Lessons Learned and Best Practices from Massachusetts Medicaid

Using Massachusetts Medicaid Payment and Care Delivery System reforms as a model, this presentation will highlight the process and value of stakeholder engagement in delivery system restructuring. MassHealth covers almost 2 million people throughout the commonwealth, and the department has recently undertaken the effort to restructure the current MassHealth delivery system "in a manner that promotes integrated, coordinated care and holds providers accountable for quality and total cost of care of its member." This presentation will highlight some of the findings in a state-study looking at the diverse needs of the state. 

Key takeaways

• Payment and care delivery system reforms must lead to a sustainable system of care.
• Data analytics and quality measurement of alternative payment and care delivery models are still under development.
• Stakeholder engagement can be invaluable in the identification of gaps in care and in the design of these APMs and metrics.