- Dr. David Cutler (Chair)
- Dr. Wendy Everett
- Mr. Rick Lord
- Mr. Renato Mastrogiovanni
- Secretary Kristen Lepore, Executive Office of Administration and Finance
What is the Focus of CTMP?
- Supporting HPC’s role of establishing the annual health care cost growth benchmark
- Guiding the preparation of the HPC’s annual cost trends report and hosting of annual cost trends hearings
- Overseeing material change notices and cost and market impact reviews of provider transactions
- Overseeing the development of the process for and implementation of performance improvement plans
CTMP in Action
- Health care cost growth benchmark: In Chapter 224 of the Acts of 2012, the Commonwealth established the ambitious goal of bringing health care spending growth in line with growth in the state’s overall economy by establishing the health care cost growth benchmark, a statewide target for the rate of growth of total health care expenditures. The HPC annually establishes the health care cost growth benchmark based on the potential gross domestic state product. The HPC established the benchmark for 2015 and 2016 at 3.6%.
- Cost Trends Report: Developed with CTMP Committee’s guidance on content and analytic approach, the HPC’s annual Cost Trends Report presents an overview of healthcare spending and delivery in Massachusetts, opportunities to improve quality and efficiency, and progress in key areas. It contains recommendations for strategies to increase quality and efficiency in Massachusetts. The report is informed by the Cost Trends Hearing, an annual two-day public examination into cost trends and drivers in the Commonwealth.
- Material Change Notices and Cost and Market Impact Reviews: The CTMP Committee developed regulations governing the process established in Chapter 224 for HPC’s review of provider organization transactions, including both the preliminary review of notices of material changes in governance or operations and a full cost and market impact review (CMIR). Where the HPC determines that the transaction may have a significant impact on health care costs or market functioning, it may conduct a CMIR, which results in a public report detailing the HPC’s findings. To date, the HPC has conducted four CMIRs.
- Performance Improvement Plans: Chapter 224 establishes a process administered by the HPC to require certain health care payers and providers to develop and implement Performance Improvement Plans (PIPs) with the goal of improved efficiency and reduced cost growth. The CTMP Committee is engaged in the development of a process for administering PIPs in 2016.
April 6, 2016
As recently outlined in the HPC’s 2015 Cost Trends Report, the HPC has identified out-of-network billing as an area of policy interest. In connection with the 2015 Cost Trends Report series, the HPC is releasing this Policy Brief, which provides more detailed information on out-of-network billing, related concerns, and policy approaches to address such concerns. The Policy Brief provides background for an upcoming joint meeting of the Cost Trends and Market Performance and Quality Improvement and Patient Protection Committees on April 6, 2016 at 10 a.m. at the HPC’s offices at 50 Milk Street, 8th Floor, Boston, MA 02109. The joint committee meeting will provide an opportunity for stakeholders and members of the public to provide comments to the HPC regarding out-of-network billing.
February 24, 2016
February 25, 2015
50 Milk Street, 8th Floor