(February 20, 2020)

By Marie Zimmerman, Vice President, Medicaid Transformation and Financing, Jennifer Ryan, Executive Vice President, Stacie Weeks, Principal, Medicaid Policy, and Julia Smith, Associate Director, Medicaid Policy

On January 30, 2020, the federal Centers for Medicare & Medicaid Services (CMS) released a long-anticipated letter to state Medicaid directors outlining a new Section 1115 waiver—the Healthy Adult Opportunity (HAO) waiver. This waiver, according to CMS, will allow states to “provide cost-effective coverage using flexible benefit designs,” but such a design will involve a block grant or per-capita cap on their Medicaid programs. There are many considerations states will need to weigh before deciding to enter into such a financing arrangement with the federal government. While the HOA waiver appears to give states additional flexibility to manage their programs as they see fit, the real purpose of the HOA waiver is to shift the balance of financial responsibility for the Medicaid program to the states. The flexibility is secondary....

(February 3, 2020)

By Hilary Haycock, President

This week marks a significant anniversary for me personally, and for Harbage Consulting. February 3rd is the fifth anniversary of Peter Harbage’s death, making February 4th the fifth anniversary of my tenure as President of this amazing organization.
We have come a long way in that time, and I am so proud of what Harbage Consulting has become over the past five years. It is an amazing honor and gift to lead an incredible team working hard every day to improve access to quality health care for those who need it most....

(January 2, 2018)

While 2017 has been a tumultuous year for everyone committed to ensuring access to affordable, quality health care for all Americans, we are grateful that our firm has had many opportunities to help improve Medicaid programs across the country.  As a mission-focused health policy and communications consulting firm, we are proud to provide our clients with the end-to-end support they need to design, implement, and operate their public health care programs in an effective and sustainable manner. Our work has spanned 10 states and more than a dozen localities over the past two years and we look forward to opportunities to continue to share our expertise and lessons learned in 2018. ...

(January 4, 2017)

By Hilary Haycock
President, Harbage Consulting

As we move into 2017, Harbage Consulting is proud of the great work accomplished with our clients over the past year.  We know there is a lot of work ahead of us, and we look forward to helping our clients achieve their goals and working together to protect the Medicaid program and the health care safety net in a changing environment....