Reports for Medicaid

March 8, 2017

This report presents the results of a study analyzing the impact of the Community Support Program for People Experiencing Chronic Homelessness (CSPECH) on the utilization and cost of health care services. CSPECH is an innovative program through which MassHealth reimburses community-based support services provided to chronically homeless individuals residing in permanent supportive housing.

January 5, 2017

This issue brief describes the key elements of the most recent MassHealth 1115 waiver extension, including the shift to a delivery system centered on Accountable Care Organizations and Community Partners, a Delivery System Reform Incentive Program, the redesigned Safety Net Care Pool, and the expansion of services for treatment of substance use disorders. It concludes with a discussion of implications of the new system for major stakeholder groups.

April 7, 2015

Unless Congress acts, federal funding for the Children’s Health Insurance Program (CHIP) will run out soon after September 2015. On March 26, the U.S. House of Representatives passed legislation that would fund CHIP for two more years. The Senate is expected to take up the bill in mid-April. This report, written by Robert Seifert of the Center for Health Law and Economics at the University of Massachusetts Medical School, examines the serious implications for Massachusetts if federal funding for CHIP is not extended.

February 5, 2015

This report, written by Robert Seifert, Michael Grenier, and Jean Sullivan of the Center for Health Law and Economics at the University of Massachusetts Medical School, summarizes the history of the MassHealth 1115 waiver and examines the key components of the new waiver extension, organized around five themes: coverage, services, delivery redesign, support for the safety net, and looking to the future.

December 9, 2014

Responsible for the health care coverage of nearly two million residents and $13.7 billion in related expenditures, the future of MassHealth matters to all of us. This report, by Manatt Health Solutions, includes a series of recommendations that emerged through interviews with consumer advocates, providers, insurers, business leaders, public officials, and policy experts as priorities for the next governor.

April 2, 2013

This report, by Robert Seifert and Amanda Littell-Clark of the University of Massachusetts Medical School’s Center for Health Law and Economics, summarizes recent efforts by the Massachusetts Medicaid program (“MassHealth”) to address enrollment volatility and provides recommendations to mitigate remaining challenges by leveraging the opportunities presented with the transition to ACA-compliant eligibility systems and programs.

September 28, 2012

This report, written by Robert Seifert and Rachel Gershon of the Center for Health Law and Economics at UMass Medical School, examines the key components of the most recent Massachusetts health reform law - Chapter 224 of the Acts of 2012 - as they pertain to the Massachusetts Medicaid program (“MassHealth”). Under the new law, MassHealth will be subject to the annual spending growth benchmark and will be required to implement alternative payment arrangements for most of its members, among other new requirements and responsibilities.

August 14, 2012

This budget brief describes authorization of the Delivery System Transformation Initiatives (DSTI) Trust Fund and statutory changes to support implementation of the Affordable Care Act (ACA). 

August 14, 2012

This budget brief highlights the FY 2013 budget for MassHealth and health reform programs.  Since FY 2012, MMPI has produced budget fact sheets on the budget proposal for MassHealth (Medicaid) and other health care programs for each stage of the development of the state budget as the budget moves through the legislature.  Click here to see the full collection.

June 6, 2012

This budget brief compares the House and Senate Fiscal Year 2013 (FY 2013) budget proposals for MassHealth (Medicaid) and other health care programs. It is the fourth in a series of fact sheets published by the Massachusetts Medicaid Policy Institute (MMPI) and produced by the Massachusetts Budget and Policy Center in partnership with the Massachusetts Law Reform Institute.

February 10, 2012

Stabilizing MassHealth Funding: Options to Break the Recurring Cycle of Expansion and Contraction, written by Beth Waldman of Bailit Health Purchasing, Robert Seifert of the Center for Health Law and Economics at the University of Massachusetts Medical School, and Kate Nordahl of MMPI, discusses the challenges and implications of the counter-cyclical nature of the Medicaid program and options to reduce the reactive swings in MassHealth funding and scope of services that can come with downturns in the economy.

January 12, 2012

This report, written by Tony Dreyfus and Ellen Breslin Davidson of BD Group, provides an overview of the federal and state experience with risk adjustment in programs serving persons dually eligible for both Medicare and Medicaid.

January 10, 2012

Summary of the MassHealth 1115 waiver renewal including a brief overview of four new provisions approved under the waiver renewal.

December 7, 2011

Report summarizing the results of a series of interviews conducted by the Center for Health Care Strategies with key Medicaid stakeholders from across the country on cutting-edge Medicaid strategies including: purchasing strategies to optimize delivery systems; payment strategies to leverage existing funds; integrated models of care to improve services for complex populations; and opportunities for improved organizational capacity.

August 2, 2011

This budget brief describes the sections of the Fiscal Year 2012 (FY 2012) final budget bill as signed by the legislature and including the Governor's vetoes' that are relevant to MassHealth (Medicaid) and other programs that support health care coverage for the state's low- and moderate-income populations. It is the final in a series of fact sheets published by the Massachusetts Medicaid Policy Institute (MMPI) and produced by the Massachusetts Budget and Policy Center in partnership with the Massachusetts Law Reform Institute.

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