Baker administration wants to change the way MassHealth works

Gov. Charlie Baker. Josh Reynolds / The Boston Globe

Charlie Baker’s administration is planning an overhaul of MassHealth, the state’s medicaid program, in an attempt to slow increasing costs, The Boston Globe reports.

As set up now, the MassHealth system pays for each medical service provided to a patient. The Baker administration’s solution is to change to a system in which hospitals and doctors are given budgets for each patient, called “accountable care,” the Globe reports.

The Boston Globe explains further:

Such models allow health care providers to take steps that might help patients but are not typically reimbursed under fee-for-service: for example, sending community health workers to check on patients at home, or providing rides for patients to get to medical appointments. Accountable care models give providers incentives to be as efficient as possible because they get paid per patient, not per service.

“We are at the forefront of doing something pretty big on how we structure the delivery system,” said assistant secretary for MassHealth Daniel Tsai.

MassHealth accounts for about 40 percent of the state’s $39.6 billion budget for 2016.

You can read the full story at The Boston Globe.

Jump To Comments


This discussion has ended. Please join elsewhere on