This is not the official budget document.

Budget Summary FY2011

Outside Section 178
Data Current as of:  8/6/2010




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Medicaid Delivery Model Advisory Committee

SECTION 178.   An advisory committee shall be convened to study the comparative costs and benefits of different care delivery models for the Medicaid program including, but not limited to, all-managed care, a state-contracted chronic disease management program and patient-centered medical homes. The advisory committee shall consist of the secretary of administration and finance or a designee, who shall serve as chair; the secretary of health and human services or a designee; the commissioner of health care finance and policy or a designee; the director of Medicaid or a designee; the executive director of the Commonwealth Health Insurance Connector Authority or a designee; the chairs of the house and senate committees on ways and means; the senate and house chairs of the joint committee on health care financing; the senate and house chairs of the joint committee on mental health and substance abuse; 1 member representing the house minority party; 1 member representing the senate minority party; 1 member representing the Massachusetts Association of Health Plans; 1 member of the Massachusetts Medical Society who shall be a practicing primary care physician; 1 member representing the Massachusetts Hospital Association; 1 member representing the Association for Behavioral Healthcare; 1 member appointed by the Governor who shall be an advocate for individuals with disabilities; and 1 member appointed by the Governor representing a health care consumer group.

The advisory committee shall compare the current and projected impact of the managed care program, the primary care clinician plan, the disease management program and patient-centered medical homes on the Medicaid budget including, but not limited to, an estimate of the potential increase or decrease in programmatic costs of transitioning from 1 care delivery system to another and the impact of the different delivery systems on the financial risk borne by the commonwealth. Cost estimates and projections shall adjust for acuity. The advisory committee shall compare the current and projected impact of the managed care program, the primary care clinician plan, the disease management program and patient-centered medical homes on quality and continuity of care provided to MassHealth members, access to disease management and care coordination programs, access and quality of care for MassHealth special populations, access to behavioral health services, accountability through the reporting of quality data and the potential to address racial and ethnic disparities. In conducting this analysis, the organization shall use actual and projected Medicaid and managed care data. The executive office of health and human services shall make any data requested by the advisory committee available in a timely manner. For the purpose of conducting this analysis, the executive office for administration and finance, in consultation with the advisory committee and subject to appropriation, shall contract with an independent, outside organization with expertise in fiscal analysis of the Medicaid program and the managed care model within state Medicaid programs by October 2, 2010. The advisory committee shall file a report of its findings with the clerks of the senate and house of representatives, the house and senate committees on ways and means and the joint committee on health care financing not later than January 15, 2011.