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.
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.
Learn the Third Party Liability integration strategies implemented by MassHealth, the Massachusetts Medicaid program, to optimize identification of and access to TPL sources for all Medicaid members and at all points within the Medicaid experience.
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.
Accountable Care Organizations (ACOs) can improve oral health for Medicaid members and also reduce costs through emergency department (ED) diversion, our Health Law & Policy experts highlight in a report for the Southern New England Practice Transformation Network (SNE-PTN).
This overview of the Massachusetts Medicaid program, MassHealth,
provides details on recent enrollment and spending, as well as updates on delivery system innovations and reforms.
On behalf of the Minnesota Department of Health Services, experts from Health Law & Policy within Public and Private Health Solutions conducted a literature search of successful interventions across the country that improve the health of previously incarcerated individuals and five focus groups to gain feedback from professionals who work with previously incarcerated individuals.
In June 2019, NESCSO and Commonwealth Medicine jointly released a white paper titled The Effective Medicaid Pharmacy Program. Through information compiled from stakeholder interviews and an environmental scan, this brief paper reviews components of an effective Medicaid pharmacy program and provides practical information for Medicaid programs and state leadership.
By creating stronger connections and nurturing communications with their members, Accountable Care Organizations (ACOs) and Community Partners (CPs) improve compliance with care plans and prescriptions, reduce medical costs, and increase member satisfaction.
Discover the best practices for improving member engagement and understanding in this white paper.
Infants born at times of unstable housing are significantly more likely to need medical care in a hospital during their first year of life and had higher medical spending in their first six years of life, says a new study in Health Affairs. Our Robert Seifert, executive director, Health Law & Policy, collaborated with research colleagues from UMass Medical School to analyze the health outcomes of infants born into homelessness.
A study by our pharmacy experts shows the positive impact of dose-limit policies implemented by a state Medicaid program. The team found that a sequential and progressive opioid dose reduction strategy was successful in decreasing the average daily opioid dose among Medicaid members in Massachusetts.
Our pioneering vaccine reimbursement program simplified the process for two states. Learn more about our program, which the CDC cited it as one of six “Billing Success Stories.”
This report for The Connecticut Health Foundation & the Child Health and Development Institute of Connecticut, Inc., compiled by our Health Law & Policy experts, explores how payment reform could support improvements in child health services.
Evidence is mounting that including recovery coaches in the opioid addiction treatment process can have positive impacts on health outcomes. Calculate the caseload, budgetary, financial, & clinical impacts of using this addition to treatment within your state with these tools.
In a commentary piece for Managed Health Care Connect, our Clinical Pharmacy Consultant Stephanie Tran, PharmD, overviews the top five pharmacy trends in managed care she's looking forward to in 2019.
A new link between homelessness and pregnancy complications has been uncovered by researchers looking to better understand how unstable housing can contribute to health risks for mothers and infants.
This issue brief details the potential scope of changes a new rule proposed by the Department of Homeland Security could have on immigrants in Massachusetts, including declining enrollment in enrollment in benefit programs such as Medicaid and the Supplemental Nutrition Assistance Program (SNAP).
Vocational review adds a critical component to the full disability evaluation process. Learn how a comprehensive vocational assessment can help retirement systems better understand a member’s ability to return to work in our new issue brief.
An infographic of the successes in both quality improvement and cost containment we have created for Medicaid agencies in need of technical, operational and strategic assistance.
Criminal justice health experts, including our Warren Ferguson, comment in Academic Medicine on the potential benefits the use of person first language could have in reducing morbidity and mortality for the 2.2 million adults incarcerated in the United States today.
Learn how to best use the Community Health Worker Impact Estimator Tool developed by our health policy experts for Families USA in this webinar, which provides an overview of the childhood asthma and diabetes calculators.