CHA Announces State Certification for New ACO Program

Cambridge Health Alliance (CHA), an academic community health system serving Cambridge, Somerville and Boston’s metro-north region, is excited to announce that the Massachusetts Health Policy Commission (HPC) has certified it as an Accountable Care Organization (ACO) in its new, first-in-the-nation program. The HPC’s first round of ACO Certification includes 17 HPC-certified ACOs and is a significant milestone for Massachusetts, making it the first state to implement state-wide, all-payer standards for care delivery.

“This is a very important step for CHA, our patients and our community. This accreditation from the HPC will allow us to play a major role in transforming how we structure and deliver health care in Massachusetts. We are excited to partner with the HPC, Mass Health and the Tufts Health Public Plans to create truly innovative ways of providing care to our patients,” noted Lisa Trumble, Senior Vice President, Accountable Care Performance at CHA.

The HPC’s ACO Certification Program is closely aligned with efforts by the Executive Office of Health and Human Services (HHS) and the Office of MassHealth to improve health and reduce health care cost growth in the Commonwealth through ACOs. The goal is a health care delivery system that delivers coordinated, patient-centered health care that accounts for patients’ behavioral, social, and medical needs.

“The ACO program represents a significant change in the way MassHealth contracts with health care organizations throughout the state,” said Massachusetts Secretary for Health and Human Services, Marylou Sudders. “The goal of the ACO program is to improve the care coordination and health outcomes for 850,000 MassHealth members and we are pleased they all met the thorough certification standards.”

For the first year of the program, the HPC defined a set of criteria on which to assess ACOs for certification against that goal. However, unlike other state or federal programs, the HPC’s certification program evaluates ACOs on an all-payer basis, including for their Medicaid, Medicare, and commercially-insured patient populations.

“The ACO Certification Program will bring new transparency and information to the public regarding how ACOs are structured and operating today,” said David Seltz, HPC Executive Director. “The HPC expects to analyze the information received and identify best practices and areas of improvement for payers, policy-makers, researchers, providers, and consumers.”

In order to be evaluated for certification, organizations were required to provide information for 15 standards, including patient-centered governance, performance improvement strategy, experience in quality-based risk contracts, population health management programs, and ability to coordinate cross-continuum care. Full certification is effective for two years and organizations with provisional certification must apply for full certification within one year.

Cambridge Health Alliance is an academic community health system committed to providing high quality care in Cambridge, Somerville and Boston’s metro-north communities. CHA has expertise in primary care, specialty care and mental health/substance use services, as well as caring for diverse and complex populations. It includes three hospital campuses, a network of primary care and specialty practices and the Cambridge Public Health Dept. CHA patients have seamless access to advanced care through the system’s affiliation with Beth Israel Deaconess Medical Center in Boston. CHA is a Harvard Medical School teaching affiliate and is also affiliated with Harvard School of Public Health, Harvard School of Dental Medicine and Tufts University School of Medicine. For more information, visit www.challiance.org.