Massachusetts S750 establishes primary care expenditure targets and a prospective payment model for primary care providers.

Massachusetts S750 mandates the establishment of primary care expenditure targets by the Health Policy Commission, aiming for 8% of total health care expenditures in 2026, 10% in 2027, and 12% from 2028 onwards. The bill requires health care entities to file performance improvement plans if they fail to meet these targets, with potential civil penalties for non-compliance. It also introduces a primary care prospective payment model, allowing primary care providers to opt-in for monthly lump sum payments, adjusted based on quality measures and patient panel complexity.

Massachusetts S750 establishes primary care expenditure targets and a prospective payment model for primary care providers.

Massachusetts S750 mandates the establishment of primary care expenditure targets by the Health Policy Commission, aiming for 8% of total health care expenditures in 2026, 10% in 2027, and 12% from 2028 onwards. The bill requires health care entities to file performance improvement plans if they fail to meet these targets, with potential civil penalties for non-compliance. It also introduces a primary care prospective payment model, allowing primary care providers to opt-in for monthly lump sum payments, adjusted based on quality measures and patient panel complexity.