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Massachusetts health insurers’ reluctance to join a national experiment to improve care for disabled lower income adults has forced the state to scale back the program even before it starts.
Half the insurers that were expected to participate backed out because they feared losing money, and that will mean fewer options for patients when enrollment opens for the voluntary “One Care” program in October.
Massachusetts is among the first states to roll out the national program to provide intensive services and cut costs for up to 2 million people with the most complicated and expensive medical needs. Some patient advocates say a smaller, slower start may be better for vulnerable patients, allowing time to work out the inevitable kinks of any new initiative.