• The HPC Patient-Centered Medical Home (PCMH) Certification Program

    HPC’s PCMH Public Comment Period (February 27, 2015 – April 10, 2015)

    On February 27, 2015, the Health Policy Commission released a request for public comment for its proposed Patient-Centered Medical Home (PCMH) Certification Program framework, and accepted public comment through April 10, 2015.

    HPC sought comments from the public related to its proposed PCMH certification program, particularly centered around the following:

    • Discussion on the value of proposed HPC modifications to achieve the goals of cost containment, improved quality, and improved patient experience and engagement
    • Assessment of the clinical, operational, and financial feasibility in implementing each of the proposed HPC PCMH standards, along with recommendations for modifications, if needed, that would achieve the goals described above.

    During the public comment period, HPC received valuable stakeholder insight and feedback, and we look forward to continued engagement as we finalize the design of the PCMH certification program. Please check the HPC website regularly for updates, and please email HPC-PCMH@state.ma.us with questions.

    Pursuant to G.L. c. 6D, §14, the HPC is required to “develop and implement standards of certification for patient-centered medical homes.”  The purpose of this certification process is to complement existing local and national care transformation and payment reform efforts, validate value-based care, and promote investments in efficient, coordinated, and high-quality primary care.

    The HPC has determined that a partnership with the National Committee for Quality Assurance (NCQA) is the best option for the HPC to operationalize its PCMH certification program. On January 20, 2015, the HPC Board authorized proceeding with executing a contract with the NCQA following the issuance of a notice of intent to accept a best value offer. A potential NCQA-HPC collaboration will enable the HPC to build on NCQA’s PCMH standards, while providing flexibility for making modifications and additions specific to Massachusetts. These modifications and additions, paired together, will make up the requirements of the HPC’s PCMH Certification Program.

    In addition to certification standards, the HPC PCMH program will include technical assistance, payer engagement (including development of PCMH model payment methods), consumer education/marketing, and anticipates a data support component for quality improvement activities.

    Inquiries about the HPC PCMH certification program may be sent to HPC-PCMH@state.ma.us.