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.
Weekly Flu Report, February 24, 2017 posted on Feb 24
The latest weekly flu report shows that rates of flu-like illness declined slightly over the past seven days. It’s too soon to tell if we’ve seen the peak of flu activity this season, and in any case. we can expect to see flu continuing to circulate in …Continue Reading Weekly Flu Report, February 24, 2017
Weekly Flu Report, February 17, 2017 posted on Feb 17
Rates of flu-like illness have risen over the past seven days, according to the latest weekly flu report. If you haven’t gotten your flu shot yet, it’s not too late – there’s still plenty of flu vaccine available. Call your health care provider or local board …Continue Reading Weekly Flu Report, February 17, 2017
Love Your Heart This Valentine’s Day! posted on Feb 14
By Eliza Mellion, M.S. This Valentine’s Day, don’t forget that—thanks to the American Heart Association—February is American Heart Month! It can be hard to resist the chocolates, candy hearts, and pink-frosted cupcakes that this holiday brings. While it’s fun to shower our loved ones with …Continue Reading Love Your Heart This Valentine’s Day!