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New health care policies, including the most recent Medicaid redesign in Massachusetts, have incentivized the creation of partnerships between health care and community-based organizations (CBOs). Such partnerships are thought to be an important strategy to address “upstream” causes of poor health among Medicaid beneficiaries, including unstable housing and poor nutrition. Although much has been written about the potential value of these partnerships to health care organizations, much less is known about how CBOs perceive these policy changes and their organizational impact.
The session will elaborate on Lauren Taylor’s recent paper with Elena Byhoff, “Money Moves the Mare,” which explores a strategic tension faced by CBOs in deciding how to respond to new Medicaid incentives. The findings are drawn from interviews with 45 community-based organization leaders in Massachusetts. The authors find that CBOs value their autonomy and distin