During the Boston Business Journal's Future of Health Care event, Steward Health Care System founder and CEO Dr. Ralph de la Torre called Medicaid one of the health system's biggest threats, in terms of both cost and care. De la Torre said Medicaid isn't doing enough to care for patients on a budgeted basis, resulting in more spending than is necessary. Andrew Dreyfus, CEO of Blue Cross Blue Shield of Massachusetts, said he shared De la Torre's frustrations with Medicaid, saying the government has no incentive to change Medicaid's largely fee-for-service reimbursement structure. The pair said Gov. Charlie Baker should use his authority to set budgets for each patient, the state already has some patients under Managed Medicaid plans. The Executive Office of HHS said the Baker administration had already done much to streamline Medicaid, but conversations to expand budgeted payments were underway.