A new report by HMA colleagues looks at policies, including new emergency regulations and temporary flexibilities, put in place during the COVID-19 pandemic.
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HMA examines CMS Innovation Models over the past decade
A new issue brief and accompanying data set by HMA colleagues examines models implemented by the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (The Innovation Center) over the past decade and provides evaluation of the findings.
HMA authors report examining future of COVID-19 Medicare regulation changes
A new Issue Brief, authored by Jennifer Podulka and Jon Blum, examines the many changes to Medicare regulations put in place during the COVID-19 pandemic. The brief, Which Medicare Changes Should Continue Beyond the COVID-19 Pandemic? Four Questions for Policymakers, tracks and categorizes the regulatory changes, describes the benefits and risks of the changes, and establishes a framework to support policymakers鈥� decisions regarding the future for the changes after the pandemic ends.
Issue brief explores personal health record for children, youth, and families involved with child welfare in California
HMA Senior Consultant Suzanne Rabideau, Principals Heidi Arthur and Eileen Moscaritolo and Consultant Anh Pham recently developed the issue brief Exploration of a Personal Health Record for Children, Youth, and Families Involved with Child Welfare in CA for California’s Medicaid CalAIM Foster Care Model of Care Workgroup. The issue brief was developed to assist the workgroup in exploring options for establishing a portable personal health record (PHR) and support the workgroup’s efforts in making long-term recommendations on this topic. The PHR would give children, youth, families, and caregivers access to the child or youth’s health information.
The issue brief also
- Describes a PHR and it’s uses
- Identifies ways a PHR could assist in addressing the healthcare challenges often experienced by children, youth, and families involved with child welfare
- Identifies the federal and California-specific opportunities to facilitate access to a PHR for children and youth in foster care
- Identifies federal and California-specific challenges to implementing a comprehensive health record for children, youth, and families
- Shares potential options for the workgroup to consider
Authors
Suzanne Rabideau, MBA, MA, LPC, Senior Consultant
Heidi Arthur, LMSW, Principal
Eileen Moscaritolo, Principal
Anh Pham, Consultant
HMA publishes white paper “Moving Beyond COVID-19 Public Health Emergency Risk Corridors”
HMA has published a white paper identifying the appropriate, and inappropriate, uses of risk corridors in the context of Medicaid managed care capitation rate setting. 聽The paper is timely due to the widespread use of risk corridors by states during the COVID-19 public health emergency (PHE) and the potential continuation of those risk corridors after the PHE ends.聽聽
Download the Executive Summary here.
HMA contributes to NAM perspectives discussion paper 鈥楪uide for Future Directions for Addiction and OUD Treatment Ecosystem鈥�
HMA Managing Directors R. Corey Waller, MD, MS, and Jean Glossa, MD, MBA, along with members of the Prevention, Treatment, and Recovery Working Group of the Action Collaborative on Countering the U.S. Opioid Epidemic, recently authored a new National Academy of Medicine Perspectives discussion paper calling for a long-term sustainable approach to preventing and managing addiction as a chronic disease.
To adequately respond to America鈥檚 drug overdose and death epidemic, the paper states the ecosystem in which people with addiction receive treatment must be reimagined and made more robust. The National Academy鈥檚 framework best describes the needs of and solutions for the addiction treatment ecosystem using the guidance of 鈥榯he 4 Cs鈥�: capacity, competency, consistency, and compensation.
Authors
R. Corey Waller, MD, MS, Managing Director, HMA Institute on Addiction
Kelly J. Clark, MD, MBA, DFAPA, DFASAM, President, Addiction Crisis Solutions and Immediate Past President, American Society of Addiction Medicine.
Alex Woodruff, MPH, policy analyst, Partnered Evidence-based Policy Resource Center, VA Boston Healthcare System.
Jean Glossa, MD, MBA,听Managing Director, Delivery System, HMA
Andrey Ostrovsky, MD, Managing Partner, Social Innovation Ventures
Youth needs assessment published
With a focus on the needs of young people in detention and correctional facilities, a team of 杏吧视频 (HMA) colleagues completed an in-depth assessment designed to guide future planning and decision making around mental health 杏吧视频 for youth.
Nursing home report highlights benefits of single resident rooms
The COVID-19 pandemic highlighted nursing home safety and infection control as critical public health issues. A new report authored by HMA colleagues found compelling evidence that single rooms in nursing homes have numerous benefits for both public health and residents鈥� experience. The authors conclude that transitioning from multi-resident rooms to single rooms should be a component of person-centered nursing home reform. The report calls on stakeholders to come to the table to discuss options and strategies for long-term care redesign and transformation.
The report,听Fundamental Nursing Home Reform: Evidence on Single-Resident Rooms to Improve Personal Experience and Public Health, was developed for a Michigan-based long-term care provider and owner of skilled nursing facilities.
HMA colleagues聽Sharon Silow-Carroll, MBA, MSW,听Deborah Peartree, RN, MS,听Susan Tucker, CPA, and聽Anh Pham聽conducted the research and analysis and prepared this report.聽 An appendix prepared by the national accounting firm Plante Moran provides estimates of new costs and other considerations related to transitioning to single-resident rooms, based on data from two Michigan-based multi-facility long-term care organizations.
2021 Medicare Advantage Supplemental Benefit Flexibilities: An Early Assessment of Adoption and Policy Opportunities for Expanded Access
The experts at 杏吧视频 (HMA) have released Medicare Advantage Supplemental Benefit Flexibilities: An Early Assessment of Adoption and Policy Opportunities for Expanded Access. The white paper examines the factors contributing to a Medicare Advantage plan鈥檚 decision to offer or not offer newly available supplemental benefits and opportunities and challenges with adoption and implementation. Newly available supplemental benefits are intended to address unmet health and social needs.
HMA further sought to understand the extent to which Medicare Advantage enrollees had access to these benefits when eligible, and the effectiveness of these benefits as a tool to contain costs, improve outcomes, and increase enrollee engagement and satisfaction.
The report outlines seven key insights and accompanying policy considerations aimed towards promoting evidence-based benefit designs; expanding Medicare Advantage organization willingness to adopt the flexible benefits; and enhancing beneficiary involvement, access, and usage of these benefits.
HMA colleagues Narda Ipakchi, Mary Hsieh, Sarah Barth, and Jonathan Blum contributed to the report which follows up on a previous report providing a snapshot of early adoption of these benefits.
This analysis was funded by a grant from Arnold Ventures, a philanthropy dedicated to tackling some of the most pressing problems in the United States.
Three HMA clinicians author naltrexone formulations in correctional settings issue brief
HMA鈥檚 Donna Strugar-Fritsch, Shannon Robinson, MD and Scott Haga, PA-C, recently authored the issue brief, Naltrexone Formulations in Correctional Settings. 聽This brief provides clinical, financial, and administrative information prisons and jails can use in deciding whether to keep detainees on extended release naltrexone (XR-NTX, or the brand Vivitrol) or switch them to oral naltrexone tablets in instances where detainees have been prescribed XR-NXT prior to incarceration.
States, Medicaid, and Economic Hard Times
杏吧视频 (HMA) and Wakely Consulting Group, Inc., collaborated to analyze, compile, and model data on Medicaid enrollment growth during the COVID-19 pandemic and develop projections under various recovery scenarios as well as analyze the potential impact of key variables on state Medicaid expenditures.
The analysis examined two key questions, how much strain will state Medicaid budgets be under over the next few years and what types of state characteristics and what types of policy options will allow states the ability address budgetary challenges.
HMA colleagues Eric Hammelman, Stephen Palmer, Matt Powers, and Kathy Gifford contributed to the report.
HMA prepares NCQA distinction in multicultural health care report
杏吧视频 (HMA) was engaged by Covered California to evaluate and make recommendations about whether the state鈥檚 Marketplace should require Qualified Health Plan (QHP) Issuers to gain National Committee for Quality Assurance (NCQA) Distinction in Multicultural Health Care.
With a mission to increase insurance coverage in California and improve quality of care while reducing costs and health disparities, Covered California sought to learn how achieving Distinction in Multicultural Health Care has helped Issuers promote meaningful change and reduce disparities to advance health equity, in order to determine whether requiring the Distinction would help the Marketplace assure QHP Issuers effectively deliver quality care and improve population health.
The HMA team reviewed the Distinction鈥檚 standards and guidelines within Attachment 7, Article 3interviewed four Issuers that have earned the Distinction. They recommended Covered California update its language in Article 3.04, requiring Issuers to achieve NCQA Distinction in Multicultural Health Care and allocate resources to deliberately address disparities and health equity, increasing infrastructure and reinforcing organizational commitment to this work.
HMA consultants Michael Anderson-Nathe, Nora Leibowitz and Michele Melden completed the assessment.