Third Party Benefit Coordination
Providing health care for costly medical treatment can place a considerble burden on the state's Medicaid program. The University of Massachusetts Medical School’s Commonwealth Medicine division’s Center for Health Care Financing consultants are experts in identifying liable third party resources, which in turn result in significant cost savings to Medicaid programs and ensure that states are the payors of last resort.
We start by applying our proprietary analytical processes to help states identify individuals who may be eligible for benefit programs supplemental to Medicaid. We then assist states in obtaining third party insurance and resources for medically complex cases, as well as filing appeals when necessary to secure such coverage.
In addition, our consultants have considerable experience in recovering Medicaid dollars from liable parties for injuries due to accidents and trauma. And we work with courts and other agencies to identify and recover state funds from probated estates.