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Presentation
November 19, 2020

In this presentation, Stephanie Tran, PharmD, clinical consultant pharmacist, explains how a retrospective compounding monitoring program demonstrated a reduction in per member per year spend through the placement of select high-cost compounding ingredients on prior authorization.

Issue Brief
November 16, 2020

Nonalcoholic steatohepatitis (NASH) is an advanced form of nonalcoholic fatty liver disease (NAFLD) that is estimated to affect 5 - 21 million people in the United States. In this report, Pavel Lavitas, PharmD, BCPS, discusses findings from the Clinical Pharmacy Services pipeline monitoring team which was observing the results of a trail for a new treatment for the disease.

Technical Report
November 09, 2020

Director of Child and Family Policy Audrey Smolkin discusses interventions to promote children's resilience to minimize the long-term effects of trauma.

Journal Article
September 29, 2020

The federal “public charge” rule is causing many non-citizens to avoid treatment for potentially serious health issues—including COVID-19. This report, co-authored by CWM Health Law and Policy experts, examines the rule’s impact on non-citizens and the Mass. health care system.

Poster
September 22, 2020

Karen Clements, senior project director, Research and Evaluation, co-authored this poster on providing Medicaid populations with access to advanced hep C treatments which was nominated for best poster at the recent Academy Health 2020 Annual Research Meeting.

Poster
August 07, 2020

This poster by Judy Savageau, MPH, research consultant, informs MassHealth policies and programs for medical and behavioral health services with the goal of reducing opioid overdoses. Savageau presented her poster at the Academy Health 2020 Annual Research Meeting.

Journal Article
July 02, 2020

For children of color, early-life traumas increase the risk for long-term physical and mental health issues. Audrey Smolkin, director of Child and Family Policy at the UMass Med School, discusses the need for training on the link between race, trauma, and resilience.

White Paper
May 04, 2020

There are many systems and services that contribute to children’s health, development, and well-being. However, many of our health systems are complicated, difficult to use, and have strict eligibility requirements; and many health services exist in silos and are not well coordinated. As a result, access for families is difficult. Many children who are not given a chance to thrive and get a healthy start in life grow up to be unhealthy adults with chronic and costly health conditions.

White Paper
April 28, 2020

Reviewing applications for disability retirement benefits is a complex and time-sensitive process. Getting it right protects plan members and the financial soundness of the plan itself. Commonwealth Medicine empowers its team of licensed and credentialed case reviewers with secure, cloud-based technology to maintain operational continuity—even during a pandemic. The result is accurate, fair and timely disability recommendations.

Poster
April 27, 2020

A study, led by Soumya Vishwanath and other policy experts, from Commonwealth Medicine, assessed the effectiveness of a three-part, proactive intervention in prompting new prior authorization (PA) submissions and/or provider response prior to PA expiration in a Medicaid population.The intervention group had PAs submitted an average of 2.7 days before the expiration date vs.13 days after expiration in the comparison group.

Poster
April 22, 2020

Pharmacy experts from the University of Massachusetts Medical School and Commonwealth Medicine completed a study on whether the overall benefit of sacubitril/valsartan outweighed the cost of the drug within a Medicaid population. Previous studies have shown that patients treated with sacubitril/valsartan had lower rates of hospitalizations, but before now, the data on the economic impact of the drug on a Medicaid population was limited.

White Paper
April 16, 2020

A policy brief co-authored by Commonwealth Medicine’s Robert Seifert, MPA, & Hilary Deignan, JD, MEd, and the Child Health and Development Institute of Connecticut, Inc's Lisa Honigfeld, PhD & Eminet Garganus, MPH explains why having all insurers involved in pediatric primary care redesign is vital for creating more positive health outcomes for children in families in communities at large

Technical Report
March 05, 2020

The Director of the Charitable Trusts Unit, within the New Hampshire Attorney General’s office, is charged with reviewing transactions involving health care charitable trusts, including non-profit hospitals, to determine whether these transactions are in the best interest of the community. The Charitable Trusts Unit retained the Health Law & Policy team at Commonwealth Medicine, UMass Medical School, to perform a thorough, impartial review of the Hospital Corporation of America’s (HCA) proposed acquisition of Frisbie Memorial Hospital.  

Journal Article
February 28, 2020

Commonwealth Medicine’s Health Law & Policy expert Carol Gyurina explains why the federal parity law, which requires health plans to apply the same coverage limits to both behavioral health and medical benefits, is a good first step but not enough on its own to guarantee substance abuse services for Medicaid enrollees

 

White Paper
February 18, 2020

Discover the comprehensive and customized approach Commonwealth Medicine's Disability Evaluations Team takes toward reviewing the 40,000+ disability evaluations it screens every year.

Webinar
December 11, 2019

Our Health Law & Policy expert Katharine London joined several other policy and program experts to explore the role, impact, and system supports for community health workers in the United States, and Navajo Nation.

Poster
November 08, 2019

Find keys to success, policy recommendations, and implementation tools for starting a Recovery Coach program in your community. Commonwealth Medicine’s Health Law & Policy experts Katharine London, MS, and Jeremy Tourish, MPH, share research on the impact Recovery Coaches had in the battle against opioid use disorder in six states.

Technical Report
September 24, 2019

Check out our Health Law & Policy team’s brief updating information on the MassHealth Accountable Care Organization program as it enters its second year. Released by Blue Cross Blue Shield, the primer explores enhancements including the expanded Community Partners Program and the new Flexible Services Program. Learn more on our website about the way nearly 900,000  residents of The Commonwealth are receiving health care services

Presentation
September 09, 2019

Take a look at results from The Massachusetts Medicare Enrollment Support Initiative, coordinated with guidance from our third party liability expert Jenifer Hartman of Health Care Finance Solutions.

Presentation
September 09, 2019

Learn how cost avoidance activities made possible by our Health Care Finance Solution's Enhanced Coordination of Benefits led to a savings of $66.4 million for MassHealth in 2019.

Presentation
September 09, 2019

Our Medicare Buy-In Quality Review Initiative, which our TPL expert Jenifer Hartman presented on during the 2019 Medicaid Enterprise Systems Conference, digs deep to find gaps in quality control and has returned $25 million in Part A premium overpayments since 2009 for MassHealth.

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