Post Content

David Morales, DHCFP Logo

 

 

Over the past few months, I've provided you with updates regarding the Division's work on Chapter 288, the small business health care bill passed in August. Section 64 of Chapter 288 directs the Division to foster the adoption of one of many an innovative methods being utilized  in health care delivery: bundled payments.

Bundled payments combine payments for all relevant services associated with a defined episode of care, such as hospital admission, ambulatory care, and other clinical services, under one single fee. Bundled payments – if structured correctly – will encourage providers to work together to coordinate patient care, improve quality, reduce adverse events, and thereby reduce costs. It may also support transparency and allow consumers and employers to know up-front what the cost of their care will be and offer them the opportunity to compare similar services among different providers.

As such, the Division is currently reviewing the existing landscape of bundled payments nationally, in order to most effectively facilitate their adoption in the Commonwealth. We have been examining approaches like Minnesota's work around defining “baskets of care” and the Health Care Incentives Improvement Institute development of the PROMETHEUS payment model.  We are also actively meeting with stakeholders to gather information about similar arrangements that may already exist among private payers in Massachusetts. In addition, we have assembled a group of representatives from various state government agencies to design a strategy that will promote bundled payment pilot programs.

Over the next few months, the Division will publish a series of reports to assist organizations that may be considering bundled payments. The reports will describe existing bundled payment structures, available funding and logistical support, suggest acute and chronic conditions around which to build bundled payments, and discuss how bundled payments may encourage a transition toward a more integrated payment model.

This initiative will require hard work, collaboration, and creativity among a multitude of stakeholders in the Massachusetts health care system. This process also will bring all of us closer to a health care system that rewards value and prioritizes containing rising health care costs for employers and consumers.

I look forward to continuing the discussion about new methods to contain costs and improve the health care delivery system in Massachusetts.

 

—-

As a part of our commitment to transparency and engagement in government, the Massachusetts Division of Health Care Finance and Policy uses several social media tools including Twitter, Blogs, and RSS feeds. We use these tools to keep you informed about the work we are doing and as a way to get feedback. You can follow us on Twitter, and you can learn more by visiting the Commonwealth Conversations: Mass Health Care blog.

Written By:

Recent Posts

Celebrating Our Rural Communities posted on Nov 16

Celebrating Our Rural Communities

Nearly 60 million people live and work in rural America. In Massachusetts, about 650,000 people call one of our 160 rural towns home. Rural communities are great places to live, work, and play, but they also face unique healthcare challenges. That’s why each year the   …Continue Reading Celebrating Our Rural Communities

Deck the Halls – Safely posted on Nov 13

Deck the Halls - Safely

Holiday decorations are a surefire way to boost a community’s holiday spirit. The bright colors and lights of the holiday decorations make the 4:00 p.m. sunset a little easier to handle.  When I’m decorating, my training kicks in and I think about safety as I   …Continue Reading Deck the Halls – Safely

Weekly Flu Report, November 10, 2017 posted on Nov 10

The latest weekly flu report indicates that rates of flu-like illness continued to climb over the past seven days. Flu season still has a way to go before reaching its peak, and between that and the holidays approaching, there’s never been a better time to get your   …Continue Reading Weekly Flu Report, November 10, 2017