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A Pathway to Dual Eligible Data Integration: Maximizing Coordination of Benefits, Services, and Payments through the Massachusetts MMIS
Hartman, Jenifer ; Melanson, Kathleen
Hartman, Jenifer
Melanson, Kathleen
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Student Authors
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UMass Chan Affiliations
Document Type
Poster
Publication Date
2016-08-17
Subject Area
Collections
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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.
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DOI
10.13028/1hx9-9z16
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Notes
Presented at the Medicaid Enterprise Systems Conference 2016.
Client/Partner: MassHealth
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© 2016 University of Massachusetts Medical School