WHAT, NO RA­TIONING?

Mas­sachusetts will try many ways to stem the growth in health­care spend­ing with a law that:

Modern Healthcare - - COVER STORY - Source: Mas­sachusetts Se­nate MOD­ERN HEALTH­CARE GRAPHIC

Sets tar­gets tied to the state’s eco­nomic growth. Col­lects $225 mil­lion in sur­charges from hos­pi­tals and pay­ers. Cre­ates a $135 mil­lion trust fund for dis­tressed hos­pi­tals. Puts $60 mil­lion over four years to­ward preven­tion and pub­lic health. Com­mits $30 mil­lion to speed adoption of EHRs. Re­quires providers to re­port fi­nan­cial re­sults, mar­ket shares, costs trends and qual­ity mea­sures. Re­quires Med­i­caid and other state health pro­grams to adopt new pay­ment mod­els. Raises Med­i­caid pay rates for providers that tran­si­tion to new pay­ment mod­els. Gives con­tract­ing pref­er­ence on state health pro­grams to cer­ti­fied ACOs. Calls for re­views of changes in qual­ity, costs and com­pe­ti­tion; find­ings may trig­ger at­tor­ney gen­eral in­ves­ti­ga­tions.

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