Bringing Data into Focus to Optimize Benefits and Savings for Medicare-Medicaid Members
UMass Chan Affiliations
Commonwealth Medicine, Center for Health Care FinancingDocument Type
PosterPublication Date
2018-08-17Keywords
Data AnalyticsDisabilities
Dual Eligibles
Elders and Aging
Financing
Medicaid
Medicare
Health Economics
Health Law and Policy
Health PolicyHealth Services AdministrationHealth Services Research
Metadata
Show full item recordAbstract
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.DOI
10.13028/en1f-bk98Permanent Link to this Item
http://hdl.handle.net/20.500.14038/26977Rights
© 2018 University of Massachusetts Medical SchoolScopus Count
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