NEJM July 1, 2022
Andrew Dreyfus and Thomas H. Lee, MD, MSc

The CEO of Blue Cross Blue Shield of Massachusetts describes his work in making population-based contracts a norm in the state and what still needs to be done to improve health care affordability and access.

Summary

The CEO of Blue Cross Blue Shield of Massachusetts describes the upsides and downsides of the Alternative Quality Contract and population-based contracts in general, and shares his thoughts on what still needs to be done in the state to improve care affordability and access, particularly in the areas of chronic disease, mental health, health equity, and telehealth. He emphasizes how the collaborative spirit of payer-provider relations in Massachusetts helped the state achieve near-universal...

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