UMMS Affiliation

Commonwealth Medicine, Center for Health Care Financing

Publication Date

2018-08-17

Document Type

Poster

Disciplines

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

Abstract

Dual eligible recipients represent a critical population for state Medicaid programs. To get a better understanding of this unique demographic, MassHealth partnered with UMass Medical School to design data analytics programs around the objective of protecting Medicaid as the payer of last resort.

Over the last three years, these programs achieved over $68 million in new savings by optimizing benefits for dual eligible members. The program also identified and recovered over $21 million in Medicare premium overpayments for Medicaid members with discrepancies in Medicare entitlement and premium charges.

Jenifer Hartman of the Center for Healthcare Financing presented UMass Medical School's approach to dual eligible data analytics at the 2018 Medical Enterprise Systems Conference.

Keywords

Data Analytics, Disabilities, Dual Eligibles, Elders and Aging, Financing, Medicaid, Medicare

Rights and Permissions

© 2018 University of Massachusetts Medical School

DOI of Published Version

10.13028/en1f-bk98

Journal/Book/Conference Title

Medicaid Enterprise Systems Conference 2018

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