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.
A new report making the case for Community Health Workers and assessing the fiscal impact a CHW certification program could have in Connecticut was prepared with the assistance of our health policy expert Katharine London
This brief for Justice in Aging co-authored by Rachel Gershon of Health Law & Policy shows how Medicaid programs violate a Medicaid law that requires that all assistance by friends and family members must be voluntary.
Health care costs are soaring, putting state Medicaid programs under intense budget pressure. Learn how AVS Enhance is helping alleviate that burden by helping to accurately and comprehensively identify the real estate assets of Medicaid applications.
We worked with MassHealth, the Massachusetts Medicaid program, to establish and organize a stakeholder engagement process that informed the development and implementation of a 1115 Medicaid waiver, which shifted MassHealth to a value-based delivery system using Accountable Care Organizations.
Discover Commonwealth Medicine, UMass Medical School's new Asset Verification System, AVS Enhance™, and how it's helping states avoid unnecessary costs while simultaneously improving program integrity.
AVS Enhance™ helped one state avoid $125M in costs.
Our approach to dual eligible data analytics led to the Massachusetts Medicaid program, saving over $68 million through benefits optimization and recovering over $21 million in Medicare premium overpayments.
Learn the actions health plan decision makers should consider while developing a comprehensive managed long-term services and supports program. Make sure individuals receive the right service in the right setting.