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Strategies for Meaningfully Engaging MassHealth Members to Inform Program and Policy Decisions

Report shares Medicaid member engagement framework and principles to guide state policymakers.

Brief/Report

June 2024

Beneficiary Experience of Care by Level of Integration in Dual Eligible Special Needs Plans

Dual eligible beneficiaries in Virginia with integrated special needs plans reported lower out-of-pocket spending and greater plan satisfaction.

Peer-Reviewed Article

June 2024

Differences in Healthcare Utilization Between Enrollees of Fully Integrated Dual Eligible Special Needs Plans Versus Non-Fully Integrated Plans

Fully integrated dual eligible plans were associated with improved care outcomes for certain subpopulations of dually eligible older adults.

Peer-Reviewed Article

April 2024

Socioeconomic Factors Associated with Uptake and Satisfaction with a Post-Hospitalization Meals Benefit in Medicare Advantage

A post-hospitalization supplemental home-delivered meals benefit saw significant uptake and high satisfaction among Medicare Advantage members with greater financial or food insecurity.

Peer-Reviewed Article

March 2024

Bridging the Home-Based Primary Care Gap in Rural Areas

Interdisciplinary care teams, telehealth, and flexible payment models are included as key recommendations to increase access to home-based primary care in rural communities.

Brief/Report

February 2024

Medicare-Medicaid Integrated Care Programs

Curates evidence behind three fully integrated care program models for people who are dually eligible for Medicare and Medicaid, as well as practical strategies that support effective implementation of these programs.

Collection

December 2023

Changes in Care Associated with Integrating Medicare and Medicaid for Dual-Eligible Individuals

Fully integrated dual-eligible special needs plans increase the use of home- and community-based services, but have limited impact on inpatient and emergency department visits and length of nursing home stays.

Peer-Reviewed Article

December 2023

Access, Utilization, and Quality of Behavioral Health Integration in Medicaid Managed Care

The transition to the Medicaid behavioral health “carve-in” model in Washington State was not associated with significant improvements in overall health outcomes.

Peer-Reviewed Article

December 2023

Medicare Care Choices Model Improved End-of-Life Care, Lowered Medicare Expenditures, and Increased Hospice Use

Medicare model allowing concurrent coverage of hospice care and treatment improves end-of-life care and reduces total costs.

Peer-Reviewed Article

November 2023

Cost Reduction and Utilization Patterns in a Medicare Accountable Care Organization Using Home-Based Palliative Care Services

A home-based palliative care program leads to reductions in hospitalizations and total cost of care, along with an increase in the use of hospice care.

Peer-Reviewed Article

November 2023

A Formal Framework for Incorporating Equity into Health Care Quality Measurement

Using “equity weighting” may improve quality measurement efforts intending to advance health equity for underserved groups.

Peer-Reviewed Article

October 2023

Does Interdisciplinary Care Team Care Management Improve Health Quality and Demonstrate Cost-Effectiveness?

An interdisciplinary care management program for Medicare patients at increased risk of hospitalization demonstrates a positive return on investment.

Peer-Reviewed Article

September 2023

Addressing Healthcare Utilization and Costs for Older Adults with Limited Mobility Through a Multidisciplinary Home-Based Primary Care Program

An interdisciplinary home-based primary care program for older adults with limited mobility leads to reductions in health care utilization and costs.

Peer-Reviewed Article

August 2023

Redesign of a Primary Care-Based Housing Intervention to Address Upstream Housing Needs

A primary care practice redesigned its social needs screening and patient triage process to allow specialized staff to spend more time supporting patients with more intensive housing needs.

Case Example

July 2023

Assessment of the Massachusetts Flexible Services Program to Address Food and Housing Insecurity in a Medicaid Accountable Care Organization

A program to connect Medicaid ACO enrollees with nutrition and housing-related services demonstrated early indications of effectiveness.

Peer-Reviewed Article

June 2023

Integration on the Frontlines of Medicaid Accountable Care Organizations and Associations with Perceived Care Quality, Health Equity, and Satisfaction

Integrated care in MassHealth ACOs varies greatly across primary care practice type and is associated with greater ability to improve care quality and advance health equity.

Peer-Reviewed Article

May 2023

Community Health Worker Integration with and Effectiveness in Health Care and Public Health in the United States

Community health worker interventions are effective for improving health behaviors and outcomes and reducing health care costs for people with chronic disease.

Peer-Reviewed Article

April 2023

Making the Business Case for Value-Based Dementia Care

Opportunities for identifying the financial value of dementia care to support positive return on investment.

Peer-Reviewed Article

February 2023

Observational Analysis of a Generalized, Health Plan-led Community Health Worker Intervention in Medicaid

Medicaid health plan-led community health worker program showed moderate evidence for increased outpatient care and primary care use.

Peer-Reviewed Article

January 2023

Measuring Quality in Home and Community Based Services (HCBS): Key Considerations for Health Plans

Guidance for health plans for improving quality of home- and community-based services.

Implementation Tool

December 2022

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Strategies for Meaningfully Engaging MassHealth Members to Inform Program and Policy Decisions

Beneficiary Experience of Care by Level of Integration in Dual Eligible Special Needs Plans

Differences in Healthcare Utilization Between Enrollees of Fully Integrated Dual Eligible Special Needs Plans Versus Non-Fully Integrated Plans

Socioeconomic Factors Associated with Uptake and Satisfaction with a Post-Hospitalization Meals Benefit in Medicare Advantage

Bridging the Home-Based Primary Care Gap in Rural Areas

Medicare-Medicaid Integrated Care Programs

Changes in Care Associated with Integrating Medicare and Medicaid for Dual-Eligible Individuals

Access, Utilization, and Quality of Behavioral Health Integration in Medicaid Managed Care

Medicare Care Choices Model Improved End-of-Life Care, Lowered Medicare Expenditures, and Increased Hospice Use

Cost Reduction and Utilization Patterns in a Medicare Accountable Care Organization Using Home-Based Palliative Care Services

A Formal Framework for Incorporating Equity into Health Care Quality Measurement

Does Interdisciplinary Care Team Care Management Improve Health Quality and Demonstrate Cost-Effectiveness?

Addressing Healthcare Utilization and Costs for Older Adults with Limited Mobility Through a Multidisciplinary Home-Based Primary Care Program

Redesign of a Primary Care-Based Housing Intervention to Address Upstream Housing Needs

Assessment of the Massachusetts Flexible Services Program to Address Food and Housing Insecurity in a Medicaid Accountable Care Organization

Integration on the Frontlines of Medicaid Accountable Care Organizations and Associations with Perceived Care Quality, Health Equity, and Satisfaction

Community Health Worker Integration with and Effectiveness in Health Care and Public Health in the United States

Making the Business Case for Value-Based Dementia Care

Observational Analysis of a Generalized, Health Plan-led Community Health Worker Intervention in Medicaid

Measuring Quality in Home and Community Based Services (HCBS): Key Considerations for Health Plans