FCSN // Newsletter // 2017 // Conference 2017 // Change in the Air for MassHealth

Change in the Air for MassHealth

In these uncertain times, many families I speak with ask, “What is going to happen with healthcare?” And, almost in answer to that question, they say, “Thank goodness we live in Massachusetts.” The Commonwealth of Massachusetts is working toward making efficiencies in its Medicaid system, which currently services 1.9 million people. In January 2018, our state is slated to begin changing the ways it organizes and pays providers in the MassHealth system. There are currently 18 accountable care organizations (ACOs) who have submitted service delivery bids for MassHealth. The program is also looking at bringing in new and different Managed Care Organizations which may change the landscape moving forward.

What does this mean for healthcare? And what does it mean for you? In the past, MassHealth has utilized a “fee-for-service” model of care (and payment). The Commonwealth is looking towards the future of healthcare and ways in which to modify the model, working towards better care for the patient while utilizing a more efficient system of procurement and payment for services.

These changes and system overhauls are being done through the use of a waiver with the federal government which was negotiated through the Obama Administration. However, they believe that this waiver will be honored by the current administration. The Baker-Polito Administration is working hard to ensure that the Massachusetts Medicaid system remains a dependable service on the cutting edge of healthcare.

For further information on the plan, visit mass.gov’s Executive Office of Health and Human Services webpage.

A related article appears in the Boston Globe.