A communication from the Executive Office of Health and Human Services (see Section 80(g) of Chapter 343 of the Acts of 2024) submitting a Massachusetts Health Policy Commission Primary Care Task Force report

Statutory Deliverable #4: Propose

Payment Models to Increase

Reimbursement for Primary Care

Introduction

The primary care crisis in Massachusetts is fueled not only by underinvestment, but also by the

misaligned incentives and high administrative burden exacerbated by traditional fee-for-service

(FFS) payment models that drive physician burnout and contribute to workforce shortages. 1 One

approach to support care delivery redesign in primary care to improve both patient and provider

experience is shifting towards multi-payer aligned Alternative Payment Models (APM). APMs are a

value-based reimbursement approach designed to reward providers for delivering high-quality,

coordinated, and cost-effective care rather than the volume of services provided. Several health