Common use of PROGRAM DESCRIPTION AND OBJECTIVES Clause in Contracts

PROGRAM DESCRIPTION AND OBJECTIVES. In this extension of the demonstration, the Commonwealth and CMS have agreed to implement major new demonstration components to support a value-based restructuring of MassHealth’s health care delivery and payment system, including a new Accountable Care Organization (ACO) initiative and Delivery System Reform Incentive Program (DSRIP) to transition the Massachusetts delivery system into accountable care models. The Safety Net Care Pool (SNCP) has been redesigned to align SNCP funding with MassHealth’s broader accountable care strategies and expectations and to establish a more sustainable structure for necessary and ongoing funding support to safety net providers. During the new extension period approved for state fiscal year (SFY) 2018-2022, the goals of the demonstration are: (1) Enact payment and delivery system reforms that promote integrated, coordinated care; and hold providers accountable for the quality and total cost of care; (2) Improve integration of physical, behavioral and long term services; (3) Maintain near-universal coverage; (4) Sustainably support safety net providers to ensure continued access to care for Medicaid and low- income uninsured individuals; and (5) Address the opioid addiction crisis by expanding access to a broad spectrum of recovery-oriented substance use disorder services; and, (6) Increase and strengthen overall coverage of former ▇▇▇▇▇▇ care youth and improve health outcomes for this population.