Planning and Procurement Support for Massachusetts Pharmacy Claims Management Solution Modernization

The Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS) is the largest secretariat in state government comprised of 11 agencies and the MassHealth program. EOHHS administers health and human services programs that directly touch the lives of more than one in three residents of the Commonwealth – including some of the most vulnerable children, youth, adults, and elders. To best serve its community, EOHHS and MassHealth have launched a modernization effort to replace the legacy Fee-For-Service Pharmacy Benefit Administration system.

Planning and Procurement Support

EOHHS selected CSG to provide strategy, planning, procurement, and implementation support during its efforts to modernize the Fee-For-Service Pharmacy (FFS) Benefit Administration (PBA) system. EOHHS seeks to promote the health, resilience, and independence of the communities it serves. CSG is working with the Commonwealth to establish a clear vision for the FFS PBA modernization effort and to provide recommendations on what solutions will best fit the department’s goals and objectives. The CSG team is developing a strategic plan, reviewing business processes, and performing a gap analysis between the legacy system and the envisioned future system to identify requirements for the future solution.

Boston, Massachusetts
Boston, Massachusetts

Our team supports the Commonwealth’s development of the solicitation package, subsequent contract negotiations, and resulting implementation activities necessary to support EOHHS in pursuit of the agency’s mission.

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