Performance Improvement Plan Proposal
Effective Apr 21, 2017Mass. Register #1337MGL c. 6D, § 10 MGL c. 6D, § 13Massachusetts Health Policy Commission
- (1) Proposed Performance Improvement Plans shall be filed in a manner and form prescribed by the Commission.
(2) Any proposed Performance Improvement Plan shall be developed by the PIP Entity and shall include, at a minimum:
- (a) Identification of the cause(s) of the PIP Entity's cost growth, with supporting analytic materials as applicable;
- (b) Specific strategies, adjustments, and action steps the PIP Entity proposes to implement to improve health care spending performance without compromising quality of or access to needed services;
- (c) A proposed timetable for implementing each strategy, adjustment or action step proposed in 958 CMR 10.09(2)(b), with an overall timetable for implementation of 18 months or less;
- (d) Specific identifiable and measurable expected outcomes, with a timetable for measurement, achievement, and reporting of such outcomes;
- (e) Proposed process and outcome metrics for evaluating the progress and success or failure of the Performance Improvement Plan;
- (f) Any requests by the PIP Entity for implementation assistance from the Commission;
- (g) Any documentation necessary to support any claims or assertions contained in the proposed Performance Improvement Plan;
- (h) A list of any regulatory reviews or filings that would be necessary to implement components of the Performance Improvement Plan; and
- (i) Other items as may be identified by the Commission from time to time.
- (3) The PIP Entity may consult with the Commission throughout development of the Performance Improvement Plan to ensure that the criteria of 958 CMR 10.09(2) have been met.