1. Year 1 of Maryland’s New Waiver: What Are We Learning?
Michael B. Robbins
Senior Vice President
Maryland Hospital Association
August 22, 2014

2. First Impressions Data remains key Policies, policies, policies
Communicate and collaborate
Educate, educate, educate
Where are we: dash-boarding results to date

3. Data Remains Key
CMS calculates Medicare targets: access to data and verification of calculations
Hospitals submit data: MD vs. Non-MD, Medicare FFS vs. Medicare HMO, Preliminary vs. Final
Adhering to timeframes for submitting and finalizing data as well as “cleaning data” are critical
Turning data into information: hot-spotting, where to focus resources, trending and modeling results

4. Policies, Policies, Policies
Uncompensated Care Policy
MHAC Policy
Readmissions and shared savings
Balanced Update
Demographic/population growth adjustment methodology
Adoption of global budgets

5. Policies, Policies, Policies
Total revenue budget and unit rate compliance
Adjustments to global budgets: transfers, market share, regulated to unregulated, and potentially avoidable utilization
Capital funding
Overages and underages
Infrastructure funding and reporting
Global budget reporting

6. Communication and collaboration
HSCRC Workgroup and sub-group process
Readmissions reduction efforts: working with new partners
Transparency: sharing of data and information

7. Educate, educate, educate
HSCRC Webinars began before waiver was approved
MHA Education series: MHAC policy changes, Readmissions, UCC, Demographic methodology
Engaging hospitals, community-based and professional society organizations on the waiver and their role in its success
Maryland Chapter of HFMA

8. So Where Are We? Financial Tests: On target MHAC Reduction: On target
Readmission: Short of target
Other metrics being monitored
HSCRC and MHA dashboards: Targeting areas for improvement

9. QUESTIONS?