Maryland's Care Redesign Programs under the All-Payer Model Amendment
Program Information and Webinar Series
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).
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:
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
Required DocumentsHospital Letter of Intent (LOI) for Participation in Care Redesign Programs – Due to HSCRC by November 18, 2016 - Updated Oct. 18
The template for the Hospital Letter of Intent, listed above, is a non-binding agreement hospitals are required to complete and submit to HSCRC to indicate interest in participating in one or both of the care redesign programs. Submission Instructions and Requirements