Video - 2014 Waiver Education Series
Hospital leaders and front line caregivers alike are adjusting to “Hospital 2.0” – a new era of care under Maryland’s waiver from the federal government that brings numerous benefits to the state, including a focus on population health, as long as certain financial and quality targets are met. To help you and your team better understand those targets, how we as a field can meet them, and how hospital performance will be measured, the Maryland Hospital Association is offering a series of monthly educational sessions on topics critical to success under the new waiver.
July 29, 2014
Under the new waiver, Maryland must reduce Medicare beneficiary readmissions to a rate at least as low as the nation’s within five years. This session reviewed in detail two readmissions payment policies that apply to Maryland’s hospitals: Medicare’s shared savings revenue adjustment and HSCRC’s readmissions payment policy.
Uncompensated Care and FY 2015 Rate Orders
September 9, 2014
As more of Maryland’s uninsured gain health insurance coverage through Medicaid and the state’s Health Benefit Exchange, and as private plans include larger deductibles and higher co-insurance, the patterns of uncompensated care are changing. HSCRC changed its formula for predicting hospital uncompensated care and again reduced hospital rates in anticipation of reduced levels of uncompensated care. In this session, we examined those changes in detail, discussed the implications for hospitals as well as for the Medicaid budget, and asked for feedback on trends in uncompensated care at your hospital.
Prevention Quality Indicators and Potentially Avoidable Utilization
October 2, 2014
An expert on the federal Agency for Healthcare Research and Quality’s prevention quality indicators discusses these measures that can be used with hospital inpatient discharge data to identify quality of care for "ambulatory care sensitive conditions" for which good outpatient care might prevent the need for hospitalization, or for which early intervention can prevent complications or more severe disease.
Care Management and Improvement - What's the Return on Investment?
November 5, 2014
This session will present examples of interventions that have worked well to improve care processes and outcomes, including the resources that were invested in them and the subsequent results. Also discussed will be a review of HSCRC’s new Care Management Infrastructure reporting requirements.