UMass Medical School experts present on strategies to increase access to benefits while saving money at Medicaid Enterprise Systems conference

August 13, 2015

Experts from UMass Medical School’s Commonwealth Medicine division will present on strategies to increase access to benefits while saving money for Medicaid programs at the Medicaid Enterprise Systems Conference Aug. 17-20 in Des Moines, Iowa.

Medicaid experts from Commonwealth Medicine’s Data Management Services, the Center for Health Care Financing, Office of Program Development and Enterprise Project Management, and UMass Medical School’s business affiliate UHealth Solutions will give three presentations and a poster at the annual conference. The theme of the conference is MESC: The Heartland of Medicaid Innovation.

Integrating Public Sector Eligibility, Enrollment and Data to Maximize Consumer Access, Program Efficiency, and State Cost Savings
Developing a “No Wrong Door” Approach to Accessing Long-Term Services & Supports
UMass Medical School is assisting MassHealth, the Massachusetts Medicaid program, with its Balancing Incentives Program (BIP) by establishing a new integrated call center and website that will generate an initial intake form for a hand-off to the appropriate human services agency.
Pamela Roddy, associate director of the Office of Program Development and Enterprise Project Management
Jeff Auger, director of operations for UHealthSolutions

Integrating Government Data Sets to Maximize Eligibility and Savings

UMass Medical School integrates state and federal data sets to determine Medicaid recipients who are entitled to increased federal benefits, including Medicare and Social Security payments. Data integration can determine missed or erroneously denied federal benefits, resulting in state savings while ensuring that recipients receive the benefits to which they’re entitled.
Jenifer Hartman, director of Medicare Eligibility Enhancement Programs, Center for Health Care Financing

Approaches for Transforming Public Datasets into Actionable Outcomes and How to “Show” Success
Transforming Integrated Medicaid and Home and Community Based Services (HCBS) Data into Actionable Information
UMass Medical School has created an HCBS Policy Lab and is working with the Massachusetts Office of Medicaid and Executive Office of Elder Affairs to integrate such data sources as Medicaid eligibility, Medicaid claims, frail elder HCBS case management and Comprehensive Data Set assessment data to better understand delivery of the services.
Rick Perro, senior director of Data Management Services

Maximizing Individual Benefits and State Savings for Medicaid Programs

This poster presentation shows how UMass Medical School works with state Medicaid programs to customize and implement business methodologies to maximize benefits for individuals and savings for states. The medical school’s collaboration with state and federal agencies has resulted in two national corrections of federal benefits systems in the past five years that led to increased benefits for individuals and increased Medicaid savings and revenue in all states.
Yuping Su, associate, Center for Health Care Financing
Jenifer Hartman, director of Medicare Eligibility Enhancement Programs, Center for Health Care Financing

Related Links