Long-term services and supports (LTSS) enable hundreds of thousands of people of all ages in Massachusetts to live with independence and dignity, participate in their communities and increase their overall quality of life. MassHealth, the Commonwealth's Medicaid program, is the largest payer of LTSS, spending $4.5 billion on LTSS in 2015, representing nearly one-third of all MassHealth spending and 12 percent of the state budget.

In a new report for the Massachusetts Medicaid Policy Institute, a program of the Blue Cross Blue Shield of Massachusetts Foundation, Manatt Health lays out a vision for MassHealth LTSS that is person-centered, integrated, sustainable, accountable and actionable. The report also presents options for Massachusetts policymakers to consider when tackling some of the most intractable challenges facing the Commonwealth's LTSS system.