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Budget Summary FY2013

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Outside Section 145
Data Current as of:  7/7/2012

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State Medicaid Program Study

SECTION 145.   Section 178 of chapter 131 of the acts of 2010 is hereby amended by striking out the second paragraph, as amended by section 41 of chapter 9 of the acts of 2011, and inserting in place thereof the following 2 paragraphs:-

The advisory committee shall utilize any previously collected data, where relevant, to compare the current and projected impact of the managed care program, the primary care clinician plan, accountable care organizations and patient-centered medical homes on the following: (1) the quality and continuity of care provided to MassHealth members; (2) access to primary care or other specialty care providers; (3) access to behavioral health or long-term care support services; (4) the availability of care coordination programs, excluding any proposed demonstration projects involving dual-eligible populations; (5) the overall quality of care for all MassHealth members, with particular emphasis on quality of care for disabled members; (6) accountability through the reporting of quality data; (7) the potential to address racial and ethnic disparities; and (8) appropriations to the Medicaid program, 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.

The secretary 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 secretary of administration and finance, in consultation with the advisory committee and subject to appropriation, shall contract with a private or not-for-profit organization with expertise in fiscal analysis of the Medicaid program and the managed care model within state Medicaid programs. 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 on or before October 1, 2012.