HD 5216 Massachusetts House · 193rd Legislature (2023-2024)

A communication from the Executive Office of Health and Human Services (see item 4000-0500 of Section 2 of Chapter 28 of the Acts of 2023) submitting its comparative analysis of the rate differential for inpatient psychiatric and substance use hospital per diem payments reports on the outcomes achieved by Accountable Care Organizations (ACOs) and Community Partners

This document is a formal report submitted by the Executive Office of Health and Human Services to state legislative committees, rather than a new bill that creates or changes laws. It provides a comparative analysis of payment rates for inpatient psychiatric and substance use treatment hospitals under MassHealth, comparing the standard government rates with those paid to various managed care organizations. The report details specific data showing that while some managed care plans pay higher rates than the standard fee-for-service model, others pay significantly less, with the analysis covering both adult and child services. The text serves as an informational submission required by a previous 2023 law, offering transparency on how different healthcare providers are compensated for these specific services.
Bill status introduced 1 of 4 stages cleared
Introduction
Jun 2024
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Governor
Introduced Jun 27, 2024 Last action Jun 27, 2024
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