Chapter 224 of the Acts of 2012, An Act Improving the Quality of Health Care and Reducing Costs Through Increased Transparency, Efficiency and Innovation directs the HPC to develop and administer a registration program for Provider Organizations, through which those entities subject to the law will submit information on their organization, including organizational and operational structure and governance. The law also requires Provider Organizations to complete an annual filing with the Center for Health Information and Analysis (CHIA). The HPC and CHIA have created a single program – the Massachusetts Registration of Provider Organizations (MA-RPO) Program – that incorporates the required data elements for both the HPC and CHIA. Under the MA-RPO Program, a Provider Organization will submit an annual filing to the Commonwealth, which will satisfy its obligations under both M.G.L. c. 6D, § 11 and M.G.L. c. 12C.
The MA-RPO Program is a first-in-the-nation program that increases transparency of provider structure and performance, tracks changes in the healthcare market over time, and provides researchers, policymakers, market participants, and the public with access to the resulting dataset.
The MA-RPO program is guided by the following principles: administrative simplification, avoiding duplicative data requests through ongoing coordination with other state agencies, balancing the importance of collecting data elements with the potential burden to Provider Organizations, and phasing in the types of information that Provider Organizations must report over time.
MA-RPO Program Regulations
The MA-RPO Program is governed by two regulations: one issued by the HPC and one issued by CHIA.
The HPC’s regulation implements M.G.L. c. 6D §11 and creates the framework for Provider Organization registration, including applicability, registration and reporting processes, and specifies the type of information that will be collected by the Commission upon registration. The HPC’s regulation took effect on July 18, 2014.
The 2017 Filing includes two new files: (1) the Financial Statements file, and (2) the Alternative Payment Method and Other Revenue file. These files will be submitted as file attachments to each Provider Organization’s materials. Templates for each of these files can be found in the Forms section of the 2017 Filing page.
Provider Organizations will also respond to new data elements in the Contracting Entity file (RPO-65 and RPO-65A) regarding contract establishment and participation, and new data elements in the Clinical Affiliations file (RPO-133A through RPO-133D) relating to provider-to-provider discount arrangements.
The remainder of the 2017 Filing will include review and verification of the data elements submitted as part of Initial Registration.
2017 Filing materials are due by Tuesday, October 31, 2017 at 5:00 PM. For more information on the 2017 Filing requirements, please see the 2017 Filing tab on the left hand side of the page.