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.
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.
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.
A pro-active multidisciplinary team-based care model was developed after identifying key skills and competencies needed for a patient-centered medical home workforce. This poster adresses what thoe new roles are in that model, and their individual responsibilities.
Primary Care Payment Reform (PCPR), an alternative payment pilot program of MassHealth with learning collaborative support from UMass Medical School, demonstrated that behavioral health integration is a necessary component of whole-person care and a complex, but highly accomplishable task.
An analysis of the Massachusetts Patient-Centered Medical Home (MA PCMHI) at 46 participating practices finds that primary care practice transformation takes time; care transitions, including emergency room and post-discharge follow-up care, require the development of new clinical workflows; and the processes of care are more likely to improve before outcomes are affected.
This poster describes a project that used a patient-centered medical home model to improve cervical cancer screening for patients at Duffy Health Center in Hyannis. Lessons learned include identifying existing opportunities to provide whole-person care may provide revenue enhancement and practice workflow tools require user input to be accepted and effective.
Our team partnered with UMass Memorial Medical Center’s Urology and Anesthesiology departments on a pilot patient-centered, physician-led, multidisciplinary team-based system of coordinated care for the surgical patient. The goals were to improve the patient experience, improve health care and reduce costs.
UMass Medical School’s UHealthSolutions Inc. staffs the call center for MassOptions, a resource for services to help elderly residents, individuals with disabilities and their caregivers. Administered by the Massachusetts Executive Office of Health and Human Services, MassOptions is funded through a portion of a $135 million Centers for Medicare & Medicaid Services grant.
A report prepared by UMass Medical School summarizes the findings of a qualitative study in which 33 uninsured individuals were interviewed about their experience living without health insurance. The findings can help to better understand the remaining barriers to coverage and inform strategies to reduce the uninsured.
This resource provides at-a-glance information about the approaches of 15 other states with established or pending community health worker certification systems. The table reveals commonalities and wide variability across state systems, which is an evolving process and may change with time.
Nearly three years ago, I wrote a TMM about Jorge. This is the beginning of that piece:
We manage all program administration activities for the Massachusetts State Supplement Payment program, a federally mandated cash assistance program, saving the state more than $20 million per year.