UMMS Affiliation

Commonwealth Medicine, Center for Health Care Financing

Publication Date

2016-08-17

Document Type

Poster

Disciplines

Health Economics | Health Information Technology | Health Law and Policy | Health Policy | Health Services Administration | Health Services Research

Abstract

We have partnered with MassHealth, Massachusetts’ Medicaid program, to develop and deploy precision data integration methodologies within the Massachusetts Medicaid Management Information System (MMMIS) to maximize coordination of benefits, services and payments for Medicaid recipients with current or potential dual eligibility for Medicare. Integration strategies and coordination benchmarks 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.

Keywords

Medicaid, MassHealth, data management, data integration, Massachusetts Medicaid Management Information System

Rights and Permissions

© 2016 University of Massachusetts Medical School

Journal/Book/Conference Title

Medicaid Enterprise Systems Conference 2016

Comments

Presented at the Medicaid Enterprise Systems Conference 2016.

Client/Partner: MassHealth

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