Medicaid

Getting to yes on MassHealth

Getting to yes on MassHealth

State leaders need to work together to tackle Medicaid challenge

MASSACHUSETTS HAS A unique culture when it comes to health care.  Over the last quarter century, we have seen the business, provider, payer, consumer, and academic sectors come together to advance reforms aimed at expanding coverage and containing the cost of care. Whether it was repeal of hospital rate-setting and passing insurance reforms in the(...)

Read More »

Baker won’t commit to health care assessments

Baker won’t commit to health care assessments

Legislature budget plan includes employer fees, but omits administration Medicaid reforms

STATE HOUSE NEWS SERVICE GOV. CHARLIE BAKER said Monday he has not yet decided whether he will sign off on $200 million in new employer fees he has linked to MassHealth reforms that the Legislature laid aside Friday as part of their budget deal. The budget approved by the House and Senate includes a two-tiered(...)

Read More »

Red states dodge a Medicaid bullet

Red states dodge a Medicaid bullet

Under-the-radar attempt to repeal entitlement unlikely to go away

REPUBLICANS IN WASHINGTON couldn’t cobble together enough votes in March from their own party to repeal and replace Obamacare. President Trump learned that health care is more complicated than he thought and quickly put the Affordable Care Act in his rearview mirror. House Republicans, who had symbolically voted dozens of times to repeal the ACA,(...)

Read More »

Bending the Medicaid cost curve

Bending the Medicaid cost curve

Massachusetts is betting big on accountable care organizations

IN A WILDLY uncertain national health care environment, something new, audacious, and risky is happening in MassHealth, the Medicaid program that provides health coverage to 1.9 million people who are poor, elderly, and persons with disabilities in Massachusetts. Gov. Charlie Baker’s administration is betting that an emerging health care delivery and payment model, called “accountable(...)

Read More »

Voices from Ohio on Medicaid expansion

Voices from Ohio on Medicaid expansion

Experience mirrors that of all states that expanded coverage under ACA

OHIO IS ONE of 31 states that expanded Medicaid as permitted by the Affordable Care Act/Obamacare for nearly all low-income citizens. The state’s Republican governor, former presidential candidate John Kasich, has been among the most vocal proponents of the expansion on the Republican side and has taken a lot of grief for it from ACA(...)

Read More »

State gains approval for big Medicaid overhaul

State gains approval for big Medicaid overhaul

Baker administration secures waiver worth $52b over 5 years

THE FEDERAL GOVERNMENT today approved a huge infusion of money to Massachusetts and big restructuring of the state’s Medicaid program, known as MassHealth. The five-year $52.4 billion waiver is major win for the Baker administration, and especially for Health & Human Services Secretary Marylou Sudders and Medicaid director Daniel Tsai. The new waiver will preserve(...)

Read More »

Improving health outcomes through social services

Improving health outcomes through social services

Interest grows in integrating health care and social service spending

WHAT IF THE answer to ever-rising health care costs doesn’t lie in figuring out better ways to deliver medical care, but in things like ensuring access to good nutrition, adequate housing, or even job training? That was the outside-the-health-care-box message members of the state Health Policy Commission heard on Tuesday morning from health policy researcher(...)

Read More »

Baker’s big health care move

Baker’s big health care move

Revamping MassHealth offers great potential — and great risks

FOR THE THIRD time since 1996, the Massachusetts Medicaid program, called MassHealth, is preparing for transformation. After submitting a final proposal in July, state officials are anxiously awaiting a decision on the plan from the US Centers for Medicaid & Medicare Services. The goals are to: first, transform how medical services are delivered to many(...)

Read More »

Sounds of health-care silence in GOP debate

Sounds of health-care silence in GOP debate

Lack of Obamacare talk speaks volumes

I HAD ONE mission last night watching the Republican debate among the party’s top 10 presidential contenders: What, if anything, could we learn about the state of play regarding the Affordable Care Act and US health policy? What I observed: The impassioned debate about the Affordable Care Act/ACA/Obamacare is over, even among Republicans. Here is(...)

Read More »