Its flagship academic medical centers in Boston, Massachusetts General Hospital and Brigham and Women’s Hospital, anchor a health care hub that is arguably the best in the country, if not the world. Reimbursement rates from insurers are growing more slowly than expenses.

BOSTON - Mass General Brigham, the largest health care system in Massachusetts, announced layoffs Monday that will affect hundreds of workers, citing a $250 million projected budget gap.

At the second largest Massachusetts hospital system, Beth Israel Lahey, president and CEO Kevin Tabb saw a reported 25% pay decrease between 2020 and 2022, according to tax documents reported through GuideStar. Though his compensation dropped to $2.8 million in 2022, it briefly spiked to $5.3 million in 2021.

Mass General Brigham attributed the layoffs to an expected budget shortfall of $250 billion over the next two years.

Facing rising costs and hoping to make its sprawling network more efficient, the state’s largest private employer aims to cut payroll costs by over $200 million.

Mass General Brigham announced mass layoffs aimed to bridge a $250 million budget gap projected over the next two years in a letter to employees Monday — meaning potentially hundreds of

Nonprofit giant Mass General Brigham will be laying off numerous nonclinical employees to close major budget shortfalls. | The major nonprofit system declined to put a number on the cuts and consolidations,

At least three high-level employees at Nantucket Cottage Hospital left abruptly recently, after the parent company of the island's only hospital announced layoffs last week.