OUR TA

We are a consulting firm dedicated to health care system transformation for ACOs, MCOs and Community Partners specializes in serving organizations that enroll Medicaid, Medicare Advantage (MA) and dually eligible consumers. We help clients develop transformation efforts to address the needs of physical, Behavioral Health (BH) and social services. Our team has 30+ years of experience offering evidence-based: program design; value-based reimbursement design; integrated partnership development strategies; and other priority policy and programmatic efforts. We offer you the same, or greater, expertise than large health care consulting firms with senior, highly-qualified affordable consultants. Our team is committed and enthusiastic about our work, and help clients achieve the best possible outcomes.

WHAT MAKES THIS VENDOR UNIQUE

We are unique in our ability to offer services that are on par with large consulting firms with a truly personal approach. Senior members of our team support all of our clients, rather than less experienced individuals who may not have the same understanding and appreciation of the challenges ACOs and CPs face. We offer recent, direct experience supporting both Managed Care Organizations and Community Partners (including both Behavioral Health and LTSS organizations) and can support ACOs and CPs using their knowledge and experience, both in Massachusetts and working on DSRIP projects nationally.

A SUCCESSFUL TA EXPERIENCE

For a State client, Health Policy Matters successfully provided technical assistance to provider organizations to integrate primary and behavioral health care. The Health Policy Matters Team facilitated program development and design services and provided subject matter expertise for a group of hospital and community-based behavioral health organizations in collaboration with their primary care counterparts based on evidence found in the literature. Health Policy Matters also worked with the team to develop and implement strategies to form interdisciplinary care teams who then met with patients and their caregivers to develop person-centered care management and care integration strategies. Health Policy Matters’ contribution to this project are still in place today.

The statements in this document are made solely by Health Policy Matters. No statement in this document should be construed as an official position of or endorsement by Abt Associates Inc. or the Massachusetts Executive Office of Health and Human Services.

ABOUT HEALTH POLICY MATTERS

Health Policy Matters’ (HPM) mission is to assist public and private sector organizations to design, develop and implement innovative, high-quality, cost-effective, person-centered health care programs for Medicaid and uninsured consumers. Their team understands the complexities of serving the Medicaid population. They offer expertise ranging from assisting clients in designing integrated models across the physical, behavioral, and LTSS continuum along with Social Determinants of Health (SDOH) to driving consensus among providers and staff on program designs and workflows. The HPM Team understands managed care requirements from the state and federal perspective, including how the different pieces of the care continuum might fit together in a variety of ACO and provider organizations.

ORGANIZATION FUN FACTS

  • Two key team members, Laurie Burgess Hutcheson and Meryl Friedman Price, worked at Medicaid in the early 1990s and were part of MassHealth from the early days. They love their work, and it shows.

QUOTES FROM CLIENTS

  • “When I think about HPM, I think: vast knowledge base regarding Medicaid programs; keen organization and focus; extensive network of resources and ability to tap into them quickly and effectively; ability to complete projects on time and even with a tight deadline manages it with ease. They go the extra mile. I highly recommend based upon quality of work completed for us.” – Client, CEO
  • “Meryl Price has worked with us as a colleague on a major project for our State to review and recommend changes to the Medicaid Long Term Care services and supports programs. Meryl’s depth and breadth of knowledge has been invaluable in this engagement. She has provided significant insights about relevant work around the country; facilitated key stakeholder information sessions; and provided strategic insights to help guide the project plan and deliverables for this major project for the State. Meryl understands the complex financial and regulatory designs of Medicaid programs. Her knowledge and work product have informed State leaders and our own working team to help significantly advance this work. Meryl has high standards of excellence and her work products have made an enormous contribution to the overall project work.” -Client, Director of Health Care Research and Transformation

DOMAINS:

Actuarial and Financial

Care Coordination/Integration

Community-Based Care and Social Determinants of Health

Consumer Engagement

Flexible Services

Health Information Technology (HIT)

Performance Improvement

Population Health Management

Workforce