Understanding MassHealth Redesign & Its Impact for Your Organization

Friday, March 29, 2019 - 9:30am to 12:30pm
Sheraton Framingham Hotel & Conference Center
1657 Worcester Road
Framingham, MA 01701
Training

Overview

ADDP members are community-based providers who play an important role in the MassHealth payment and care delivery landscape today and provide services to persons covered under MassHealth. Many of the services provided by ADDP members are considered to be long-term services and supports (LTSS). Community-based providers need to learn more about this evolving and changing landscape, because they and the individuals that they serve may be affected by reform.

MassHealth has designed and launched several big initiatives including the Delivery System Reform Incentive Payment (DSRIP) program and the One Care program. At the same time, ADDP members must also understand reforms in the context of their many other relationships with other state agencies including the Department of Developmental Services (DDS) and the Department of Mental Health (DMH).

Health Management Associates (HMA) consultants Ellen Breslin and Tom Dehner will demystify and contextualize this evolving and changing landscape, assess what these changes mean for ADDP members, and provide ADDP members with concrete information about the actors in this new landscape. This three-hour training program includes three sequential sessions during which time the speakers will share knowledge and engage attendees in an interactive conversation.

Session 1. The MassHealth Program: Big Plans for Reform under DSRIP and One Care. The purpose is to strengthen provider knowledge about the MassHealth landscape including the DSRIP and the One Care programs and highlight the key implications for LTSS providers.

Session 2. The Value of Community-Based Providers to Reform Goals. The purpose is to help providers to recognize their value to the health care system’s goals for reform.

Session 3. The Roadmap for ADDP Members. The purpose is to help providers to understand how providers can prepare for the future.

To learn more about DSRIP, click HERE
To learn more about the One Care program, click HERE

Purpose/Background

The purpose of this educational training program is to strengthen the knowledge that ADDP members have about the evolving and changing MassHealth landscape and to highlight the value that they can bring to reform. Community providers can help to advance important outcomes for MassHealth and its members by partnering with health care organizations and health plans.

Intended Audience

This training is intended to meet the needs of senior leaders of community-based provider organizations that serve MassHealth populations that need to understand how they (and the individuals that they serve) may be affected by the DSRIP and/or OneCare programs.

Learning Objectives

• Learn about how the MassHealth landscape is evolving and changing.
• Learn about the DSRIP and the One Care programs.
• Recognize and understand the language and jargon of reform.
• Understand how ADDP members bring value to reform through a non-medical lens.
• Find out what ADDP members can do to prepare for the future.
• Learn from your peers during this interactive educational training program.

Speakers

Ellen Breslin, MPP, is a principal based on HMA’s Boston office. Ellen has over 30 years of experience in health care and human services at the state and at the federal level that includes Massachusetts House Ways & Means Committee, the Congressional Budget Office, and the MassHealth program. Ellen was the Director of the Managed Care Reimbursement & Analysis Unit. As a health care consultant, Ellen focuses her work around improving outcomes for complex and vulnerable populations.

Click here for Ellen's full biography.

Tom Dehner, JD, is a managing principal based in HMA’s Boston office. Tom provides assistance to states, health plans, providers and foundations in the areas of Medicaid policy, health reform implementation, and strategic planning. Before joining HMA, Tom was the Medicaid Director in Massachusetts.

Click here for Tom's full biography

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