With health care bill, Baker is diving into a policy fight he knows well

After closed-door talks crumbled last summer, Beacon Hill is hitting reset on its pursuit of sweeping health care legislation, with one major difference: This time, Governor Charlie Baker, a former health insurance executive, will push his own plan.

Last session, the Senate was first to craft health care legislation, which sought to bolster community hospitals by setting a “floor” for the payments they receive from insurers, while penalizing big teaching hospitals if spending grew too fast.

Benson said she’s “not married” to relying on assessments to deliver funds for community hospitals. Friedman said she has not settled on an approach, either, though she cautioned that the needs of community hospitals — which often struggle to compete with Boston’s big teaching hospitals — should be addressed. “They play too big of a role in serving the neediest and most vulnerable. We cannot ignore them,” Friedman said.

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