Primary care practices are increasingly participating in pay-for-performance programs linked to quality measures, such as hypertension control. Practices report on these metrics for benchmarking and eligibility for financial incentives as part of accountable care organizations, delivery system reform incentive payment programs, and other initiatives. In this Viewpoint, we recommend that quality measure stewards allow health care organizations to use home blood pressure monitoring (HBPM) when assessing and reporting on hypertension control. This recommendation is based on rigorous evidence for the prognostic value of HBPM; current practice patterns; and the preferences of stakeholders, including health care organizations, clinicians, and patients.