Browse by Topic: Delivery System/Safety Net

Summary of the MassHealth 1115 Waiver

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

The Future of MassHealth: Five Priority Issues for the New Administration

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.

The Innovators: What the Innovation Fund for the Uninsured 2001–2010 Teaches Us about Delivering Better Health Care

From 2001 through 2010, the Foundation awarded $10.5 million to 48 organizations across the Commonwealth through the Innovation Fund for the Uninsured. The organizations profiled in this report, along with the other grant recipients, were at the forefront of delivering higher-quality, more cost-effective care. They honed a number of strategies that remain instructive today, including team-based care, case management, coordination of physical health and behavioral health care, and the use of community health workers.

Closing the Gap on Health Care Disparities

From 2008 through 2011, the Foundation supported 11 community-based coalitions across Massachusetts through its Closing the Gap on Health Care Disparities Initiative. This report, prepared by Mary Coonan and Terry Saunders Lane of The Center for Social Policy, University of Massachusetts Boston, explores areas of coalition development, system change, and public awareness.

Innovations in Medicaid: Considerations for MassHealth

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.

Beyond Parity: Mental Health and Substance Use Disorder under Payment and Delivery System Reform in Massachusetts

This report by Colleen Barry of the Johns Hopkins Bloomberg School of Public Health explores opportunities and issues around integrating behavioral health care and primary care under the Affordable Care Act (ACA) and payment and delivery system reforms in Massachusetts. The report provides preliminary recommendations on how these major policy changes might be implemented with the goal of improving the coordination, quality and outcomes of mental health and addiction care in the Commonwealth.

Dual Eligibles in Massachusetts: A Profile of Health Care Services and Spending for Non-Elderly Adults Enrolled in Both Medicare and Medicaid

Comprehensive report presenting combined Medicare and Medicaid spending data for non-elderly adults (ages 21 to 64) dually eligible for Medicare and Medicaid in Massachusetts. This report was created by Ellen Breslin Davidson and Tony Dreyfus of BD Group. MMPI produced this report in collaboration with the Office of Medicaid in the Executive Office of Health and Human Services. Designed to support use of the charts in slide presentations.

The Basics of the Massachusetts Medicaid Program

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.

Closing the Gap on Racial and Ethnic Health Care Disparities: Lessons Learned from 2005-2008 Grantees

In 2005, the Foundation launched the Closing the Gap on Racial and Ethnic Health Care Disparities grantmaking area and secured the Disparities Solution Center at Massachusetts General Hospital as an evaluation partner. This report highlights stories of change from policy, organizational, provider, and client perspectives. Lessons from this report guided the Foundation in revising its funding strategy for the subsequent 2008–2011 grantmaking cycle.

Accessing Children's Mental Health Services in Massachusetts: Workforce Capacity Assessment

This report is based on a survey of 1,982 mental health providers in Massachusetts including psychiatrists, psychiatric clinical nurse specialists, psychologists, social workers, mental health counselors, and marriage and family therapists. It estimates the need for childrens mental health services; assesses child and family mental health service delivery capacity; identifies variation in capacity, including variation by geography, linguistic ability, and cultural competence; and documents challenges to meeting current demand for services.