Massachusetts Health Policy Commission - Boston, MA

Massachusetts Health Policy Commission

Healthcare Market Oversight

The Massachusetts Health Policy Commission (HPC), headquartered in the Financial District, is an independent state agency charged with monitoring healthcare spending growth and improving the affordability of care. The HPC sets the statewide health care cost growth benchmark and analyzes the impact of significant changes in the healthcare market, such as mergers and acquisitions. Through data-driven reports and policy recommendations, the agency works to foster a more transparent and accountable healthcare system for the Commonwealth. 📉🏥

Patient Protection

Within the HPC, the Office of Patient Protection (OPP) safeguards the rights of health insurance consumers. The OPP regulates the internal appeal process for denied claims and administers external reviews for fully insured patients. While the HPC's main office primarily functions as an administrative and research hub rather than a walk-in clinic or enrollment center, it serves as a critical resource for policy research and consumer rights advocacy. Visitors to the office at 50 Milk Street must check in with security at the Devonshire Street entrance. 🛡️👨u200d⚕️

• Appeals: Manages external reviews for insurance denials.
• Research: Publishes annual reports on cost trends and quality.
• Certification: Certifies Accountable Care Organizations (ACOs).