Webinar Series

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Welcome to HMS’s Education Series focused on leading States and other payers through the complex maze of Healthcare Reform. Please use the hashtag #HMSwebinar to comment or submit a question during our webinars.

UPCOMING

Check back often for information about upcoming webinars.

ARCHIVES

Thursday, June 26, 2014, 1PM EST

Tackling Healthcare’s Biggest Scam: An Expert Game Plan for Beating Fraud, Waste, and Abuse

This webinar discussed:

  • Recent fraud, waste, and abuse activities
  • Recommendations for detecting and preventing fraud, waste, and abuse
  • How healthcare stakeholders can implement these recommendations in their own program integrity efforts

Download webinar PowerPoint


Wednesday, September 18, 2013, 2PM EST

Federal Data Hub: Ready or Not, Here It Comes!

This webinar offered:

  • An overview of the Affordable Care Act’s marketplace electronic eligibility requirements for states and most recent regulatory updates
  • Discussion about the privacy, security, and program integrity for state data hubs
  • Considerations including the impact on Medicaid eligibility determination processes, tax credits, and other topics

video Replay webinar recording


Tuesday, July 30, 2013, 2PM EST

The End of Manual Coordination of Benefits: Save Money and Time with Automation

This webinar discussed:

  • The need for an automated coordination of benefits solution in the commercial market
  • Features that set HMS’s solution apart
  • Advantages of starting an automated coordination of benefits program now

video Replay webinar recording


Wednesday, June 26, 2013 at 4PM, EST

Recovery Audit Contractors: What Health Plans Need to Know

This webinar discussed:

  • Review of the ACA provisions on RACs
  • Update on the status of implementation
  • Suggestions on how both Medicare and Medicaid plans can prepare for RAC reviews

video Replay webinar recording


Thursday, June 13, 2013 at 2PM, EST

A Conversation about Medicaid Premium Assistance: Options for 2014 and Beyond

This webinar discussed:

  • An overview of premium assistance programs, with specific emphasis on Health Insurance Premium Payment (HIPP) Programs and their advantage to states
  • A discussion about using premium assistance as a mechanism for Medicaid expansion, including benefits and possible challenges
  • Information on Arkansas’ Health Care Independence Act of 2013

pdf Effectively Managing Health Insurance Premium Assistance Whitepaper

video Replay webinar recording


Thursday, April 18, 2013 at 1PM, EST

The State of Medicaid Managed Care: How to Minimize Costs & Improve Oversight

This webinar discussed:

  • Reasons states are shifting Medicaid lives to managed care
  • Best practices for coordinating third party liability activities between states and MCO plans
  • Steps states can take to ensure program integrity in this delivery system

video Replay webinar recording


Thursday, December 6, 2012 at 3PM, EST

Maximize Medicaid Third Party Liability (TPL) Recoveries & Savings: Leveraging State Legislation

This webinar discussed:

  • A brief refresher of Medicaid Third Party Liability (TPL)
  • The legal framework for generating TPL savings and recoveries:
  • A closer look at the Deficit Reduction Act (DRA) and selected state-related legislation
  • Maximizing TPL through enhancements to state DRA-compliant legislation
  • Protecting TPL savings under a managed care model
  • Capturing all responsible payors and insurers
  • Ensuring the timely receipt of necessary data

pdf DRA Webinar Summary Whitepaper

pdf DRA State Statutes

video Replay webinar recording


Thursday, September 27, 2012

Medicaid Asset Verification: Top 5 Considerations for States

This webinar discussed:

  • Origins and legislation around Medicaid asset verification and how states are responding
  • Best practices for states responding to the asset verification requirement
  • Five key things states should consider before implementation

video Replay webinar recording


Thursday, August 9, 2012

RAC and Roll! Sharing Lessons Learned for Effective Medicaid RAC Implementations

This webinar discussed:

  • The status of Recovery Audit Contracts nationwide
  • Considerations for addressing common challenges in implementing an effective RAC program
  • Recommendations for maximizing value from the RAC

video Replay webinar recording


Tuesday, May 1, 2012

The Paradigm Shift: Electronic Eligibility Verifications for Health Insurance Exchanges

This webinar discussed:

  • Review the latest electronic verification requirements for Exchanges recently released in the
    Exchange Final Rule
  • Highlight states that have already incorporated electronic verifications into their eligibility
    determination process
  • Discuss challenges, considerations, best practices for electronic verifications for Exchanges, and how states should approach and prepare for this critical paradigm shift from paper
    to electronic eligibility verifications.

pdf Webinar Summary

pdf Enroll America Eligibility Issues Brief

pdf CMS Exchange Verification Guidance Bulletin

video Replay webinar recording


Thursday, April 26, 2012

A Closer Look at MMIS Procurements: Maintaining Fiscal Control and Oversight

This webinar discussed:

  • State Medicaid agencies’ need for innovative cost savings solutions
  • The trend of including claims review and auditing services in MMIS contracts
  • The value of keeping claims adjudication and editing functions contractually independent from auditing functions
  • Recommendations for future MMIS procurements

pdf Webinar_Summary


Wednesday, February 29, 2012

Innovative Solutions in Cost Containment for State & Municipal Employee Health Plans

Cost containment alternatives for state and municipal employee health plans.

This webinar discussed:

  • Best practices in program integrity
  • Obstacles to achieving the best results—and practical solutions

pdf Webinar_Summary

video Replay webinar recording


Tuesday, November 15, 2011

HMS Education Series Interacting with State Insurance Exchanges: What Large Employers Need to Know

How will state insurance exchanges affect large employers who offer coverage to their employees? What are the new coverage requirements and reporting structures employers will need to understand?

pdf Webinar_Summary

pdf Interacting With State Insurance Exchanges: What Large Employers Need To Know

video Replay webinar recording


Tuesday, May 3, 2011

Helping MCOs Prepare for HHS Inspector General Oversight Reviews

Co-sponsored by Medicaid Health Plans of America (MHPA) and Association of Community Affiliated Plans (ACAP)

pdf OIG 2011 Work Plan

pdf Webinar Summary

pdf Federal Register, 02/02/2011

video Replay webinar recording


Friday, March 4, 2011

Healthcare Reform and Child Support Enforcement

pdf Webinar Summary

pdf Child Support Enforcement & Healthcare Reform Bills Analysis

video Replay webinar recording


Tuesday, December 14, 2010

Medicaid RACs—The Impact on MCOs

Co-sponsored by Medicaid Health Plans of America (MHPA)

pdf Webinar Summary

pdf Medicaid RAC Guidance from CMS

pdf Medicaid RAC Proposed Rules

pdf Medicaid RAC FAQ

video Replay webinar recording


Friday Oct 29, 2010

Program Integrity: Building a Financial Foundation for Health Care Reform

This webinar discussed:

  • Provider Self-Disclosure
  • Medicaid RAC

video Replay webinar recording