Integration strategies and coordination benchmarks within the Massachusetts Medicaid Management Information System (MMMIS) are used to ensure accurate Medicaid and Medicare enrollment; fully engage service delivery options (including managed care and integrated care programs); and effectively cost-avoid, reprice, or cost-share to ensure the state’s lowest payment liability.
An examination of the choices that primary care physicians make in deciding to practice in a community health centers post health care reform. Researchers compared results of physician surveys conducted in 2008 and 2013.
This report describes the process of providing integrated care for patients with substance use disorders at three sites in central Massachusetts: Edward M. Kennedy Community Health Center, Family Health Center of Worcester, and Community Healthlink. It identifies common practices that improve care coordination and presents key findings.
Health insurance coverage data from state tax filings for 2011 and 2012 is used to address a gap in research that has focused on health insurance coverage in a given 12-month period and to provide a better understanding of the population in Massachusetts that is prone to remain uninsured over consecutive years.
Twenty-five women with physical disabilities across the U.S. who had had a baby in the past 10 years were interviewed for this study. The results shed light on the unmet needs and barriers to the care of women with mobility disabilities during pregnancy and childbirth. The study findings highlight the need for policy and practice recommendations for perinatal care of women with mobility disabilities.
A summary of the way the Worcester Division of Public Health was able to improve care for its patients after being awarded a Prevention and Welllness Trust Fund grant from the Massachusetts Department of Public Health.
An overview and review of a Perioperative Surgical Home pilot developed using the guiding principles of the patient-centered medical home. The PSH coordinates care and decisions from the decision to operate through return to primary care.
A detailed review of the teaching assistance and shared learning UMass Medical School provided in the area of behavioral health integration to participants of the Primary Care Payment Reform program, an alternative payment pilot developed by the Massachusetts Medicaid program, MassHealth.
A comprehensive look at The Southern New England Practice Transformation Network (SNE-PTN), which supports implementation of person-centered, high quality, efficient, and coordinated care. SNE-PTN is funded under the Centers for Medicare & Medicaid Services’ Transforming Clinical Practices Initiative.
A chart pack produced by the Massachusetts Medicaid Policy Institute (MMPI), a program of the Blue Cross Blue Shield of Massachusetts Foundation, in partnership with the Health Law & Policy team at UMass Medical School. This updated edition includes MassHealth enrollment as of January 2016 and spending from state fiscal year 2015.
The study concludes that antiviral treatment with sofosbuvir and/or simeprevir was requested for a relatively small proportion of Hepatitis C-infected members of MassHealth, the Massachusetts Medicaid program, with nearly all approved. Prescriber prioritization or patient barriers to care, rather than prior authorization, determined access to treatment. Support may be needed to ensure patients with SUD benefit from advances in HCV treatment.
The Massachusetts High-Risk Pediatric Asthma Bundled Payment Model, created by UMass Medical School on behalf of MassHealth, is one of two innovative models featured in this webinar about how select states are using Medicaid to pay for supportive services.
An overview of the Academic Consortium on Criminal Justice Health's 9th Annual Academic & Health Policy Conference on Correctional Health in CorrDocs, the newsletter of the American College of Correctional Physicians. The conference is supported by the University of Massachusetts Medical School and co-hosted this year by George Mason University.
This report includes findings from the evaluation of the 2013-2015 Connecting Consumers with Care grant program.
The evaluation assessed outreach and enrollment progress, described practices used to reach and enroll consumers in health insurance, and characterized efforts to increase consumer self-sufficiency.
Provides policy recommendations to address current barriers to employment for people with psychiatric disabilities, who can successfully obtain and maintain employment with supports that include increased access to career development, supported employment, and critical health services.
Justice-involved people have higher rates of substance, mental health, and chronic medical disorders than the general population. This commentary provides rationale and a blueprint for engagement of academic health science institutions to harness their capabilities to tackle one of the country’s most vexing public health crises.
Pipeline Trends is produced by the Clinical Pharmacy Services division and is distributed at least once a year. It provides an overview of promising new agents, investigational indications, projected generic entry, FDA updates and industry trends.
This presentation describes how to use data to develop outcome-based measures to ensure the quality of home and community-based services (HCBS).
This fact sheet presents a summary of the effects of Chapter
58 of the Acts of 2006, "An Act Providing Access To Affordable, Quality, Accountable Health Care," as reported in the many studies that have focused on Massachusetts’ reform. This high-level review summarizes the findings in various categories, including insurance coverage, access to care, health care utilization, and affordability for consumers.
This report provides a comprehensive overview of the MA Personal and Home Care Aide State Training (PHCAST) Grant Project funded by the U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Division of Nursing. The grant aimed to improve existing training for home care aides, offer training for personal care attendants, increase transferability of the workforce, and reduce turnover.
We work with multiple state agencies and a multidisciplinary team to oversee clinically robust prior authorization requirements for specific behavioral health medications and polypharmacy regimens in pediatric members in the Massachusetts State Medicaid program.