The House of Representatives passed the American Health Care Act (AHCA) on May 4, providing the most comprehensive picture yet of what Republican health reform might look like. The Congressional Budget Office (CBO) cost estimate was released May 24, noting that the bill would lead to 23 million uninsured by 2026 and cut $834 billion in federal support for Medicaid over 10 years. What should state policy makers know about potential effects of AHCA on their state?
Discover the innovative solutions implemented by the Care Transformation Collaborative of Rhode Island (CTC), an initiative managed by UMass Medical School, to address care coordination dilemmas.
This presentation discusses different care delivery systems and alternative payment methods that can support community health worker (CHW) services, including approaches used by the Massachusetts Medicaid program, MassHealth.
Learn about interventions that employ community health workers to improve health outcomes for select patient groups while containing costs. UMass staff constructed models to focus on specific health issues, such as diabetes and asthma, in particular regions in Maine.
In October of 2014, the Controlled Substance Act of 1970 was reformed - making the regulations around the prescription of hydrocodone combination products more strict. The research in this article was presented at the Academy of Managed Care Pharmacy’s in 2016, and investigates the effects of this change on claims for HCPs in the Medicaid population before and after October 2014.
We should reform or align 42 CFR Part 2 with HIPAA to better serve patients with substance use disorder, UMass Medical School pharmacists Kimberly Lenz and Tyson Thompson write in an opinion piece for Managed Healthcare Executive.
A new project that strives to connect college students with disabilities to employers will be piloted in Boston in an effort to increase the employment opportunities for these students. National Organization on Disability President Carol Glazer and Work Without Limits Director Kathleen A. Petkauskos wrote about the project for The Huffington Post.
State and local government agencies and retirement systems need access to clinical expertise when making disability benefit recommendations. Our staff includes multi-specialty physician and psychologist advisors, registered nurses, licensed allied health specialists and vocational rehabilitation professionals, all with experience in the disability determination process.
How the Trump administration can use waivers to alter Medicaid and the Affordable Care Act (ACA), reforming health care at the state level. Health policy analyst Rachel Gershon delves into Section 1332 and 1115 waivers for STAT news.
An evaluation of the effectiveness of HCV genotype 1 treatment with Harvoni® (ledipasvir/sofosbuvir) as measured by a sustained virological response (SVR) of 12 weeks in the MassHealth fee-for-service and Primary Care Clinician plan population.
An analysis of the Massachusetts Medicaid Pediatric Behavioral Health Medication Initiative Workgroup suggests a peer-to-peer outreach program is associated with increased awareness and implementation of evidence based medicine in a pediatric population treated with behavioral health medications.
The patient-centered medical home model of care should be applied to incarcerated populations, who have complex medical, behavioral, and substance abuse issues that demand integrated care. A blog on The Huffington Post about the positive impact PCMH can have on correctional health care from Julie White of the Health and Criminal Justice Program.
An analysis of a 2017-2018 budget proposal to rollback Connecticut Medicaid eligibility to 138 percent of the Federal Poverty Level finds that 9,500 parents would lose their coverage. The change would likely increase the uninsurance rate by 4,300.
An analysis of medication adherence and birth outcomes among members receiving progesterone for the prevention of preterm birth in a state Medicaid program.
The ninth edition of Common Health for the Commonwealth updates data and trends on preventable health conditions and social factors affecting the health of Massachusetts residents. The report covers Social Determinants of Health, Health Risk Factors, and Preventable Health Conditions.
As President Donald J. Trump begins his term and his administration takes shape, it is important for us to reflect on all of the criminal justice reforms of the past eight years under President Barack Obama. A blog on The Huffington Post outlining those reforms from Julie White of the Health and Criminal Justice Program.
An overview of Medication Therapy Management (MTM) and the Star Rating measure. Learn the best practices for a successful MTM program, including the link to Comprehensive Medication Review quality and care management team integration.
Nationwide, 65 percent of inmates meet the medical criteria for substance use disorder, but just 11 percent receive treatment while incarcerated. A UMass Medical School correctional health collaborative will address substance use disorder by assessing current screening and treatment practices for opioid addiction, making recommendations and implementing proven practicel. Warren J. Ferguson, MD, writes about the collaborative in CommonWealth magazine.
This issue brief describes the key elements of the most recent MassHealth 1115 waiver extension, including the shift to a delivery system centered on Accountable Care Organizations and Community Partners, a Delivery System Reform Incentive Program, the redesigned Safety Net Care Pool, and the expansion of services for treatment of substance use disorders. It concludes with a discussion of implications of the new system for major stakeholder groups.
How managed care organizations can better address the opioid addiction crisis, including improving access to naloxone and Medication Assisted Therapies (MAT) as well as ensuring benefit design will support alternative pain management methods.
The strategies used by the Southern New England Practice Transformation Network (SNE-PTN), a collaborative led by UMass Medical School and UConn Health, to enroll more than 5,000 clinicians from a variety of specialties by the end of October 2016. The strategies led SNE-PTN to achieve 186 percent of the year one enrollment target.