Tags: coordinated care , uniform high quality , affordability , redesigning care , industry interactions

As the state seeks to overhaul its Medicaid program, MassHealth, with the most ambitious redesign in more than 20 years, it has chosen no less than 18 provider groups to help launch the effort in January 2018, including Partners HealthCare.

For our part, this responsibility represents an opportunity to continue onward with the early cost-savings success we have seen as a member of the MassHealth Accountable Care Organization (ACO) pilot program. In remarks to the Boston Globe for an article on the MassHealth work, Dr. Eric Weil, of Partners HealthCare’s Center for Population Health, spoke to the fact that many Partners hospitals, including Massachusetts General and Brigham and Women’s, are increasingly sending health care workers to patients’ homes to reduce costly hospitalization visits.

We see this as a huge opportunity to improve the quality of care that we deliver to our most complicated patients.

Dr. Eric Weil, Partners HealthCare Center for Population Health

As detailed in a statement from the Massachusetts Department of Health and Human Services, the MassHealth ACO is a key part of the state’s five-year innovative 1115 Medicaid waiver. The waiver provides $1.8 billion in new federal investments (Delivery System Reform Incentive Payments, or DSRIP), to support the transition of health care providers providing value-based care.

"We know the current fee-for-service system leads to gaps in care and inefficiencies,” said Dan Tsai, Assistant Secretary and Director of the MassHealth program, in a statement. “The ACOs we selected demonstrate a strong commitment to improving care for the members they serve and will be held to high standards for quality and access of care.”

By participating in the MassHealth ACO, we join organizations such as Steward Health Care System, Lahey Health, Beth Israel Deaconess Medical Center, and others, to provide integrated, seamless health care to patients. We also seek to collaborate and improve patient health, contain costs, and cover the more than 900,000 MassHealth members and approximately 4,500 primary care providers throughout the Commonwealth.