MA Health Policy Commission
@Mass_HPC
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The Massachusetts Health Policy Commission (HPC) is committed to better health and better care – at a lower cost – for all residents of the Commonwealth.
Boston, MA
Joined December 2012
RT @Mass_CHIA: CHIA has published a new dashboard on Massachusetts nursing facilities. This online resource shows industry-level and facil…
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The HPC invests in programs to address these disproportionate outcomes, expand the workforce of doulas and midwives, & improve the care and patient experience of Black birthing people specifically. Explore maternal health research & investment programs:
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Read more about the New Beginning Program: Read more about the C4SEN Investment Program:
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📢Application deadline TODAY, January 21st!📢 Apply for the HPC's 2025 Summer Fellowship program:
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Explore the HPC’s new report, A Dire Diagnosis: The Declining Health of Primary Care in Massachusetts and the Urgent Need for Action. 📊Read more: #PrimaryCare #HealthPolicy #HealthcareWorkforce #HealthEquity
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This concludes today’s HPC Board Meeting. Thank you to our commissioners, presenters, and all of you for following along!
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Applications for the HPC Summer Fellowship Program are now open. Learn more and apply:
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On May 23, 2024, the HPC formally initiated the Cost and Market Impact Review (CMIR) process for the proposed affiliation between Dana-Farber Cancer Institute (DFCI), Beth Israel Deaconess Medical Center (BIDMC), & Harvard Medical Faculty Physicians at BIDMC (HMFP).
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Since 2013, the HPC has reviewed 184 market changes.
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The meeting now turns to the Executive Director’s Report
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Next Steps: New Primary Care Payment and Delivery Task Force
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The work of primary care has become unsustainable in Massachusetts, and action is urgently needed. The HPC recommends: ➡️Reduce Sources of Administrative Burden and Burnout ➡️Strengthen the Primary Care Provider Pipeline ➡️Increase Spending for Primary Care
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Community health centers are less able to compete on wages, which can lead to high staff turnover.
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In Massachusetts community health centers, the number of nurse practitioners and physician assistants now exceeds the number of physicians.
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The challenges facing traditional primary care have created an opportunity for new entrants and new care models. Concierge models offer improved job sustainability for clinicians but may contribute to broader primary care access challenges.
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Greater clinician workforce diversity would be beneficial for patients.
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Lack of adequate support is also challenging for primary care providers, and in addition to lower pay, primary care physicians face high administrative burden and lack of adequate support, fueling burnout and workforce sustainability challenges.
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Physician specialists typically earn much more than primary care physicians, which can disincentivize new physicians from going into primary care. Advanced-practice providers also have financial disincentives to enter primary care.
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