Delivering predictable revenues so that primary care providers can focus on their patients’ health.
Primary care practices participating in any of MassHealth’s Accountable Care Organizations (ACOs) are paid a fixed per-member, per-month rate for a set of primary care services. Sub-capitation rates are designed to cover typical primary care services and to increase MassHealth’s investment in primary care. Through the sub-capitation program, MassHealth is investing to help primary care providers shift their care model and operations away from typical fee-for-service medicine and towards more team-based, integrated primary care to improve their patients’ experience and quality of care, and to better support primary care providers.
