CMS State Innovation Model Test Award - Massachusetts

Program Location: 
Boston, MA
Payer Type: 
Grant
Payers: 
Medicaid
Description: 

The Massachusetts model builds upon the state's history of health care innovation and multi-stakeholder engagement, its work to expand coverage, and recent legislation that commits the Commonwealth and all of its payers and providers to an ambitious transformation of the health care delivery system.  In the Massachusetts model, primary care practices will be supported as they transform themselves into patient-centered medical homes capable of assuming accountability for cost and offering care coordination, care management, enhanced access to primary care, coordination with community and public health resources, and population health management. The Massachusetts model will strengthen primary care through shared savings/shared risk payments with quality incentives based on a statewide set of quality metrics, as well as payments to support practice transformation. 

Payment Model: 

The Massachusetts model will strengthen primary care through shared savings/shared risk payments with quality incentives based on a statewide set of quality metrics, as well as payments to support practice transformation. This award will be used to support public and private payers in transitioning to the specified model; to enhance data infrastructure for care coordination and accountability; to advance a statewide quality strategy; to integrate primary care with public health and other services; and to create measures and processes for evaluating and disseminating best practices.

Last updated February 2015
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