Yesterday’s first meeting of the MAPOC Complex Care Committee underservice workgroup was very productive. (We need a shorter name). The committee is charged with designing a framework for monitoring under service in CT’s plan for health neighborhoods to cover people eligible for both Medicare and Medicaid. Advocates have raised concerns that a shared savings payment model may lead, even unintentionally, to people missing out on necessary care. The workgroup includes over half consumers and advocates, in addition to providers, academics and state agency representatives. The committee reviewed a survey to collect input for the monitoring system. The committee also plans to hear from NCQA accredited Accountable Care Organizations (ACOs), CT ACOs, search the literature, check with other states, and survey national groups.