POP HEALTH FORUM: A HIMSS EVENT

Boston, MA
Apr. 3-4, 2017

Linda Shaughnessy

Director of the Quality Office
MassHealth

Linda Shaughnessy, MBA, is the director of the Quality Office for MassHealth, the Massachusetts Medicaid program. She is a member of the leadership team for MassHealth and the Office of Clinical Affairs, collaborating on the development and strategic direction for quality programs and overseeing the daily operation of quality measurement, improvement and evaluation functions within the MassHealth Quality Office. At MassHealth she has spearheaded the MassHealth Quality Committee and provided leadership to MassHealth’s ACO initiative where she has been a key contributor to the Quality Measurement Advisory Workgroup.

Ms. Shaughnessy has over twenty years of healthcare experience in a variety of health care settings, including hospitals and healthcare systems, commercial payers and government programs.  She has held positions at Blue Cross Blue Shield of Massachusetts, Partners HealthCare and Massachusetts Health Quality Partners. She has particular expertise in quality measurement and management, reporting and payment programs, multi-stakeholder engagement, market planning and business development. 

Ms. Shaughnessy has served on the Center for Health Information and analysis (CHIA) Data Review Committee, Massachusetts Health Care Quality and Cost Council Data Release Review board and other health care quality advisories on public reporting and quality payment programs. Ms. Shaughnessy also sits on the Massachusetts Health Quality Partners (MHQP) Health Plan Council.  She graduated from Babson College with a B.S. in Business Administration and holds an MBA from Northeastern University.

 

April 3, 2017
11:50am - 12:30pm
America South – Fourth Floor

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. 

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