Health care is moving away from a fee-for-service payment system toward global payments for providers, a change that will help them better manage chronic conditions that include Type 2 diabetes, Judith Steinberg, MD, MPH, said in an article June 15 in Worcester Business Journal’s Central Massachusetts Health, a quarterly health care magazine.
Delivering care for patients through global payments, or a set budget for all services, give providers incentive to manage their patients’ health, said Dr. Steinberg, clinical associate professor at UMass Medical School and deputy chief medical officer of its Commonwealth Medicine division.
Steinberg said Commonwealth Medicine recently has worked with clients such as MassHealth, the Massachusetts Medicaid program, on health management initiatives that could include care plans to help patients with diet and exercise.
“Type 2 diabetes is probably the best example of a disease that’s related to our behavior,” Steinberg told Central Massachusetts Health.
Steinberg is an expert in the patient-centered medical home model of care. She has worked to help implement Massachusetts Primary Care Payment Reform, an initiative of MassHealth that aims to integrate behavioral health into the patient-centered medical home by using alternative payment strategies and quality incentives.
Under Steinberg’s leadership, Commonwealth Medicine was a partner with the Massachusetts Executive Office of Health and Human Services on the Massachusetts Patient-Centered Medical Home Initiative, a three-year multi-payer demonstration.
Steinberg’s team at UMass Medical School also is working to support practices and health care organizations in implementing such Massachusetts health care reform initiatives as One Care, the integrated care program for people with disabilities who are eligible for both Medicaid and Medicare.