The report was released on July 15, 2021, by the Massachusetts Executive Office of Health and Human Services. It presents the state's plans for extending its current 1115 Medicaid waiver. Under the current 1115 waiver, MassHealth has significantly restructured the MassHealth program to shift the delivery system toward value-based care. The next waiver will build on the accountable care organization (ACO) restructuring, including bringing additional focus to primary care, behavioral health care, and health-related social needs; further moving the health care system away from fee-for-service payment structures; and ensuring the sustainability of safety net programs . . .