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Inflation Adjustment
  • CPI: adjusts for changes in the cost of goods and services purchased by consumers
  • IPD: adjusts for changes in the cost of goods and services purchased by governments
  • Economic Growth: adjusts for changes in the size of the state economy (measured in terms of total personal income)
  • None: does not capture changes in the value of a dollar over time.

MassHealth Managed Care

4000-0500

funding levels adjusted for inflation (CPI)

  • Funding History
  • Description
  • Proposals
Adjusted for inflation (CPI) NOT adjusted
FY18 $5,553,251,863 $5,553,251,863
FY17 $5,539,843,521 $5,418,523,203
FY16 $6,178,577,297 $5,933,039,597
FY15 $5,024,679,105 $4,792,819,941
FY14 $4,751,939,941 $4,500,411,804
FY13 $4,376,441,024 $4,081,345,376
FY12 $4,229,500,442 $3,879,010,669
FY11 $4,423,701,031 $3,941,366,922
FY10 $4,120,863,784 $3,600,131,677
FY09 $3,575,923,118 $3,093,603,232
FY08 $3,442,109,120 $2,936,709,898
FY07 $3,063,535,296 $2,520,227,848
FY06 $2,844,004,864 $2,280,365,906
FY05 $3,001,700,242 $2,319,197,919
FY04 $3,147,137,084 $2,360,640,111
FY03 $2,584,688,413 $1,896,910,000
FY02 $2,427,886,799 $1,743,425,322
FY01 $2,112,589,450 $1,490,620,301
  • See Changes in Funding
Between and
Funding for MassHealth Managed Care
61.3%

comparisons adjusted for inflation (CPI)

Notes

  • Funding for MassHealth and related health reform programs often shifts among line item appropriations and special trust funds from year to year, so it is helpful to look at total funding, rather than at individual line items to get a sense of funding over time. In many years, the Administration has also been allowed to transfer funding among the MassHealth program line items without additional legislative approval. This means that there may be a meaningful difference between the budgeted amount and actual spending for individual line items, and that funding budgeted for one line item is ultimately spent in another.

MassHealth Managed Care pays for health insurance coverage provided to children and adults through a managed care organization (MCO) with which MassHealth contracts or under the MassHealth Primary Care Clinician (PCC) plan.

Most of the children enrolled in MassHealth receive coverage through a managed care plan provided by a managed care organization or though contracts with primary care clinicians who are responsible for managing a patient's care. The use of managed care has allowed Massachusetts to expand coverage while controlling costs. A smaller number of children are covered under fee-for-service arrangements (see MassHealth Fee-for-Service) but even for those children, their behavioral health services are likely to be covered by a managed care provider.

MassHealth policy changes sometimes result in program and funding shifts among MassHealth line items in the state budget. Use caution when comparing these line items from year to year.

Updated, March 2015

Adjusted for inflation (CPI) NOT adjusted
FY18 GAA $5,553,251,863 $5,553,251,863
FY18 Leg $5,553,251,863 $5,553,251,863
FY18 Sen $5,553,251,863 $5,553,251,863
FY18 SWM $5,553,251,863 $5,553,251,863
FY18 Hou $5,553,251,863 $5,553,251,863
FY18 HWM $5,553,251,863 $5,553,251,863
FY18 Gov $5,553,251,863 $5,553,251,863
FY17 $5,539,843,521 $5,418,523,203

Notes

  • Funding for MassHealth and related health reform programs often shifts among line item appropriations and special trust funds from year to year, so it is helpful to look at total funding, rather than at individual line items to get a sense of funding over time. In many years, the Administration has also been allowed to transfer funding among the MassHealth program line items without additional legislative approval. This means that there may be a meaningful difference between the budgeted amount and actual spending for individual line items, and that funding budgeted for one line item is ultimately spent in another.