Massachusetts Medicaid buy-in: Feasibility of establishing a small employer premium sharing plan for participation in MassHealth


State Policies & Initiatives: 
Medicaid & Employment

~~“Pursuant to Chapter 47 of the Acts of 2017, this study examines the opportunities and challenges associated with allowing small employers to share premiums with or “buy into” MassHealth, the Commonwealth’s Medicaid program. Premium sharing would split the cost of covering employees who are eligible for the MassHealth program between MassHealth and the employer, while a buy in program would allow employees to enroll in a Medicaid benefit at any income but without subsidies and without federal “match” funding. Such a program could take many forms and achieve many different goals. This study outlines several approaches to premium sharing and buy-in programs and offers potential considerations for the General Court should it choose to approach this issue in the future.”

  • Medicaid Agencies
  • Resource Leveraging
Date Enacted: