Pursuant to G.L., c. 6D, §15, the HPC is required to "establish a process for certain registered provider organizations to be certified as accountable care organizations." The purpose of the Certification program is to complement existing local and national care transformation and payment reform efforts, validate value-based care, and promote investments by payers in efficient, high-quality, and cost-effective care.
The HPC collaborated with MassHealth and other state purchasers to develop a certification program that aligns with payment reform efforts. The Commission voted to approve ACO Certification standards on April 27, 2016. Subsequently, the HPC developed detailed documentation requirements and an application system through which ACOs submit the required materials. This information can be found in the Application Requirements and Platform User Guide (PUG), linked on the right-hand side of the page.
In the spring of 2017, the HPC announced the certification of two ACOs under a beta testing phase of the application system: Boston Accountable Care Organization (BACO), and Community Care Cooperative (C3).
On December 29, 2017, the HPC announced that it has certified 15 additional ACOs. The first round of ACO Certification is a significant milestone in the implementation of Chapter 224, and makes Massachusetts the first state to implement state-wide, all-payer standards for care delivery. Certification is effective for a term of two years.
To assist the ACOs in the Certification process, the HPC held a series of instructional trainings and webinars. On March 22, 2017, the HPC held a webinar for stakeholders to review the ACO Certification application requirements and introduce the application system. This summer, the HPC hosted two in-person training sessions and a webinar on July 11, 2017, that provided an overview of the application and detailed guidance on how to use the system. Recordings of these webinars, as well as additional instructional videos, can be found by following the link on the right-hand side of this page.
The HPC’s ACO Certification program complements its PCMH Certification program (see page here).
Questions about the ACO Certification program may be sent to HPC-Certification@state.ma.us.
Atrius Health, Inc.
Baycare Health Partners, Inc., inclusive of Pioneer Valley Accountable Care, LLC; and Baystate Health Care Alliance, LLC
Beth Israel Deaconess Physician Organization, LLC (Beth Israel Deaconess Care Organization)
Boston Accountable Care Organization, Inc.
Cambridge Public Health Commission D/B/A Cambridge Health Alliance
Children’s Medical Center Corporation, inclusive of Children’s Hospital Integrated Care Organization, LLC; and Boston Children’s Health Accountable Care Organization (Boston Children’s Accountable Care Organization)
Community Care Cooperative, Inc.
Health Collaborative of the Berkshires, LLC*
Lahey Health System, Inc., inclusive of Lahey Clinical Performance Network, LLC; and Lahey Clinical Performance Accountable Care Organization, LLC
The Mercy Hospital, Inc., inclusive of Mercy Health Accountable Care Organization, LLC; and Riverbend Medical Group, Inc.
Merrimack Valley Accountable Care Organization, LLC*
Partners HealthCare System, Inc., inclusive of Partners HealthCare Accountable Care Organization, LLC
Reliant Medical Group, Inc., inclusive of Fallon 365 Care
Signature Healthcare Corporation D/B/A Signature Healthcare
Southcoast Health System, Inc., inclusive of Southcoast Accountable Care Organization, LLC; and Southcoast Health Network, LLC
Steward Health Care Network, Inc., inclusive of Steward Integrated Care Network, Inc.; and Steward Medicaid Care Network, Inc.
Wellforce, Inc., inclusive of Wellforce Care Plan, LLC; Lowell General Hospital/Lowell General Physician Hospital Organization; Circle Health Alliance, LLC; New England Quality Care Alliance, Inc.; and NEQCA Accountable Care, Inc.
*Denotes an ACO with Provisional Certification, effective until December 31, 2018.