Our Public Provider Reimbursement unit maximizes collection of federal and state dollars for health care and related services provided by public hospitals, mental health clinics, psychiatric hospitals, skilled nursing facilities and community-based programs.
Our Work
Case Study
January 28, 2016
Clinical Pharmacy Services has expertise in medication adherence strategies, prescriber outreach, clinical guideline development, pharmacy analytics, formulary management, pharmacoeconomic analysis and patient-centered medical homes. Our team develops and implements management strategies to contain overall costs and promote optimal therapeutic outcomes for Hepatitis C patients.
Case Study
January 28, 2016
UMass Medical School’s Clinical Pharmacy Services division designs flexible and effective medication therapy management (MTM) programs with focuses on safety, efficacy and cost. Our approach is rooted in a mission to improve health outcomes for patients and is tailored to meet individual client needs.
Case Study
January 26, 2016
In 2014, Vermont Health Connect (VHC) selected UMass Medical School to conduct a customer satisfaction and experience evaluation for the state of Vermont’s health insurance marketplace. In addition to getting an in-depth understanding of the VHC customer experience during the second open enrollment period, our team helped VHC identify areas where it was performing well in serving its customers and where it could improve.
Case Study
January 26, 2016
To ensure that individuals with disabilities and other potentially vulnerable populations have access to critical services and supports in emergencies or disasters, they must be included in emergency planning. We have successfully implemented a comprehensive emergency planning and response education program in 29 Massachusetts communities, training nearly 1,000 responders, local government representatives, and individuals with disabilities and their families.
Case Study
January 25, 2016
A primary care practice group was interested in achieving Distinction in Patient Experience Reporting by the National Committee for Quality Assurance. Using the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Patient-Centered Medical Home survey, our team conducted the surveys, analyzed the data, and submitted the results on behalf of the client.
Poster
January 25, 2016
The project team conducted a state needs assessment of children and youth with Autism Spectrum Disorder (ASD) and Developmental Disabilities (DD). Preliminary data indicates that screening and evaluation for ASD and other DD’s in Massachusetts occur less frequently in non-native English-speaking populations and other minority cultures.
Case Study
January 25, 2016
As part of the Massachusetts Patient-Centered Medical Home demonstration, an evaluation was necessary to understand how much practices transformed to become medical homes. Using our survey research expertise, we provided quantitative data to inform the evaluation.
Case Study
January 21, 2016
UMass Medical School’s Work Without Limits is a statewide network of engaged employers and innovative, collaborative partners that aims to increase employment among individuals with disabilities. Our goal is for Massachusetts to become the first state in the nation in which the employment rate of individuals with disabilities is equal to that of people without disabilities.
Presentation
December 01, 2015
This presentation to grantees of Blue Cross Blue Shield of Massachusetts Foundation's Connecting Consumers with Care program explains the phenomena of health insurance churn.
Journal Article
December 01, 2015
To strengthen the field of academic criminal justice health, the Academic and Health Policy Conference on Correctional Health was launched in 2007. This paper assesses the merits of the conference as a stimulus to advance the field.
Journal Article
December 01, 2015
The Academy of Managed Care Pharmacy (AMCP) convened a meeting in September 2014 of multiple stakeholders to recommend activities and programs that AMCP can promote to improve pain management, prevent opioid use disorder, improve medication-assisted treatment outcomes. The Office of Clinical Affairs' Paul Jeffrey helped organize the forum.
Journal Article
December 01, 2015
This editorial calls for the American Psychiatric Association and other mental health organizations to oppose solitary confinement in U.S. prisons. The editorial reviews the arguments for supporting solitary confinement, referred to as segregation in U.S. prisons and outlines its negative impacts.
Journal Article
December 01, 2015
This paper finds that obesity prevalence for children with intellectual disabilities (ID) was 28.9% and 15.5% for children without ID. After adjusting for age, sex, race/ethnicity and poverty level, the odds ratio was significantly 1.89 times greater among children with ID than among those without ID.
Poster
November 16, 2015
We have been conducting a needs assessment to inform efforts to establish a state-level data collection and surveillance plan for systems of services for children and youth with autism spectrum disorder and developmental disabilities in response to a Massachusetts Autism Commission report calling for a statewide approach to meet needs. This poster shares identified gaps in services and coverage.
Presentation
November 13, 2015
Description of infectious diseases emerging across the globe with explanation of factors contributing to emergence.
Poster
November 03, 2015
Community Case Management (CCM), a partnership between UMass Medical School and MassHealth (Massachusetts Medicaid), serves children and adults with highly complex, chronic and challenging medical conditions/disabilities. By creating a single point of entry to receive coordinated services across a wide spectrum of needs, this unique program enables members to stay at home while reducing the burden of care on families. A satisfaction survey was conducted to monitor CCM’s effectiveness and identify areas for improvement.
Technical Report
October 30, 2015
This brief outlines how Medicaid Section 1115 and ACA Section 1332 waivers work and what states should consider when designing these waivers.
Technical Report
October 30, 2015
This brief outlines how Medicaid Section 1115 and ACA Section 1332 waivers work and what states should consider when designing these waivers.
Presentation
Motivational Interviewing from Theory to Practice: Engaging the Patient Throughout the MTM Encounter
October 14, 2015
Using motivational interviewing techniques when conversing with patients, particularly when discussing mediation adherence, can improve communication and therapeutic outcomes.
Journal Article
October 13, 2015
This study documents the prevalence of lifetime and past-year sexual violence against men with disabilities in the U.S., compares these estimates with those of men without disabilities and women with and without disabilities, and examines the gender and relationship of the perpetrator of sexual violence against men with disabilities relative to perpetrator characteristics identified in incidents against other adults.