Center for Health Care Financing

Public Partnerships

A unique model for Massachusetts and other states
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Research aids states across U.S.

From Massachusetts to Hawaii, California, and Utah

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Adjustment nets $750 million

Systemic flaw found in SSA process
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More than $100 million annually

School-Based Claiming Program lifts municipal coffers

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Enhanced Coordination of Benefits

Program earned special recognition from Pioneer Institute

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News

http://www.informationweek.com/healthcare/admin-systems/5-it-tips-for-state-heal

October 30, 2012

5 IT Tips For State Health Insurance Exchanges

InformationWeek featured Commonwealth Medicine's "Establishing the Technology Infrastructure for Health Insurance Exchanges Under the Affordable Care Act" report in article.

The Center's Purpose

UMass Medical School's Center for Health Care Financing is dedicated to helping state-run health and human service agencies enhance operations and save public resources. Learn more about our mission in a message from our Director.

We are distinguished by:

Our determination, as public employees, to protect resources and create sustainable solutions for health care financing
Our focus on saving and recapturing state and local health care dollars
Our staff's financial and progammatic expertise and extensive experience at state Medicaid agencies

Ensure Payment Accuracy

Finding and correcting overcharges and other discrepancies in Medicare Buy-In payments can help states recover revenue, reduce costs, and make sure beneficiaries receive appropriate federal benefits.

Reconciling these payments involves working with complex data and understanding entitlement and billing issues — then interacting with CMS and SSA to come to resolution. Without close review, overcharges can persist for months, or even years.

Learn more about identifying and correcting overcharges in Medicare Buy-In payments.