Maryland's Care Redesign Programs under the All-Payer Model Amendment
Maryland’s Care Redesign Amendment to the All-Payer Model
In response to Maryland stakeholders’ requests for greater provider alignment and transformation tools under the All-Payer Model, the State proposed a Care Redesign Amendment (“Amendment”) to the All-Payer Model Agreement. The Amendment aims to modify the All-Payer Model by supporting:
The Amendment gives Maryland hospitals the opportunity to implement Care Redesign Programs, through which they can access comprehensive Medicare data, share resources and offer incentives to Care Partners – including hospital-based and community-based providers. CMS approved the proposed Care Redesign Programs under the Care Redesign Amendment in September 2016.
Care Redesign ProgramsThe Amendment proposes two voluntary, hospital-led programs, which align hospitals and their Care Partners through common goals and incentives: The Hospital Care Improvement Program (HCIP) and Complex and Chronic Care Improvement Program (CCIP).
Key Care Redesign Documents
Hospital Care Improvement Program (HCIP)
The HCIP will be implemented by Participant Hospitals and hospital-based providers. The HCIP aims to:
Complex and Chronic Care Improvement Program (CCIP)
The CCIP will be implemented by Participant Hospitals and community providers and practitioners. The CCIP aims to:
Announcement: New CCIP Tools Released to Guide Hospital Implementation of the CCIP
Members of the HSCRC Care Redesign Team, CRISP and MHA have collaborated with stakeholders over the past several months to develop the following tools to aid hospitals in implementing the CCIP program. These include:
CCIP Implementation Outline — This document provides a step-by-step guide to implementation of the CCIP at your hospital. This user-friendly resource pulls requirements from draft legal documents and the draft program template to help hospitals determine readiness and additional steps needed to implement the CCIP.
CCIP Modeling Tool—This tool guides hospitals in modeling the financial impacts of assumptions regarding patient enrollment and PAU savings. To access the tool, click on the CCIP icon from the CRISP Tableau Hospital Reporting Portal. If you do not have Portal access, please contact email@example.com
CCIP Budget Calculator and Instructions—This budget simulator is intended to aid hospitals in identifying reasonable estimates of costs associated with implementing the CCIP program. Costs will vary among hospitals based on the extent to which hospitals have already begun making investments in care coordination and care management resources and the scale of the program.
CCIP Slide Deck (Updated)—A few updates have been made to the CCIP program since the November 2, 2016 webinar. We are attaching an updated slide deck to provide additional background information on the CCIP for participating hospitals.
Thank you for your support of this important Care Redesign initiative. Please send additional questions to firstname.lastname@example.org.
Both Programs (HCIP & CCIP)
Care Partners: To the extent possible, the Care Redesign Programs will be tailored to support the Medicare Access and CHIP Reauthorization Act (MACRA) requirements, which CMS plans to finalize in November 2016.
Hospitals who choose to participate in HCIP and/or CCIP will: have access to patient identified Medicare claims data; achieve closer alignment with their Care Partners, focus on common goals; enhance their person-centered focus of care; increase quality scores and improve outcomes; and generate greater savings and reductions of potentially avoidable utilization under global budgets.
The Webinar Series on the All-Payer Model Amendment's Care Redesign Programs, as outlined below, will provide hospitals and stakeholders with critical information on the Care Redesign Programs. A total of seven webinars have been scheduled from October 2016 through January 2017, which will be co-hosted by the Center for Medicare and Medicaid Innovation (CMMI), the Maryland Hospital Association (MHA), and the Chesapeake Regional Information System for our Patients (CRISP) to help prepare hospitals to implement one or both of the proposed Care Redesign Programs under the All-Payer Model Amendment.
During each webinar, participants will have the opportunity to ask questions of the State, CMMI, MHA, and CRISP. We strongly encourage hospital participation in the webinars as information discussed will be critical for successful implementation of the Care Redesign Programs. For those who cannot attend, webinar recordings will be posted below.Care Redesign Program - Frequently Asked Questions - Updated 12/22/16