Massachusetts General Laws
Chapter 6d - Health Policy Commission
Section 5 - Monitoring of Health Care Delivery and Payment System

Section 5. The commission shall monitor the reform of the health care delivery and payment system in the commonwealth under this chapter. The commission shall: (i) set health care cost growth goals for the commonwealth; (ii) enhance the transparency of provider organizations; (iii) monitor the development of ACOs and patient-centered medical homes; (iv) monitor the adoption of alternative payment methodologies; (v) foster innovative health care delivery and payment models that lower health care cost growth while improving the quality of patient care; (vi) monitor and review the impact of changes within the health care marketplace and (vii) protect patient access to necessary health care services. The commission shall establish goals that are intended to reduce health care disparities in racial, ethnic and disabled communities and in doing so shall seek to incorporate the recommendations of the health disparities council and the office of health equity.

Structure Massachusetts General Laws

Massachusetts General Laws

Part I - Administration of the Government

Title II - Executive and Administrative Officers of the Commonwealth

Chapter 6d - Health Policy Commission

Section 1 - Definitions

Section 2 - Health Policy Commission; Governing Board; Members; Duties and Powers; Annual Report

Section 2a - Confidentiality of Nonpublic Clinical, Financial, Strategic or Operational Documents

Section 3 - Board Powers and Duties

Section 4 - Advisory Council

Section 5 - Monitoring of Health Care Delivery and Payment System

Section 6 - Payment by Acute Hospital, Ambulatory Surgical Center or Surcharge Payor for Estimated Expenses of Commission

Section 7 - Administration of the Healthcare Payment Reform Fund; Competitive Process for Development of Health Care Payment and Service Delivery Models; Annual Report

Section 8 - Public Hearings; Witnesses; Annual Report

Section 8a - Pharmaceutical Drug Pricing; Manufacturer Disclosure of Pricing Information; Determination of Supplemental Rebate, Proposed Value or Reasonableness of Pricing of a Drug

Section 9 - Health Care Cost Growth Benchmark; Modification

Section 10 - Notice to Health Care Entities Exceeding Health Care Cost Growth Benchmark; Performance Improvement Plan; Waiver; Penalty for Failure to Comply

Section 11 - Registration Program for Provider Organizations; Division of Insurance Risk Certificate

Section 12 - Negotiation of Network Contracts by Unregistered Provider or Provider Organization Prohibited

Section 13 - Notice of Material Changes to Operations or Governance Structure of Provider or Provider Organization; Cost and Market Impact Review

Section 14 - Standards of Certification for Patient-Centered Medical Homes; Coordination of Care; Quality Standards

Section 15 - Certification as Accountable Care Organization (Aco); Standards

Section 16 - Office of Patient Protection; Powers and Duties; External Review System

Section 17 - Annual Report; Audits

Section 18 - Adoption of Regulations to Implement Chapter 6d

Section 19 - Early Childhood Investment Opportunity Grant Program