OUR TA

Health Policy Matters is solely devoted to helping provider organizations, Managed Care Organizations and Accountable Care Organizations successfully serve the Medicaid population. Each member of their team offers unique experience in care integration, care management, value-based payment and analytics to our clients. They understand the different aspects of Medicaid Managed Care from their experience working with states, providers and MCOs/ACOs.

WHAT MAKES THIS VENDOR UNIQUE

Health Policy Matters is unique in their ability to offer services that are on par with large consulting firms with a truly personal approach. Senior members of their team support all of their clients, rather than less experienced individuals who may not have the same understanding and appreciation of the challenges ACOs and CPs face. They 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 the State of Connecticut, 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

“HPM was extremely helpful in developing our ACO strategy including our care model, governance model, VBP strategy and other key elements. Meryl did so much more than prepare the response for our Medicaid population; she was a true asset! Meryl and her experienced, knowledgeable team understands both the overall health care landscape for Medicaid and uninsured consumers and, the roles of ACOs, MCOs, behavioral health organizations, long-term services and supports and community-based organizations. The team knew how they all need to work together to meet consumer needs. Using their collective expertise, HPM has the ability to make major contributions to organizations that manage care for the Medicaid population. I would strongly recommend Meryl and HPM to organizations looking for assistance with their Medicaid strategy.” – Emily Young, Senior Director of Health Care Innovations and Operations, Lowell General PHO

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