Slide 1: One Care Implementation Council Meeting
Executive Office of Health & Human Services
MassHealth Demonstration to Integrate Care for Dual Eligibles
May 11, 2021 10:00 AM – 12:00 PM
Virtual Meeting via Zoom
Slide 2: Topics to be discussed...
•	Change in Care Coordinator to Member Ratios over time
•	Update on COVID-19 Morbidity and Mortality in Integrated Care Plans
Slide 3: Care Coordinator to Member Ratio (NORC Core Measure 5.1)
Note: the following information was shown in a bar chart.
Members per FTE Care Coordinator
CCA
2015=92.09
2016=92.7
2017=82.06
2018=77.28
2019=85.87
2020=111.02

Tufts
2015=147.71
2016=150.59
2017=106.86
2018=106.14
2019=45.75
2020=38.76
Slide 4: Care Coordinator to Member Ratio (NORC Core Measure 5.1), cont.
Note: the following information was shown in a bar chart.

Percentage of FTE Care Coordinators Who Were Assigned to Care Management and Conducting Assessments

CCA
2015=45.6%
2016=63.8%
2017=36.8%
2018=30.0%
2019=22.5%
2020=10.4%

Tufts
2015=100.0%
2016=100.0%
2017=96.4%
2018=96.4%
2019=48.3%
2020=44.6%
Slide 5: Care Coordinator to Member Ratio (NORC Core Measure 5.1), cont.
Note: the following information was shown in a bar chart.

Percentage of FTE Care Coordinators Who Left the Plan during the Reporting Period

CCA
2015=14.0%
2016=18.1%
2017=10.8%
2018=25.6%
2019=12.7%
2020=14.0%

Tufts
2015=17.6%
2016=5.6%
2017=9.7%
2018=9.7%
2019=32.6%
2020=16.2%
Slide 6: Integrated Care Plan-reported COVID-Positive Cases and Deaths
For discussion purposes only – this data is self-reported, unofficial, and preliminary

Note: the following information was shown in a bar chart.

Integrated Care plans – COVID Positive Cases and Deaths

•	One Care (Ages 21-64), 4/1/21 Enrolled=33,084
o	Positive Cases: 1,448(4.4%)
o	Deaths: 114(.03%)

•	PACE (Ages 55+)*, 4/1/21 Enrolled=4,706
o	Positive Cases: 1,243(26.4%)
o	Deaths: 260(5.5%)

•	SCO (Ages 65+), 4/1/21 Enrolled=67,790
o	Positive Cases: 4,887(7.2%)
o	Deaths: 1,052(1.6%)

The above graph displays the cumulative number of positive cases and deaths of Enrollees in Integrated Care Plans from March 16, 2020-April 31, 2021. Percentages are cases divided by April 1, 2021 enrollments.

*All PACE participants are at a Nursing Facility Level of Care
Slide 7: Integrated Care Plans – Monthly COVID-Positive Cases and Deaths
For discussion purposes only – this data is self-reported, unofficial, and preliminary

Note: the following information was shown in a graph.

One Care Plans – Monthly COVID Positive Cases and Deaths

One Care Positive
•	2020
o	March=77
o	April=602
o	May=266
o	June=92
o	July=42
o	Aug=24
o	Sept=13
o	Oct=36
o	Nov=55
o	Dec=110
•	2021
o	Jan=58
o	Feb=9
o	March=4
o	April=2
One Care Deaths
•	2020
o	March=6
o	April=34
o	May=32
o	June=12
o	July=1
o	Aug=14
o	Sept=0
o	Oct=9
o	Nov=0
o	Dec=5
•	2021
o	Jan=0
o	Feb=0
o	March=1
o	April=0
Slide 8: Integrated Care Plans – Monthly COVID-Positive Cases and Deaths
For discussion purposes only – this data is self-reported, unofficial, and preliminary

Note: the following information was shown in a graph.

PACE Plans- Monthly COVID Positive Cases and Deaths 

PACE Positive
•	2020
o	March=41
o	April=527
o	May=134
o	June=21
o	July=13
o	Aug=13
o	Sept=10
o	Oct=12
o	Nov=82
o	Dec=194
•	2021
o	Jan=12
o	Feb=82
o	March=194
o	April=12

PACE Deaths
•	2020
o	March=33
o	April=95
o	May=50
o	June=10
o	July=8
o	Aug=3
o	Sept=3
o	Oct=7
o	Nov=4
o	Dec=17
•	2021
o	Jan=7
o	Feb=4
o	March=17
o	April=7
Slide 9: Integrated Care Plans – Monthly COVID-Positive Cases and Deaths
For discussion purposes only – this data is self-reported, unofficial, and preliminary

Note: the following information was shown in a graph.

SCO Plans- Monthly COVID Positive Cases and Deaths

SCO Positive
•	2020
o	March=182
o	April=2584
o	May=1038
o	June=400
o	July=78
o	Aug=61
o	Sept=71
o	Oct=191
o	Nov=349
o	Dec=902
•	2021
o	Jan=692
o	Feb=273
o	March=113
o	April=58
SCO Deaths
•	2020
o	March=33
o	April=458
o	May=318
o	June=54
o	July=19
o	Aug=29
o	Sept=6
o	Oct=8
o	Nov=15
o	Dec=41
•	2021
o	Jan=36
o	Feb=16
o	March=4
o	April=5
Slide 10: Morbidity and Mortality- What is the difference?
Morbidity is the proportion of a population that has a condition or illness. It can either be calculated at a specific point in time or over a specified period of time. It is often expressed as a percentage. Morbidity rate is often expressed in population units, typically as “per 100,000 people.”
Mortality refers to the number of deaths that have occurred due to a specific illness or condition. Mortality is often expressed in the form of mortality rate. This is the number of deaths due to an illness divided by the total population at that time. As with morbidity, mortality rate is often expressed in population units, typically as “per 100,000 people." 

Sources: What’s the Difference Between Morbidity and Mortality?
Morbidity and Mortality Weekly Report (MMWR)
Slide 11: Integrated Care Plans – COVID-19 Morbidity and Mortality Rates
For discussion purposes only – this data is self-reported, unofficial, and preliminary

Note: the following information was shown in tables.

First Table: Morbidity & Mortality Rate (per 100K pop.) for IC plans (N=Total members in each plan)

•	Morbidity
o	One Care=4,377
o	PACE=20,973
o	SCO=7,209
•	Mortality
o	One Care=345
o	PACE=5,525
o	SCO=1,192

Second Table: Monthly Morbidity & Mortality Rate (per 100 pop.) for IC Plans

One Care Morbidity
•	2020
o	March=233
o	April=1,820
o	May=804
o	June=278
o	July=127
o	Aug=73
o	Sept=39
o	Oct=109
o	Nov=166
o	Dec=332
•	2021
o	Jan=175
o	Feb=27
o	March=12
o	April=6

One Care Mortality
•	2020
o	March=18
o	April=103
o	May=97
o	June=36
o	July=3
o	Aug=42
o	Sept=0
o	Oct=27
o	Nov=0
o	Dec=15
•	2021
o	Jan=0
o	Feb=0
o	March=3
o	April=0
PACE Morbidity
•	2020
o	March=871
o	April=11,198
o	May=2,847
o	June=446
o	July=276
o	Aug=276
o	Sept=212
o	Oct=255
o	Nov=1,742
o	Dec=4,122
•	2021
o	Jan=255
o	Feb=1,742
o	March=4,122
o	April=255
PACE Mortalty
•	2020
o	March=701
o	April=2,019
o	May=1,062
o	June=212
o	July=170
o	Aug=64
o	Sept=64
o	Oct=149
o	Nov=85
o	Dec=361
•	2021
o	Jan=149
o	Feb=85
o	March=361
o	April=149
SCO Morbidity
•	2020
o	March=268
o	April=3,812
o	May=1,531
o	June=590
o	July=115
o	Aug=90
o	Sept=105
o	Oct=282
o	Nov=515
o	Dec=1,331
•	2021
o	Jan=1,021
o	Feb=403
o	March=167
o	April=86
SCO Mortality
•	2020
o	March=49
o	April=676
o	May=469
o	June=80
o	July=28
o	Aug=43
o	Sept=9
o	Oct=12
o	Nov=22
o	Dec=60
•	2021
o	Jan=53
o	Feb=24
o	March=6
o	April=7
*Total Membership (N) as of April 1, 2021
•	One Care=33,084
•	PACE=4,706
•	SCO=67,790
Slide 12: For discussion purposes only – this data is self-reported, unofficial, and preliminary
IC Plans Monthly Morbidity & Mortality Rates (per 100K pop.)
COVID-19 Data
Note: the following information was shown in a graph. It is a complication of the statistics show on slides 13 – 15.

Slide 13: For discussion purposes only – this data is self-reported, unofficial, and preliminary

One Care Monthly Morbidity & Mortality Rates (per 100K pop.)
COVID-19 Data

One Care Morbidity
•	2020
o	March=233
o	April=1,820
o	May=804
o	June=278
o	July=127
o	Aug=42
o	Sept=39
o	Oct=109
o	Nov=166
o	Dec=332
•	2021
o	Jan=175
o	Feb=27
o	March=12
o	April=6
One Care Mortality
•	2020
o	March=18
o	April=103
o	May=97
o	June=36
o	July=3
o	Aug=42
o	Sept=0
o	Oct=27
o	Nov=0
o	Dec=15
•	2021
o	Jan=0
o	Feb=0
o	March=3
o	April=0
Slide 14: For discussion purposes only – this data is self-reported, unofficial, and preliminary
Note: the following information was shown in a graph.

PACE Monthly Morbidity & Mortality Rates (per 100K pop.)
COVID-19 Data

PACE Morbidity
•	2020
o	March=871
o	April=11,198
o	May=2,847
o	June=446
o	July=276
o	Aug=276
o	Sept=212
o	Oct=255
o	Nov=1,742
o	Dec=4,122
•	2021
o	Jan=255
o	Feb=1,742
o	March=4,122
o	April=255

PACE Mortality
•	2020
o	March=701
o	April=2,019
o	May=1,062
o	June=212
o	July=170
o	Aug=64
o	Sept=64
o	Oct=149
o	Nov=85
o	Dec=361
•	2021
o	Jan=149
o	Feb=85
o	March=361
o	April=149
Slide 15: For discussion purposes only – this data is self-reported, unofficial, and preliminary
Note: the following information was shown in a graph.
SCO Monthly Morbidity & Mortality Rates (per 100K pop.)
COVID-19 Data

SCO Morbidity
•	2020
o	March=268
o	April=3,812
o	May=1,531
o	June=590
o	July=115
o	Aug=90
o	Sept=105
o	Oct=282
o	Nov=515
o	Dec=1,331
•	2021
o	Jan=10,21
o	Feb=403
o	March=167
o	April=86
SCO Mortality
•	2020
o	March=49
o	April=676
o	May=469
o	June=80
o	July=28
o	Aug=43
o	Sept=9
o	Oct=12
o	Nov=22
o	Dec=60
•	2021
o	Jan=53
o	Feb=24
o	March=6
o	April=7

Slide 16: One Care MassHealth + Medicare
Bringing your care together
VISIT US ONLINE, One Care

EMAIL US 
OneCare@mass.gov