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EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES v. TROCKI

No. 20-P-458.

100 Mass. App. Ct. 117 (2021)

EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES v. CYNTHIA TROCKI, personal representative.

Appeals Court of Massachusetts, Suffolk.

August 5, 2021.

Attorney(s) appearing for the Case

Charles E. Vander Linden, for the defendant.

Victoria Pulos for Massachusetts Law Reform Institute & others.

Phoebe Fischer-Groban, Assistant Attorney General, for the plaintiff.

Present: Rubin, Kinder, & Desmond, JJ.

Stephen Pekala was enrolled in a senior care organization (SCO) run by Fallon Community Health Plan (Fallon) open to those eligible for both Medicare and MassHealth.2 Between his enrollment and his death, MassHealth made monthly "capitation payments" to Fallon...

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