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Managed Care Focus Intensifies

MassHealth Convenes Workgroups

The lazy days of summer are turning out to be the opposite for consumers, state agency heads, providers and advocates interested in MassHealth's ongoing study to restructure MassHealth (Medicaid) programs.

The Baker Administration, from the Governor to the EOHHS Secretary to the Assistant Secretary & Mass Health Director have been very clear in expressing concerns that:

  • MassHealth, in it's current configuration may be unsustainable
  • Better outcomes must be sought for all program members and participants
  • New approaches, including managed care models, such as Accountable Care Organizations (ACOs) or Managed Care Organizations (MCOs) should be examined for consideration if outcomes can be improved along with better cost effeciencies

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