Our customized, results-oriented high-risk medication program dramatically reduced refills for this Medicare Part D client with targeted prescriber outreach. This indicates discontinuation of the prescription or change to a safer medication.
More than 150 adults with acquired brain injury in Massachusetts transitioned from long-term care settings to the community from November 2010 to August 2013. Some individuals transitioned with an increase in risk incidents. A registered nurse care manager was engaged to address the needs of those at high risk. The results show there was a decrease in hospitalizations and emergency room visits.
This article assesses the impact of the MassHealth, the Massachusetts Medicaid program, Children's Behavioral Health Initiative implemented in 2007. The initiative, requires behavioral health screening at well-child appointments, substantially increased the percentage of children receiving behavioral health screenings.
This presentatio describes how mapping and visualization tools can enhance the use of data to characterize a population’s health and social services needs, target interventions and compare outcomes across different population subgroups. In Massachusetts, visualization and analytic tools are used to manage 1915c Medicaid Waiver programs, track operations, improve efficiency, report quality measures, monitor program integrity and plan for expanded service needs.
This poster demonstrates integration strategies and coordination benchmarks within the Massachusetts Medicaid Management Information System (MMMIS) to ensure accurate Medicaid and Medicare enrollment; fully engage service delivery options (including managed care and integrated care programs); and effectively cost-avoid, reprice, or cost-share to ensure the state’s lowest payment liability.
This journal article examines the choices that primary care physicians make in deciding to practice in a community health centers post health care reform by comparing the results of physician surveys conducted in 2008 and 2013.
This report describes the process of providing integrated care for patients with substance use disorders at three sites in central Massachusetts: Edward M. Kennedy Community Health Center, Family Health Center of Worcester, and Community Healthlink. It identifies common practices that improve care coordination and presents key findings.
This report used health insurance coverage data from state tax filings for 2011 and 2012 to address a gap in research that has focused on health insurance coverage in a given 12-month period and to provide a better understanding of the population in Massachusetts that is prone to remain uninsured over consecutive years.
Twenty-five women with physical disabilities across the U.S. who had had a baby in the past 10 years were interviewed for this study. The results shed light on the unmet needs and barriers to the care of women with mobility disabilities during pregnancy and childbirth. The study findings highlight the need for policy and practice recommendations for perinatal care of women with mobility disabilities.
A chart pack produced by the Massachusetts Medicaid Policy Institute (MMPI), a program of the Blue Cross Blue Shield of Massachusetts Foundation, in partnership with the Center for Health Law and Economics at UMass Medical School. This updated edition includes MassHealth enrollment as of January 2016 and spending from state fiscal year 2015.
The study concludes that antiviral treatment with sofosbuvir and/or simeprevir was requested for a relatively small proportion of Hepatitis C-infected members of MassHealth, the Massachusetts Medicaid program, with nearly all approved. Prescriber prioritization or patient barriers to care, rather than prior authorization, determined access to treatment. Support may be needed to ensure patients with SUD benefit from advances in HCV treatment.
The Massachusetts High-Risk Pediatric Asthma Bundled Payment Model, created by UMass Medical School on behalf of MassHealth, is one of two innovative models featured in this webinar about how select states are using Medicaid to pay for supportive services.
This report includes findings from the evaluation of the 2013-2015 Connecting Consumers with Care grant program.
The evaluation assessed outreach and enrollment progress, described practices used to reach and enroll consumers in health insurance, and characterized efforts to increase consumer self-sufficiency.
An overview of the Academic Consortium on Criminal Justice Health's 9th Annual Academic & Health Policy Conference on Correctional Health in CorrDocs, the newsletter of the American College of Correctional Physicians. The conference is supported by the University of Massachusetts Medical School and co-hosted this year by George Mason University.
Provides policy recommendations to address current barriers to employment for people with psychiatric disabilities, who can successfully obtain and maintain employment with supports that include increased access to career development, supported employment, and critical health services.
The Emergency Department Safety Assessment & Follow-up Evaluation (ED-SAFE) examines the feasibility and potential impact of screening emergency department patients for suicide risk as well as the effect of an emergency department-initiated intervention to reduce suicidal behavior and associated problems.
Justice-involved people have higher rates of substance, mental health, and chronic medical disorders than the general population. This commentary provides rationale and a blueprint for engagement of academic health science institutions to harness their capabilities to tackle one of the country’s most vexing public health crises.
Pipeline Trends is produced by the Clinical Pharmacy Services division and is distributed annually. It provides an overview of promising new agents, investigational indications, projected generic entry, FDA updates and industry trends.
This presentation describes how to use data to develop outcome-based measures to ensure the quality of home and community-based services (HCBS).
This fact sheet presents a summary of the effects of Chapter
58 of the Acts of 2006, "An Act Providing Access To Affordable, Quality, Accountable Health Care," as reported in the many studies that have focused on Massachusetts’ reform. This high-level review summarizes the findings in various categories, including insurance coverage, access to care, health care utilization, and affordability for consumers.
We work with multiple state agencies and a multidisciplinary team to oversee clinically robust prior authorization requirements for specific behavioral health medications and polypharmacy regimens in pediatric members in the Massachusetts State Medicaid program.