John Gets Back to His Life

A Story from MassHealth Senior Care Options

Synopsis of Work: The Medicare/Medicaid Integration Program (MMIP) (1997 to 2006) was a state demonstration program that tested the operation and design of delivery systems that integrate long-term and acute care services under combined Medicare and Medicaid capitation payments for elderly patients.

Story Told: John had chronic physical health problems and mental health issues so bad that he could barely get dressed. The 73-year-old man had trouble managing his medications and was losing weight.

John used to check himself into the hospital regularly to get help. Then he joined MassHealth Senior Care Options, which enrolled him in Senior Whole Health (a senior care network comprised of medical and other professionals created specifically to serve low-income seniors).

Staff at Senior Whole Health first secured John a stay at a short-term care facility. This enabled him to build his strength while preventing an unnecessary hospitalization. After he left the facility, John went back home and was soon back to enjoying his walks around downtown Boston.