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 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. This report is a follow-up to a 2010 MMPI study, also by Robert Seifert and colleagues, Enrollment and Disenrollment in MassHealth and Commonwealth Care, which described the consequences of enrollment volatility, quantified its extent in Massachusetts programs, and compared that experience with other states.

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.  For a broader overview of Chapter 224 of the Acts of 2012, see the Foundation’s report: Summary of Chapter 224 of the Acts of 2012. For additional information about scheduled stakeholder meetings, grant opportunities, and other implementation updates, see the state's website, Implementing Health Care Cost Containment.

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). 

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.

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.

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.

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.

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

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.

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.

This report, by Beth Waldman from Bailit Health Purchasing and Kate Nordahl of the Massachusetts Medicaid Policy Institute, provides an in-depth discussion of the provisions from the Affordable Care Act (ACA) which impact Medicaid programs and how these provisions will be applied in Massachusetts.

This budget brief describing the Governor's Fiscal Year 2012 (FY 2012) budget proposal for MassHealth (Medicaid) and other health care programs is the first in a series of fact sheets that will be 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. MMPI will be publishing budget fact sheets at each stage in the FY 2012 budget process, as budget proposals move through the legislature.

A fact sheet that introduces MassHealth, the Massachusetts Medicaid program, describing its basic structure, benefits, and beneficiaries. It examines how enrollment and spending have changed over time and describes some current policy issues and challenges. A updated fact sheet that introduces MassHealth, the Massachusetts Medicaid program, describing its basic structure, benefits, and beneficiaries. It examines how enrollment and spending have changed over time and describes some current policy issues and challenges.

This report, written in conjunction with senior staff at the Center for Health Law and Economics, examines the phenomenon of enrollees cycling on and off state health insurance programs, specifically MassHealth and Commonwealth Care.