University of Massachusetts Medical School, Commonwealth Medicine
Commonwealth Medicine’s primary focus is helping Medicaid and other health and human service agencies accomplish their missions. Operating as a unit within the state’s only public academic health sciences center, a significant array of expertise and technical resources are made available to health and human service agencies ranging from innovation on clinical, policy, and financial challenges, to developing and administering entire programs serving vulnerable populations.
We partner with public agencies to anticipate, recognize, and address some of their most complex problems, and we do it all by leveraging the research, clinical, and academic excellence of UMass Medical School, one of the nation’s top schools for primary care.
Our work started in the 1990s through a partnership with Massachusetts Medicaid, known as MassHealth and now comprises over 600 FTEs dedicated to supporting a number of state health initiatives.
- Through the Commonwealth Medicine Office of Clinical Affairs, which is embedded within MassHealth, we provide critical medical management functions, including: utilization review and management services, prior authorization, pharmacy benefit management, data analytics, dental benefit management, quality measurement and reporting, and clinical program development.
- Commonwealth Medicine’s Disability Evaluation Services group affords a single consolidated clinical report available to all Massachusetts human service agencies.
- Through our Community Case Management program, we work directly with parents to coordinate the care of hundreds of the state’s most challenged children.
- Our Center for Health Policy and Research is a key resource available to engage in focused research, data analytics and policy guidance and collaborate with state government to pursue and manage federal grant opportunities.
- Commonwealth Medicine’s Center for Health Law and Economics serves as an essential resource to state government to assist it with complex issues of policy implementation and responsiveness to new federal program requirements.
- Through the Center for Health Care Financing, we manage and conduct all third-party liability and federal revenue maximization activities on behalf of the human services Secretariat as well as operating the Massachusetts State Supplement Payment program, the state’s largest cash assistance program.
The Ohio Colleges of Medicine Government Resource Center
“For the past seven years GRC has successfully connected Ohio’s Seven Colleges of Medicine with State Health and Human Service Agencies to transform Ohio’s healthcare landscape.”
-Lorin Ranbom, Director, GRC
Established in 2008, the Ohio Colleges of Medicine Government Resource Center (GRC) is a public university-based center for health policy, research, and technical assistance. GRC engages expert faculty and staff at Ohio’s Colleges of Medicine and Health Sciences and partners with state health and human services policymakers to improve the health of and healthcare delivery for all Ohioans. GRC also serves as a data warehouse for Medicaid, Health Professions Data, Vital Statistics, and Ohio Medicaid Assessment Survey data and is a resource for the executive and legislative branches of government and for policy and decision makers.
GRC provides health and health services research, evaluation, and quality improvement management; performs data system management, data analytics, and training in analysis of administrative data; consults in survey design, management and evaluation; and offers project development, management, and fiscal administration services.
GRC staff members are career healthcare and human service research and policy experts who have held leadership positions in state and local government agencies and private sector organizations. GRC staff expertise includes:
- Interprofessional Healthcare Access;
- Maternal and Child Health;
- Integrated Physical and Behavioral Health;
- Health Services Research and Data Analysis;
- Special Populations; and
- Quality Improvement Science.
This state-university partnership has flourished under the Ohio Medicaid-directed Medicaid Technical Assistance and Policy Program (MEDTAPP) funding umbrella, growing from approximately $1 million in funding in 2008 to $54 million in funding in 2014. MEDTAPP funding supports Medicaid-focused healthcare quality improvement initiatives and engages faculty and staff from Ohio’s Colleges of Medicine and Health Sciences.