The HPC’s certification programs set standards for Accountable Care Organizations (ACO) and Patient-Centered Medical Homes (PCMH) in order to promote the adoption of new delivery system models in the Commonwealth.
The purpose of the HPC’s Accountable Care Organization and Patient Centered Medical Home certification programs is to establish standard competencies for delivering value based care in a way that complements existing local and national care transformation and payment reform efforts and promotes payer investment in efficient, high-quality, and cost-effective care. The HPC’s ACO certification program recognizes providers that demonstrate key ACO capabilities such as provision of patient-centered care, participation in quality-based risk contracts, population health management, use of evidence-based and data-driven strategies to improve care delivery, and commitment to addressing long-standing health inequities. The HPC’s PCMH certification program promotes integration of behavioral health into primary care by certifying primary care PCMH practices that demonstrate key behavioral health capabilities. The HPC PCMH certification program builds upon the National Committee for Quality Assurance (NCQA) PCMH Recognition standards and NCQA’s Distinction in Behavioral Health Integration.