OUR TA

Our patient-centered, community-based methodologies support organizations in these TA domains: Consumer Engagement – Strategies, skills, and technology for patient-centered care; member outreach and contact center; best practices; and cultural competency training. Flexible Services – Services and programs focused on housing and food insecurity supports; project management; business process design; and financial model and payment processes. Health Information Technology – Secure technology for data storage and exchange; work flow design and data-capture methodologies; and analysis and reporting. Performance Improvement – Efficient models of care, especially for LTSS and BH services; workflow evaluation and analysis; business process and practice transformation; and best practices. Population Health – Data analytics, risk stratification, policy analysis and models of care; health outcome and quality measure analysis; program and operations design and improvement; claims-based measures of social determinants of health; and behavioral health integration. Workforce Training – Developing skills and values for health human service professionals; online and in-person training; curriculum development; and staff and supervisor competency development.

WHAT MAKES THIS VENDOR UNIQUE

  • As the health care consulting and operations division of UMass Medical School, Commonwealth Medicine offers clients advice, guidance, and value through the vast public health expertise and clinical knowledge of the hundreds of professionals within the UMass Medical School system. Our clients include MassHealth and the Massachusetts Medicaid program who we have continued to serve with policy and program design support, and a variety of clinical programs, since 1996. The University of Massachusetts Medical School is a thriving, research-oriented enterprise comprised of the School of Medicine, the Graduate School of Biomedical Sciences, the Graduate School of Nursing, MassBiologics, and Commonwealth Medicine. It has earned a reputation as a world-class research institution and a leader in primary care medical education. The Medical School attracts more than $249M annually in research funding, placing it among the top 50 medical schools in the nation.

A SUCCESSFUL TA EXPERIENCE

The Challenge: The Massachusetts State Supplement Payment Program serves more than 200,000 low-income, elderly, blind, or disabled residents with supplemental payments ranging from $30-$400, depending on eligibility. The average MA SSA administrative fee is approximately 15 percent per payment, totaling millions of dollars per year. The Solution: Commonwealth Medicine built a centralized, automated benefit determination system, driven by a newly-created federal data file and supported by inbound and outbound telephone services. To further reduce administrative costs, we implemented direct electronic deposit of benefits, and employed advanced AGILE application development methodology to build the core system interfaces and utilities. Outcomes and Benefits: In 2010, administration of SSP was transitioned to Commonwealth Medicine. Before transition to Commonwealth Medicine: 2009 SSA fees were $20M and projected to be $30M by 2015; after transition to Commonwealth Medicine: 2015 SSA fees were $7.3M – saving the state nearly $23M.

OTHER DETAILS

At Commonwealth Medicine, we turn the experience and insight of our clinicians, policy experts and data scientists into purpose-built, patient-centered solutions. Clinical Delivery Solutions: We use clinical expertise to help health and human service organizations achieve their goals for delivering quality, cost-effective care. Public and Private Health Solutions: Our broad expertise in law, policy, evaluation, and training result in programs supporting improved outcomes for vulnerable populations. Health Care Finance Solutions: Cost-avoidance and revenue recovery projects return hundreds of millions of dollars to public sector clients. Business Transformation Solutions: Disciplined project planning and management creates strong foundations for building success.

 

The statements in this document are made solely by University of Massachusetts Medical School, Commonwealth Medicine. No statement in this document should be construed as an official position of or endorsement by Abt Associates Inc. or the Massachusetts Executive Office of Health and Human Services.

ABOUT UMASS MEDICAL SCHOOL, COMMONWEALTH MEDICINE

UMass Medical School, Commonwealth Medicine offers a wide range of technical support and services designed to strengthen the capabilities of ACOs and CPs to deliver improved member experience and health outcomes, while decreasing the total cost of care. We have more than 30 years of successful experience operating in the Medicaid health care ecosystem. Our innovative, evidenced-based clinical, operational and technology strategies and solutions support health plans, long-term services and supports, and behavioral health organizations to meet the needs of socially, clinically, and financially at-risk populations.

ORGANIZATION FUN FACTS

  • The International Festival – This annual event celebrates the rich tapestry of cultures—more than 64 countries—that make up the UMMS community of caregivers and researchers.
  • UMass Medical School ranked first – U.S. News and World Report ranks UMMS first in New England and in the top 10-percent in the nation for primary care education.
  • Worcester Pipeline Collaborative encourages students to consider health and science careers – This program inspires disadvantaged youth to learn about career opportunities in biomedical, biotechnology and healthcare professions where they are under-represented.
  • Protecting the environment – Our environmental stewardship programs reduce energy, water, and paper consumption.

QUOTES FROM CLIENTS

  • “We seek out UMMS to augment our team when we do not a particular skill set.” – Center for Health Information and Analysis
  • “UMass’ expertise is extremely valuable. The tasks assigned to UMass, short- or long-term, have been incredibly important to bring projects to fruition.” – MassHealth
  • “We wish all vendors were as good as UMass. If we had more money we would do more with UMass.” – Executive Office of Elder Affairs
  • “We always know what to expect and we know that we can rely on them for prompt delivery.” – Department of Public Health

DOMAINS:

Actuarial and Financial

Care Coordination/Integration

Community-Based Care and Social Determinants of Health

Consumer Engagement

Flexible Services

Health Information Technology (HIT)

Performance Improvement

Population Health Management

Workforce