Despite the American Health Care Act (AHCA) passing the House, there seems no clear pathway to repealing and replacing the Affordable Care Act (ACA). An alternative to federal legislation is the state waiver process, already in place. In an effort to assist states seeking to waive provisions of the ACA, the U.S. Department of Health & Human Services on May 16 announced a checklist.
Centers for Medicare and Medicaid Services
Transforming the health system in Rhode Island to achieve the “Triple Aim” of better care, healthier people, and smarter spending is the Rhode Island State Innovation Model (SIM) project’s goal. UMass Medical School’s Office of Program Development (OPD) is starting its second year of working with the state on this federally-funded program. The Center for Medicare and Medicaid Innovation is supporting this and similar innovation efforts in 23 other states.
UMass Medical School health policy experts have developed sustainable financing models for the state of Maine to support four community health worker (CHW) interventions that focus on patients with the greatest, and most costly, health care needs.
A recent survey of New England pharmacies found the median cost to dispense one prescription to a Medicaid beneficiary is $10.59. The survey was completed by the New England States Consortium Systems Organization (NESCSO), a nonprofit organized by the health and human service agencies of the New England states and UMass Medical School, in partnership with the accounting firm of Myers and Stauffer LC.
Many seniors are prescribed medications considered high-risk because of their potential to cause adverse reactions and events. The U.S. Food and Drug Administration (FDA) is addressing this issue with its recent release of safety tips for older adults. Health insurers can do even more by implementing a high-risk medication intervention program.
A UMass Medical School health policy expert has found overall health care spending in Massachusetts has increased by 57 percent since the state’s health law took effect 10 years ago, according to an article about the law’s anniversary on WBUR’s CommonHealth.
UMass Medical School and its business affiliate, UHealthSolutions, are offering member and prescriber outreach and medication management services to help health plans increase their Medicare Star Ratings and save money.
UMass Medical School is partnering with the Massachusetts Medicaid program, MassHealth, in an effort to develop a model that will fully integrate the delivery and financing of care for all 21- to 64-year-old “dual eligibles,” those who qualify for both Medicare and Medicaid services.
With $1 million in funding from the Innovation Center at the Centers for Medicare and Medicaid, the state will oversee the project, which will demonstrate how this care and financing model would work. UMass Medical School will provide MassHealth with support in four main areas of the project:
Today the Massachusetts Executive Office of Health and Human Services announced the launch of MassOptions – a 7-day a week, free service aimed at simplifying access to long-term services and supports for the elderly, individuals with disabilities and their caregivers throughout the Commonwealth.
UMass Medical School pharmacists will discuss proposed regulations for managed care and display posters on a cardiovascular drug and a pediatric behavioral health medication safety initiative at the American Drug Utilization Review Society conference Feb. 25-27 at the DoubleTree Paradise Valley Resort in Scottsdale, Arizona.