how it impacts your organization – specifically the procedures, processes, staffing, technology, and operational changes required to implement the regulations. During this webinar, HMA experts will provide a framework for assessing the final rule, analyzing your organizational needs, and implementing the operational and functional changes needed. HMA will provide an overview of the final rule and outline the HMA Impact Analysis and Implementation Tool, a rigorous process for identifying opportunities and challenges the new rules pose to managed care organizations.
- Marrying Strategic, Operational and Information Technology Planning: Two Separate Frameworks in Support of Common Goals for Healthcare Organizational Efficiency and EffectivenessMay 17, 2016Thursday, May 17, 2016, 1 to 2 p.m. EDT — Strategic planning and operations needs assessment go hand-in-hand. That’s especially true for healthcare organizations in an emerging world of risk-sharing, population health management, and integrated care. During this webinar, HMA and Day Health Strategies will outline two complementary frameworks designed to help healthcare organizations achieve higher levels of performance by marrying strategic planning with a clear assessment of the operational and information technology (IT) investments needed to achieve long-term goals. The frameworks include tools that help diagnose critical areas of organizational performance which, if improved, can drive significant efficiency gains across your organization.
- Using a Policy Framework to Foster Provider Practice Transformation: How the District of Columbia Launched Major Delivery System Change through its Medicaid Health Home Program for Individuals with Serious Mental IllnessMay 12, 2016Thursday, May 12, 2016, 2 to 3 p.m. EDT — Many states are looking to health homes to coordinate care and reduce costs for individuals with complex physical and behavioral health needs as well as for individuals with serious and persistent mental health conditions. The District of Columbia is a unique urban environment facing challenges to serve a large Medicaid population with a high prevalence of behavioral health issues. Yet, DC has been a leader in leveraging its health home strategy to drive widespread delivery system transformation – aligning a vision for improved health with policy, payments, and a real-world understanding of the needs and capabilities of providers. During this webinar, leaders from the DC Departments of Behavioral Health and Health Care Finance will describe how they set a course toward integrated care with the structure of the DC health homes, and provide important lessons learned for other states. The webinar will also address how providers can play an important role during the policy planning process to ensure the effectiveness and feasibility of state initiatives and requirements.
- May 11, 2016Wednesday, May 11, 2016, 3 to 4 p.m. EDT — The long awaited final regulations for the Mental Health Parity and Addiction Equity Act are out, with important implications for Medicaid managed care plans, behavioral health providers, and other stakeholders serving vulnerable patient populations. The new federal rules have a broad reach, with the intention of improving ease of access to behavioral care, benefit levels, service classifications, coverage decisions, treatment protocols, and billing procedures. The rules also clarify the relationship between payers, providers and federal and state regulators. During this webinar, HMA experts Barbara Leadholm, Don Novo, and Rich VandenHeuvel will summarize key components of the final regulations, with a special focus on opportunities and challenges facing states and Medicaid managed care plans working to comply with the rules and government regulators monitoring their progress.