This primer, prepared by Ellen Breslin of Health Management Associates, includes an explanation of how state Medicaid programs generally pay their MCOs, the overall process for setting Medicaid managed care capitation rates and the various tools that states use to mitigate the risks that MCOs face when they assume financial responsibility for Medicaid members.

This budget brief highlights the fiscal year (FY) 2016 budget for MassHealth (Medicaid) and other subsidized health coverage programs. It is the last in a series of FY2016 budget briefs produced by the Massachusetts Medicaid Policy Institute (MMPI) in partnership with Rob Buchanan and Tom Dehner of Health Management Associates.

UPDATED (July 2015) chart pack, prepared by the Center for Health Law and Economics at the UMass Medical School, includes summary data on MassHealth enrollment and spending and is designed to support use of the charts in presentations. Updated edition includes MassHealth enrollment as of March 2015 and spending from state fiscal year 2014.

This brief describes the Massachusetts Senate fiscal year (FY) 2016 budget proposal for MassHealth (Medicaid) and other subsidized health coverage programs and compares it to the proposal put forth by the House. It is the third in a series of FY2016 budget briefs produced by the Massachusetts Medicaid Policy Institute (MMPI) in partnership with Rob Buchanan and Tom Dehner of Health Management Associates. MMPI will be publishing budget briefs at several stages in the FY2016 budget process as proposals move through the state legislature.

This brief describes the Massachusetts House of Representatives fiscal year (FY) 2016 budget proposal for MassHealth (Medicaid) and other subsidized health coverage programs. It is the second in a series of FY2016 budget briefs produced by the Massachusetts Medicaid Policy Institute (MMPI) in partnership with Rob Buchanan and Tom Dehner of Health Management Associates. MMPI will be publishing budget briefs at several stages in the FY2016 budget process as proposals move through the state legislature.

This brief describes the governor's fiscal year (FY) 2016 budget proposal for MassHealth (Medicaid) and other subsidized health coverage programs. It is the first in a series of FY 2016 budget briefs produced by the Massachusetts Medicaid Policy Institute (MMPI) in partnership with Rob Buchanan and Tom Dehner of Health Management Associates. MMPI will be publishing budget briefs at several stages in the FY2016 budget process as proposals move through the state legislature.

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. This most recent waiver extension, which the Centers for Medicare and Medicaid Services (CMS) granted in October 2014, is for five years (until June 30, 2019). However, a major component—the Safety Net Care Pool—was extended for only three years (until June 30, 2017), with the terms for the remaining two years subject to further negotiation.

In conjunction with the full report, the authors developed an abbreviated summary of the MassHealth 1115 waiver, which provides an overview of the new provisions approved under the waiver renewal.

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.

Findings from this report were featured at a Foundation event held on December 9, 2014, MassHealth Matters: Priorities for the New Administration. Click here to learn more about the event and to see a copy of the slide presentation of the report by Patricia Boozang, Managing Director of Manatt Health Solutions.

Click here to watch the MassHealth Matters video.

This brief describes the "net" state cost of MassHealth (determined by subtracting the federal reimbursement and similar revenues from the budgeted total), providing a much clearer picture of the impact of MassHealth on the state budget than state budget totals alone. It is a supplement to a series of FY2015 budget briefs produced by MMPI in partnership with the Massachusetts Budget and Policy Center.

This budget brief highlights the FY2015 budget for MassHealth and other subsidized health coverage programs. It is the last in a series of FY2015 budget briefs produced by MMPI in partnership with the Massachusetts Budget and Policy Center and the Massachusetts Law Reform Institute.

This budget brief compares the Massachusetts House of Representatives and the Massachusetts Senate Fiscal Year (FY) 2015 budget proposals for MassHealth (Medicaid) and other subsidized health coverage programs. It is the third in a series of FY 2015 budget briefs produced by the Massachusetts Medicaid Policy Institute (MMPI) in partnership with the Massachusetts Budget and Policy Center and the Massachusetts Law Reform Institute. MMPI will be publishing budget fact sheets at several stages in the FY 2015 budget process, as proposals move through the state legislature.

This brief describes the Massachusetts House of Representatives Fiscal Year (FY) 2015 budget proposal for MassHealth (Medicaid) and other subsidized health coverage programs. It is the second in a series of FY 2015 budget briefs produced by the Massachusetts Medicaid Policy Institute (MMPI) in partnership with the Massachusetts Budget and Policy Center and the Massachusetts Law Reform Institute. MMPI will be publishing budget fact sheets at several stages in the FY 2015 budget process, as proposals move through the state legislature.

UPDATED chart pack, prepared by the Center for Health Law and Economics at the UMass Medical School, including summary data on MassHealth enrollment and spending. Designed to support use of the charts in presentations. Updated edition includes MassHealth enrollment as of December 31, 2013 and spending from FY 2013.

This brief describes the Governor's Fiscal Year (FY) 2015 budget proposal for MassHealth (Medicaid) and other subsidized health coverage programs. It is the first in a series of FY 2015 budget briefs produced by the Massachusetts Medicaid Policy Institute (MMPI) in partnership with the Massachusetts Budget and Policy Center and the Massachusetts Law Reform Institute. MMPI will be publishing budget fact sheets at several stages in the FY 2015 budget process, as proposals move through the state legislature.

This brief, produced by the Massachusetts Medicaid Policy Institute (MMPI) in partnership with the Massachusetts Budget and Policy Center and the Massachusetts Law Reform Institute, supplements MMPI’s state budget analyses by providing information on special funds that support health coverage programs in the state of Massachusetts. It first describes the differences between on- and off- budget funds, and then provides an overview of health-related trust funds, with descriptions of how some will change in FY 2014.