Finding traditional health systems ineffective at addressing the social determinants of health, some communities are trying to establish public trust funds to help deliver preventive health and support. The Prevention and Wellness Trust Fund of Massachusetts is probably the most ambitious to date. The Trust has $60 million to spend over four years on grants to communities, health care providers, regional-planning agencies, employers and other entities. The money comes from a tax on insurers and an assessment on large hospital systems.
