Fallon Community Health Plan (FCHP) and Magellan Health Services (NASDAQ: MGLN) today announced they are forming a joint venture to apply to participate in a new demonstration program that will provide integrated health care to individuals aged 21 to 64 years who are dually-eligible for Medicare and Medicaid.
Massachusetts is preparing to be one of the first states in the nation to launch a dual-eligible demonstration program being offered by the Centers for Medicare & Medicaid’s Federal Coordinated Health Care Office. Under the demonstration, MassHealth and CMS will use combined Medicaid and Medicare funding to contract with selected integrated care organizations (ICO) to provide enrollees with comprehensive, integrated services that address their full range of medical and behavioral health needs.
Dual-eligible adults under the age of 65 typically have complex care needs—they may be disabled and often have serious mental illnesses. In pursuing participation in the state’s demonstration program, FCHP will rely on its significant experience in developing and delivering high-quality, comprehensive services to vulnerable individuals. FCHP currently serves frail elders through Summit ElderCare ®, its Program of All-inclusive Care for the Elderly, and NaviCare ®, its Medicare Advantage Special Needs Plan/Senior Care Options program. Magellan’s strong experience in providing behavioral health services and its commitment to a model of care that integrates those services with comprehensive medical and physical health care management will support the program’s objective of meeting enrollees’ full range of needs.
“Massachusetts continues to take the lead on finding innovative ways to more efficiently and effectively deliver care to all residents, especially those who are most vulnerable. FCHP and Magellan hope to help make this demonstration program a success,” said Patrick Hughes, FCHP President and CEO. “For FCHP, this furthers our mission of ‘making our communities healthy’ and our strong interest in increasing access to high-quality, affordable care. We’re pleased to partner with Magellan, a leading provider of behavioral health services that, like FCHP, is committed to being part of the health care solution.”