At the recent Academic Consortium on Criminal Justice Health Conference, our experts presented preliminary results of the MassHealth Behavioral Health for Justice-involved Individuals Initiative (BH-JI), a sustainable model for engaging justice involved individuals with mental health and addiction needs.
Commonwealth Medicine’s newborn screening experts have developed an algorithm that can be used to tell when a newborn’s genotype may need to be retested. Learn more about this formula, which can determine when alleleic dropout has occurred, and find out why this practice could be vital for newborn screening programs across the country in this presentation.
This presentation explains how a retrospective compounding monitoring program demonstrated a reduction in per member per year spend through the placement of select high-cost compounding ingredients on prior authorization.
Our Medicare Buy-In Quality Review Initiative, which our TPL expert Jenifer Hartman presented on during the 2019 Medicaid Enterprise Systems Conference, digs deep to find gaps in quality control and has returned $25 million in Part A premium overpayments since 2009 for MassHealth.
Take a look at results from The Massachusetts Medicare Enrollment Support Initiative, coordinated with guidance from our third party liability expert Jenifer Hartman.
Learn how cost avoidance activities made possible by our Enhanced Coordination of Benefits team led to a savings of $66.4 million for MassHealth in 2019.