7. Increase efforts to work in Options for senior hospital leaders to Review MHA’s hospital-specific post-acute care spending and partnership with physicians, consider, in lieu of or in addition to utilization reports, which provide insight into partnering to reduce post-acute and long term DHMH’s primary care that is under avoidable utilization and improve quality facilities, and other providers to development, might include one of the Click to access hospital-level, aggregate post-acute care create aligned approaches and following: reports incentives to improve care, Transition an existing ACO to a Click to access hospital-specific, skilled-nursing specific health, and reduce avoidable more advanced track ACO reports utilization for the benefit of Use data to develop aligned Click to access hospital-specific, home health care-specific patients. Work with physicians incentive programs for ambulatory reports with the goal of developing and or post-acute providers Click to access hospital-specific, hospice-specific reports enhancing value-based Meet monthly with post-acute care approaches that are applied partners in your community to Review MHA-sponsored Applied Medical Software reports that under MACRA discuss potentially avoidable benchmark physicians’ use of hospital services within a given hospital; utilization hard copy reports have been distributed to each hospital’s CEO or Consider creating preferred CFO. provider networks (including care providers and MHA contact: Justin Ziombra () specialists) Explore with physicians the new options made available under the care redesign amendment Work with physicians to explore other care redesign models/interventions Provide data to physicians on resource use and cost Engage physicians with strategies to address needs identified in the community health needs assessment 8. Participate in the All-Payer Attend meetings with HSCRC and MHA will keep the field up to date on progression planning Model progression planning DHMH to learn about the dual developments efforts eligible, primary care, and care redesign models Mike Robbins () MHA contact: Provide detailed written comments to HSCRC and DHMH as the progression plan is developed
7. Increase efforts to work in partnership with physicians, post-acute and long term facilities, and other providers to create aligned approaches and incentives to improve care, health, and reduce avoidable utilization for the benefit of patients. Work with physicians with the goal of developing and enhancing value-based approaches that are applied under MACRA Options for senior hospital leaders to consider, in lieu of or in addition to DHMH’s primary care that is under development, might include one of the following: Transition an existing ACO to a more advanced track ACO Use data to develop aligned incentive programs for ambulatory or post-acute providers Meet monthly with post-acute care partners in your community to discuss potentially avoidable utilization Consider creating preferred provider networks (including care providers and specialists) Explore with physicians the new options made available under the care redesign amendment Work with physicians to explore other care redesign models/interventions Provide data to physicians on resource use and cost Engage physicians with strategies to address needs identified in the community health needs assessment Review MHA’s hospital-specific post-acute care spending and utilization reports, which provide insight into partnering to reduce avoidable utilization and improve quality Click to access hospital-level, aggregate post-acute care reports Click to access hospital-specific, skilled-nursing specific reports Click to access hospital-specific, home health care-specific reports Click to access hospital-specific, hospice-specific reports Review MHA-sponsored Applied Medical Software reports that benchmark physicians’ use of hospital services within a given hospital; hard copy reports have been distributed to each hospital’s CEO or CFO. MHA contact: Justin Ziombra () 8. Participate in the All-Payer Model progression planning efforts Attend meetings with HSCRC and DHMH to learn about the dual eligible, primary care, and care redesign models Provide detailed written comments to HSCRC and DHMH as the progression plan is developed MHA will keep the field up to date on progression planning developments MHA contact: Mike Robbins ()
CEO-Checklist-Meeting-HSCRCs-Update-Recommendations.docx