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, encourage value-based care delivery, and promote investments by all payers in high-quality and cost-effective care across the continuum. The HPC’s ACO Certification program also complements its PCMH Certification program.
In 2016-2017, the HPC collaborated with MassHealth and other state purchasers to develop a certification program that aligns with payment reform efforts. The launch of the ACO Certification program in 2017 made Massachusetts the first state to have statewide, all-payer standards for care delivery. A total of 18 ACOs that collectively serve approximately 2.86 million commercial, Medicare, and MassHealth patients achieved certification in 2017 or 2018 under these standards. Certification is effective for a term of two years.
The program serves as a source for a series of briefs, profiles, and webinars that offer transparent, publicly available information about how ACOs are structured and operating today. These products can be found in the “Additional Resources” section below. Questions about the ACO Certification program may be sent to HPC-Certification@mass.gov.
In late 2018 and early 2019, the HPC engaged stakeholders in a process to update the ACO Certification standards and received feedback from a variety of respondents, including certified ACOs, public health and advocacy organizations, and professional and trade associations. The final standards were reviewed and approved by the HPC’s Care Delivery Transformation Committee at its February 27, 2019 meeting.
The 2019 Application Requirements and Platform User Guide (PUG) is now available. Assistance, including weekly ‘office hours’ conference calls, and written guidance on application requirements, as well as training on use of the ACO application submission system, will be available from the HPC in the summer of 2019. We anticipate that the application submission system will be open to ACO applicants by September 1, 2019 and that the deadline for submissions will be October 1, 2019.
Key Resources for 2019 Applicants
Getting Started: Overview of the ACO Certification Program Application Portal
ACO Certification Application Portal: Submitting an Intent to Apply
ACO Certification Application Portal: Filling out the Application
2019 Application Requirements and Platform User Guide (PUG)
PUG - Risk Contracts Template
PUG - Governance Structure Key Personnel Template
Recent and Upcoming Events
June 27, 2019, 2:00-3:30pm:
Application Requirements Overview Webinar Recording
Application Requirements Overview Presentation
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.
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.
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
Health Collaborative of the Berkshires, LLC
Mount Auburn Cambridge Independent Practice Association, Inc.
Merrimack Valley Accountable Care Organization, LLC