Many people in Massachusetts have MassHealth insurance. If you have been injured in a Massachusetts personal injury accident, and MassHealth pays for your medical bills, they will have a lien on any monies you obtain via settlement. However, often MassHealth will reduce their lien prior to the time of settlement. Your Massachusetts personal injury lawyer will know how to effectively negotiate with MassHealth in order to reduce the amount of money you have to pay them. Of course, when negotiating any lien, it is imperative to negotiate before settlement. If negotiation occurs after settlement, your attorney does not have any negotiation leverage. That is because MassHealth knows that the case is settled, and they will expect to be reimbursed for the money they paid out on your behalf.