This article examines the impact of a 2-year stepwise initiative to reduce utilization and therapy costs of long-acting opioid analgesics by addressing issues of high dose, daily dose, and preferred therapeutic alternatives. The study demonstrated that a state Medicaid program initiative can result in a significant decrease in opioid class utilization specifically for the targeted, more costly agents.
In 2012, the evaluation team at UMass Medical School, in collaboration with Vermont, revised the Choices for Care (CFC) evaluation plan to focus on specific outcomes for which data are available and that are actionable, have policy relevance, and encompass the continuum of settings.
This report summarizes findings from the patient experience survey taken by parents of children enrolled in primary care practices participating in the Medical Home Learning Collaborative. Parents were surveyed at the beginning, middle, and end of the collaborative.
A presentation exploring how health reform will impact access to interpreters for individuals with Limited English Proficiency and individuals who are deaf.
UPDATED chart pack, including summary data on MassHealth enrollment and spending. Designed to support use of the charts in presentations. Updated edition includes MassHealth enrollment as of December 31, 2013 and spending from FY 2013.
This report summarizes findings from the 2012 Massachusetts Health Reform Survey (MHRS) commissioned by the Blue Cross Blue Shield of Massachusetts Foundation and the Robert Wood Johnson Foundation.
Presentation on implementing integrated clinical care management in the patient-centered medical home.
This presentation provides an overview of the innovative approaches and lessons learned from the Massachusetts Personal and Home Care Aide State Training (PHCAST) grant, a project managed by UMass Medical School for the Executive Office of Health and Human Services. PHCAST defined core competencies for direct care workers, and developed a standardized training in those competencies.
The Massachusetts Medicaid agency needed to assess parent satisfaction with their children’s health care as part of a five-year federally funded Children’s Health Insurance Program Reauthorization Act Quality Demonstration grant. UMass Medical School provided the expertise they needed.
Implementing the ACA's health insurance mandate will require states to reach, educate, and successfully enroll individuals and families who have had little experience with health coverage. As states prepare to enroll millions of low-income uninsured Americans, the experience of Community Health Workers in Massachusetts can inform efforts across the country.
Our survey research team worked with six Connecticut health foundations to create a survey that delivered what was called a “rich source of self-reported data on the health and health care of Connecticut residents, including health insurance coverage, access and sources of care, continuity of care, health status and patient-provider experience.”
The Disability, Health and Employment Policy Unit at UMass Medical School conducted an assessment of the health needs of people with disabilities on behalf of the Health and Disability Program (HDP), Office of Health Equity, Massachusetts Department of Public Health. The assessment was conducted to meet Centers for Disease Control and Prevention (CDC) funding requirements.
An assessment of the health needs of people with disabilities on behalf of the Health and Disability Program within the Massachusetts Department of Public Health provides comprehensive information on the unmet public health needs and priorities of the disability community.
This article highlights the positive aspects of the Basic Health Program by discussing the opportunity, how the program works, and challenge to implementation in Connecticut. The pogram, an Affordable Care Act (ACA) option, gives states the opportunity to make health care more affordable to lower income people who do not qualify for Medicaid.
An update report on the impact of the Affordable Care Act on Massachusetts health reform.
Clinical care management (CCM) of the highest risk, most complex, and costly patients is an integral component of the patient-centered medical home (PCMH) but a new service for many primary care practices.
This qualitative study sought to better understand the experiences of deaf and hard of hearing individuals with accessing recovery-oriented mental health services and peer support via a focus group and interviews.
This poster details a study that examined satisfaction with finances, worries about meeting monthly expenses, and overall life satisfaction among working and non-working adults with disabilities using a 2010 Massachusetts Behavioral Risk Factors Surveillance System follow-up survey. The results indicate that employment contributes to enhanced economic well-being and decreased financial worries among people with disabilities.
State Medicaid programs are playing an increasingly important role in the U.S. health care system and represent a major expenditure as well as a major source of revenue for state budgets. Universities, especially those with medical schools and other health science programs, can serve as valuable partners in helping state Medicaid programs achieve higher levels of performance.
This article describes the work mental health peer specialists play in improving the way mental health services are approached.
This briefing examines Massachusetts and Oregons' experiments to improve health care quality while containing costs. Both states have established laws for accountable care entities.