Massachusetts, federal officials to increase payments to One Care dual-eligible program

September 22, 2015

State and federal officials will raise payments for the dual-eligible program One Care, which insures some of Massachusetts' sickest and poorest residents. The pilot program lost $54 million in its first 18 months, the Boston Globe reported in August. State officials said they would boost payments by 8.6% this year, and more than 10.5% in 2016, as part of a revised payment structure designed to help stabilize the program. Together, the state and federal government will spend nearly $48 million on One Care over the next two years. The bulk of the funding is federal. The government is contracting with Commonwealth Care Alliance of Boston and Tufts Health Plan of Watertown, to carry out the program, which is meant to rein in healthcare costs through better coordination of services. Fallon Health of Worcester, is dropping out of the program because of financial challenges. The state plans to extend the program until at least 2018 to "fully measure and understand" its impact.
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