Overview
In January 2025, Governor Maura Healey signed Chapter 343 of the Acts of 2024. An Act enhancing the market review process. Section 80 establishes a new 25-member task force on primary care access, delivery, and financial sustainability in the Commonwealth, to be co-chaired by the Executive Office of Health and Human Services and the Massachusetts Health Policy Commission.
The task force is charged with developing a series of recommendations to stabilize and strengthen the primary care system across Massachusetts, including to:
- Define primary care services;
- Develop a standardized set of data reporting requirements for payers, providers, and provider organizations to track payments for primary care services;
- Establish a primary care spending target for public and private payers;
- Propose payment models to increase primary care reimbursements;
- Assess the impact of health plan design on health equity and patient access to primary care services;
- Monitor and track the needs of and service delivery to Massachusetts residents; and
- Create workforce development plans to increase the supply and distribution of, and improve the working conditions of, the primary care workforce.
“Prioritizing investments in primary care will yield cost savings down the road and will help us rebuild the primary care workforce, and it is one of the most meaningful ways to improve the health of our residents.”
—Governor Maura Healey
Membership
Primary Care Access, Delivery, and Payment Task Force membership
Workgroups
Two workgroups of task force members have been established to focus on specific deliverables: Data and Research and Workforce. Additional workgroups may be established as needed to advance the work of the task force.
The Data and Research Workgroup will primarily focus on the following deliverables:
- Confirming a methodology for measuring primary care spending and setting future spending goals by defining primary care services, codes, and providers;
- Developing a framework for a standardized set of data and reporting requirements for private and public payers, providers and provider organizations to track and evaluate primary care spending among and within different organizations and the impact of potential new investments; and
- Developing an analytic approach necessary to assess the impact of health plan design on health equity and patient access to primary care services.
The Workforce Workgroup will primarily focus on the following deliverables:
- Developing an approach to short-term and long-term workforce development plans to increase the supply and distribution of the primary care workforce;
- Developing recommendations on advancing patient-centered team-based primary care; and
- Developing recommendations to improve working conditions of primary care clinicians and other primary care workers.
Meetings
All meetings will be livestreamed on the HPC’s website and YouTube Channel. Materials from each meeting are available on the meeting page.
Primary Task Force Meetings
- Wednesday, April 16, 2025 | 10:00 AM – 12:00 PM
- Tuesday, June 17, 2025 | 10:00 AM – 12:00 PM
- Tuesday, July 22, 2025 | 10:00 AM – 12:00 PM
- Wednesday, September 17, 2025 | 10:00 AM – 12:00 PM
Primary Care Task Force Workgroup Meetings
- Data and Research Workgroup: Tuesday, May 20, 2025 | 1:00 – 2:30 PM
- Workforce Workgroup: Thursday, June 12, 2025 | 11:00 AM – 12:30 PM
- Data and Research Workgroup: Thursday, July 10, 2025 | 11:00 AM – 12:30PM
Resources and Related Work
- Establishing Statute: Section 80 of Chapter 343 of the Acts of 2024
- A Dire Diagnosis: The Declining Health of Primary Care in Massachusetts and the Urgent Need for Action, 2025
- Center for Health Information and Analysis (CHIA) and Massachusetts Health Quality Partners (MHQP) Massachusetts Primary Care Dashboard
- Other HPC publications related to primary care
Resources Submitted by Task Force Members
Materials linked here have been provided by individual task force members for consideration and do not necessarily represent the views of the HPC, EOHHS, or other task force members.
- Gold S, Leggott K, Hemeida S, Karra L, Ram A, Hughes LS. Advancing Primary Care Payment Reform in the Commercial Sector: A State Policy Playbook. The Eugene S. Farley, Jr. Health Policy Center. April 2025.
- Gold S, Leggott K, Hemeida S, Karra L, Ram A, Hughes LS. State Policies to Advance Primary Care Payment Reform in the Commercial Sector. The Eugene S. Farley, Jr. Health Policy Center. April 2025.
- Korownyk, C., McCormack, J., Kolber, M. R., Garrison, S., & Allan, G. M. (2017). Competing demands and opportunities in primary care. The College of Family Physicians of Canada, 63(9), 664–668.
- Landon, B.E., Fazio, S.B., Cluett, J.L., Reynolds, E.E., & Potter, J. (2025). Death by a Thousand Cuts — The Crushing Weight of Nonclinical Demands in Primary Care. The New England Journal of Medicine. 392 (8).
- Martin S.A., Johansson M., Heath I., Lehman R., & Korownyk C. (2025). Sacrificing patient care for prevention: distortion of the role of general practice. BMJ, 388(8456). Accessed April 29, 2025.
- Niklasson A, Montori VM, Johansson M. Prioritizing patients with the greatest care needs: Time for family physicians to lead. Am Fam Physician. 2025;111(4):302-303. Accessed April 21, 2025.
- Saver, B. G., Martin, S. A., Adler, R. N., Candib, L. M., Deligiannidis, K. E., Golding, J., Mullin, D. J., Roberts, M., & Topolski, S. (2015). Care that Matters: Quality Measurement and Health Care. PLoS Medicine, 12(11), e1001902. Accessed April 29, 2025.
Stay Connected
Questions about the work of the Task Force can be directed to [email protected].
