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Baker urges big shift in health care payment models


If policymakers wish to deal with rising prices and guarantee Bay Staters obtain high quality health care, they need to deal with an outdated payment mannequin that focuses extra on reacting to relatively than stopping diseases, Gov. Charlie Baker stated Wednesday.

Kicking off a day of high-level coverage dialogue and evaluation on the Health Policy Commission’s newest annual price developments listening to, Baker praised the state’s health care system for its efficiency through the COVID-19 pandemic however warned {that a} depleted workforce poses potent ongoing challenges.

The outgoing governor warned the panel that it is going to be “actually exhausting to get to the place you wish to go” until officers accomplish a systemwide shift in paying for health care companies.

“Somehow, we’ve got to get out from underneath a payment mannequin that was designed in 1968 and get to 1 that has a little bit extra relevance to the twenty first century,” Baker informed reporters after his testimony. “That one in my thoughts means paying extra upfront so that you just pay much less on the again, as a result of the way in which the system nonetheless works now regardless of lots of people’s greatest efforts is many of the cash we spend is after folks get sick. We aren’t doing, in my view, anyplace close to sufficient to maintain them wholesome in the primary place.”

Wednesday’s occasion is the primary in-person price developments listening to since COVID-19 upended public life and positioned huge pressures on the health care system. In addition to Baker, the fee plans to listen to testimony from U.S. Sen. Ed Markey, Attorney General and gubernatorial candidate Maura Healey, and several other professional panels.



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