One Care Early Indicators Project
By: Olivia Richard, Implementation Council
May 30, 2014

Slide 2: One Care Focus Groups
•	Goal 
o	Understand perceptions and experiences of members choosing to enroll in, opting out of, and auto-assigned into One Care
•	Members invited by phone to participate
o	Selected from a randomly-generated list of members living in the target area
o	Confidentiality of information and voluntary nature of group emphasized
•	Focus group explored
o	Knowledge of One Care/Information about One Care
o	The Process of Enrolling in One Care
o	Hopes for (Concerns about) One Care
•	4 groups conducted between December 2013 and April 2014
o	2 in Worcester; 1 in Boston; 1 in Springfield
o	Groups ranged in size from 3 to 11 participants
•	Discussions audio-recorded; recordings are transcribed

Slide 3: Findings: Members Self-selecting into One Care
•	Knowledge of and Information about One Care
o	Members had good understanding of One Care
o	Found One Care enrollment information easy to understand
•	Enrolling into One Care
o	Members found the enrollment process fairly easy
o	Found MassHealth Customer Service to be helpful
o	Made efforts to confirm that providers, pharmacies and medications would be covered before enrolling
•	Main reasons and hopes for enrolling into One Care
o	Less expensive/no co-payments for prescriptions
o	Having a care coordinator
o	Better dental coverage
o	One insurance/one insurance card
 
Slide 4: Findings: Members Opting-out of One Care
•	Knowledge of and Information about One Care
o	Members had basic awareness of One Care, but felt:
•	Enrollment Guide was “too generic” and not specific enough
•	One Care website did not provide enough information about providers and medications covered under One Care
•	Deciding to not enroll into One Care
o	Members felt more secure having Medicare and Medicaid
o	Several had providers that were not in One Care
•	Members’ concerns about One Care
o	Members expressed concern they may:
•	Lose current doctors and medications
•	Not get care when needed 
•	Have to wait for approvals for treatment or for appointment
•	One Care is new and unknown
o	“…it doesn’t have any history behind it, so you really don’t know what is going to happen in a year or two.”

Slide 5: Findings: Members Auto-assigned into One Care
•	Knowledge of and Information about One Care
o	Most were knowledgeable about One Care but were unaware that there are three One Care plans
o	Felt the amount of materials being sent was overwhelming
•	Enrolling into One Care
o	Were surprised to be auto-enrolled by MassHealth. Initially worried about the change.
o	Some received conflicting information from MassHealth Customer Service and the One Care plans regarding medications covered and providers participating in the plan
o	Had met with their Care Coordinator/Navigator and were happy with the services they were receiving.  Found the home visit to be helpful.
•	“He makes the appointments I want.  I don’t have to do it.  In turn, they call me back to explain: my appointment is for this date, I will be picked up…etc.  I like that.”
•	Main reasons for staying in One Care
o	Increased dental coverage and not having to pay co-pays on medications 
•	“I don’t have to pay for prescriptions, and I have a lot of prescriptions, so it is saving me a lot of money.” 

Slide 6: For More Information
•	Early Indicators Project reports and indicators are available online
o	Visit www.mass.gov/masshealth/onecare
o	Click on One Care News and Community