• This page, Senior Care Options (SCO) studies and reports, is offered by
  • MassHealth

Senior Care Options (SCO) studies and reports

Download studies about the effectiveness of the SCO program & about the experience of its enrollees.

Senior Care Options (SCO) is a program that offers eligible Massachusetts residents a combined set of Medicaid and Medicare services. It began in 2004.

Massachusetts SCO evaluation – nursing facility residency and mortality summary report

About the studies

These studies compare the experiences of seniors who enroll in the SCO program to those using traditional fee for service Medicare & Medicaid. The most recent study (2015) also analyzed mortality rates between SCO enrollees & traditional fee for service Medicaid & Medicare patients. Its findings include:

  • a 12% reduction in the number of NF residency months in the SCO enrollee population compared to a
  • a 17% reduction in the risk of death between those who enroll in SCO and those using fee for service Medicaid & Medicare

Download the studies

  • 2015: Massachusetts SCO Evaluation Nursing Facility Residency and Mortality Summary Report  (pdf)(doc)
  • 2004 through 2010 Enrollment Cohorts: MassHealth SCO Program Evaluation Nursing Facility Entry Rate  (pdf)(doc)
  • Calendar Year 2004-2005 Enrollment Cohorts: MassHealth SCO Program Evaluation Nursing Facility Entry Rate (pdf)(doc)
  • Pre-SCO Enrollment Period CY2004 and Post-SCO Enrollment Period CY2005: Nursing Home Entry Rate (pdf) | (doc)

Senior Care Options evaluation phase 2: Report on interviews with members to learn about their experience

About the report

This report presents the findings of interviews conducted with 82 SCO enrollees in 3 languages (English, Spanish and Portuguese). Its goals were to:

  1. Evaluate the health care experience of SCO enrollees who are eligible for nursing homes 
  2. Compare the health care experiences of these SCO enrollees to enrollees in 2 other MA programs that serve similar people (the Program of All-inclusive Care for the Elderly and the elder Home and Community Based waiver program)

Download the report

  • (Dec. 2007) Senior Care Options Evaluation Phase 2: Member Experience Report of Individual Interviews  (pdf)(doc)
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