Massachusetts H2537 proposes an all-payer primary care capitation model to enhance primary care access and quality.
Massachusetts H2537 introduces an all-payer primary care capitation model, a value-based payment system where insurers pay providers per-member per-month for primary care. This model aims to improve primary care access, patient experience, and health equity. It includes enhanced payments for advanced primary care services, quality measures, and reporting requirements. The bill also mandates that health care entities unable to meet primary care expenditure targets implement performance improvement plans.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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