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dc.contributor.authorHartman, Jenifer
dc.date2022-08-11T08:08:07.000
dc.date.accessioned2022-08-23T15:42:58Z
dc.date.available2022-08-23T15:42:58Z
dc.date.issued2018-08-17
dc.date.submitted2018-10-11
dc.identifier.doi10.13028/en1f-bk98
dc.identifier.urihttp://hdl.handle.net/20.500.14038/26977
dc.description.abstractDual 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.
dc.language.isoen_US
dc.rights© 2018 University of Massachusetts Medical School
dc.subjectData Analytics
dc.subjectDisabilities
dc.subjectDual Eligibles
dc.subjectElders and Aging
dc.subjectFinancing
dc.subjectMedicaid
dc.subjectMedicare
dc.subjectHealth Economics
dc.subjectHealth Law and Policy
dc.subjectHealth Policy
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.titleBringing Data into Focus to Optimize Benefits and Savings for Medicare-Medicaid Members
dc.typePoster
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1218&context=commed_pubs&unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/commed_pubs/206
dc.identifier.contextkey13064435
refterms.dateFOA2022-08-23T15:42:58Z
html.description.abstract<p>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.</p> <p>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.</p> <p>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.</p>
dc.identifier.submissionpathcommed_pubs/206
dc.contributor.departmentCommonwealth Medicine, Center for Health Care Financing


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