The latest defendant accused of defrauding the state’s Medicaid program is fighting the fraud charges. But he’s also blaming any errors on years of shoddy recordkeeping on the part of brokers and vendors that handle scheduling, patient records, and billing for the state’s Medicaid-covered rides.
MassHealth
Posted inHealth Care
Pricey campaign launched to assist with ‘ridiculous’ federal Medicaid requirements
Starting this week, Healey said, notices are being mailed to MassHealth members about how the federal changes could affect them and what actions they need to take to stay covered.
Posted inOpinion
‘The Pitt’ showed us the stigma patients with obesity face. Massachusetts policies cutting GLP-1 drug coverage reflect the same biases.
Policymakers must work with insurers and GLP-1 manufacturers to make sure these life-changing therapies remain accessible. Blanket denials of coverage will harm patients, invite long-term costs, and worsen the stigma we should be fighting against.
Posted inHealth
Policy Points: Takeaways from the 2026 Medicaid Summit
As the agency navigates how to minimize coverage losses, cope with federal funding cuts and keep MassHealth members informed, the 2026 Medicaid Summit on Tuesday brought together state government policy experts and researchers from around the country to make sense of the impacts of the nearly one-year-old federal One Big Beautiful Bill Act.
Posted inState House News Service
Doula certification effort set for launch this spring
“The Department of Public Health is working with MassHealth to implement more than 20 provisions within the 2024 maternal health law designed to bolster access to services and tackle racial disparities in care outcomes.”
Posted inState Government
Growing health care pressure drives up spending in Healey’s annual budget
MassHealth spending would increase more than 7 percent under Gov. Maura Healey’s new state budget proposal, roughly twice as much as all other state spending in a reflection of the challenge Beacon Hill faces to control health care costs.
Posted inState Government
Legislature downshifts into holiday mode after short burst of activity
What reached Gov. Maura Healey’s desk, and what’s still on hold until 2026 now that the Legislature is done with major business for the year?
Posted inOpinion
I don’t want to close any more mental health centers
The cost of operating our clinic with optimal staffing simply exceeded by a wide margin the amount we received from insurers – largely the state Medicaid program MassHealth – to operate it.
Posted inThe Download
The Download: ‘We are terrified’: Gateway City leaders prepare for federal cuts, changes to Medicaid
New from CommonWealth Beacon OPPORTUNITY KNOCKS?: Hidden among the cuts to social welfare programs in President Trump’s budget reconciliation bill was a provision that builds on “Opportunity Zones” — an […]
Posted inHealth Care
HHS chief Walsh stepping down, Mahaniah named successor
After a more than two-year tenure in which she charted the state’s path through the tumultuous Steward Health Care collapse, Health and Human Services Secretary Kate Walsh will step down.
Posted inOpinion
Tallying the crucial impact of Medicaid in Massachusetts
Medicaid provides coverage to over 1 in 4 Massachusetts residents, playing a vital role in our state’s health care system and the strength of our economy.
Posted inHealth Care
‘Pay now or pay greater later’: Mass. health centers CEO warns Medicaid cuts will lead to higher costs and strain to health system
Thirty percent of the Massachusetts population (2.1 million residents out of 7.1 million) are on Medicaid.
Posted inHealth Care
Speaker Johnson sends signals on two key Medicaid reforms
Johnson told reporters that the bill will not change the portion of state Medicaid costs paid by the federal government for states that have expanded Medicaid, like Massachusetts.
Posted inHealth Care
State braces for MassHealth dislocation
AS THE STATE prepares to drop hundreds of thousands of people from the MassHealth insurance program, government and community leaders are hoping for a smooth year-long process – but bracing […]
Posted inHealth Care
Somerville rep concerned about ‘draconian’ MassHealth asset recovery policies
THE FEDERAL GOVERNMENT allows states to recoup Medicaid costs after the deaths of patients who use the program. Estate recovery allows homes to be seized and sold to pay off […]
Posted inEconomy
Safety net hospitals, health centers teetering on the brink
DR. ERIC DICKSON oversees a sprawling health care system that cares for lots of low-income families throughout central Massachusetts, many of whom are wondering how they’ll pay their rent or […]
Posted inHealth Care
Nursing homes shutter amidst corruption, financial chaos
NURSING HOMES IN MASSACHUSETTS continue their steady descent into chaos, leaving seniors struggling to find adequate care as more facilities shutter, and fewer affordable beds are available. Five nursing homes […]
Posted inThe Download
Nursing homes shutter amidst corruption, financial chaos
Nursing homes in Massachusetts continue their steady descent into chaos, leaving seniors struggling to find adequate care as more facilities shutter, and fewer affordable beds are available. Five nursing homes […]
Posted inThe Download
Nursing home industry sounds alarm
The Massachusetts nursing home industry says inadequate state funding caused 20 facilities to close last year and is putting another 39 at risk of going out of business this year. […]
Posted inOpinion
Do no harm on health care spending
WHEN THE LEGISLATURE reconvenes and takes up the unresolved challenge of shoring up the bottom lines of financially stressed community hospitals, lawmakers would do well to keep in mind the […]
Posted inHealth Care
Past time to get serious about health care costs
LAST SEPTEMBER, Pioneer observed that Massachusetts had dodged a federal bullet when the US Senate failed by one vote to repeal the Affordable Care Act. Had they succeeded, the Commonwealth […]
Posted inHealth Care, Opinion
Getting to yes on MassHealth
MASSACHUSETTS HAS A unique culture when it comes to health care. Over the last quarter century, we have seen the business, provider, payer, consumer, and academic sectors come together to […]
Posted inHealth Care, State House News Service
Baker won’t commit to health care assessments
STATE HOUSE NEWS SERVICE GOV. CHARLIE BAKER said Monday he has not yet decided whether he will sign off on $200 million in new employer fees he has linked to […]
Posted inEconomy, Politics, State House News Service
Senate budget pinned on shaky revenue projections
STATE HOUSE NEWS SERVICE SENATE WAYS AND MEANS Committee members on Tuesday unanimously approved a $40.3 billion spending plan for fiscal 2018 that they said recognizes the state does not […]
