Post Content

Massachusetts Secretary for Health and Human Services Marylou Sudders announced the next steps in the MassHealth program’s transition from the current fee-for-service system towards coordinated and integrated care to improve members’ health and contain costs under its innovative five-year 1115 waiver.

The MassHealth program is launching its new Community Partners model with two procurements:  community based providers: with expertise in Behavioral Health and with Long Term Services and Supports. MassHealth will make significant investments in the Community Partner program, with $401 million over 5 years to Behavioral Health organizations to provide comprehensive and active care management to adults with serious mental illness and/or Substance Use Disorders (SUD) and $145 million over 5 years to organizations providing active care coordination for people with complex health needs requiring  long-term services and supports which include physical disabilities, traumatic brain injury, intellectual or developmental disabilities..

These procurements follow the recently received proposals from twenty health care organizations  to serve as ACOs.   ACOs critical components of the most comprehensive restructuring of the state’s MassHealth program in more than 20 years. ACOs are organized groups of doctors and other health care providers  working together to care for their patients.

Together, Community Partners and Accountable Care Organizations (ACO)s will  deliver integrated, comprehensive care for the whole person and improve member health outcomes. Community Partners will receive funds for care coordination activities, infrastructure and capacity building.

Under MassHealth’s federal waiver, ACOs are eligible for $1.8 B of Delivery System Reform Incentive Payments (DSRIP), which will allow these organizations to invest in primary care providers, infrastructure, and capacity building.   ACOs are required to partner with Community Partners for management of complex Behavioral Health and Long-Term Services and Support populations.   MassHealth anticipates announcing selected ACOs in May 2017.

ACOs are compensated under an alternative payment methodology that includes shared savings as well as risk for shared losses and will be rewarded for improving our members care while keeping costs under a target.  Full ACO implementation is anticipated in December 2017.

Additional information on MassHealth’s planned restructuring and payment reforms for its 1.9 million members may be found on the MassHealth Innovations website at

Written By:

Recent Posts

In innovative partnership, City and State team up to house chronically homeless older adults and pair them with services & supports posted on Jun 23

The City of Boston’s Boston’s Way Home, in partnership with MA Executive Office of Elder Affairs (EOEA) and MassHealth, hosted a “housing surge” on June 15, designed to connect chronically homeless older adults with housing while qualifying them for services and support.  This unique partnership   …Continue Reading In innovative partnership, City and State team up to house chronically homeless older adults and pair them with services & supports

Massachusetts Commission LBGTQ Youth Swearing In posted on Jun 20

Massachusetts Commission LBGTQ Youth Swearing In

Secretary Marylou Sudders, Senate President Stan Rosenberg, members from the Legislature, and members of the Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning Youth (LGBQT) Commission came together in the beautiful State House Library to recognize and celebrate the LGBQT Massachusetts Commission. Established 25 years ago,   …Continue Reading Massachusetts Commission LBGTQ Youth Swearing In

$115 Million in Statewide Investments Approved Under MassHealth Waiver posted on Jun 16

MassHealth’s 1115 waiver agreement includes $1.8 billion of up-front investments, called the Delivery System Reform Incentive Payment (DSRIP) program, to support restructuring how health care is delivered and paid for. DSRIP will support the MassHealth Accountable Care Organization (ACO) program and the Community Partners (CP)   …Continue Reading $115 Million in Statewide Investments Approved Under MassHealth Waiver