The Medicaid Enterprise Systems Conference (MESC) took place in late August in Denver, Colorado. MESC is a national conference and community for state, federal, and private sector individuals to exchange ideas related to Medicaid systems and health policy affected by those systems. ForHealth Consulting sponsored a pre-conference workshop on Aug. 21, “Level Up Coverage and Savings: How Integrating Eligibility, Data, and TPL Can Expand Member Benefits while Improving the Medicaid Bottom Line.”
Our panel of experts spoke to attendees about how to integrate eligibility, data, and third party liability (TPL) to expand member benefits while improving the Medicaid bottom line. They specifically discussed Enhanced Coordination of Benefits, or increasing commercial health insurance coverage for members with medically complex conditions; Medicare Eligibility Enhancement services, or maximizing Medicare benefits; and Eligibility and Program Integrity initiatives, which helps to ensure the accuracy of eligibility data and benefits.
- Jen Hartman, deputy director, Third Party Liability & Benefit Coordination
- Judy Fleisher, director, Eligibility & Benefit Coordination
- Kerry Connolly, state client relationship manager, Medicare Eligibility Enhancement Programs
- Matthew Hemberger, associate director, Third Party Liability Programs
Want to learn more? View the team’s presentation.