​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​

Modernization

​​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​

Workgroups

​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​

Total Cost of Care Workgroup Information

The success of the All-Payer Model and the Care Redesign programs will be measured, in part, by reductions in potentially avoidable utilization, readmissions, and ultimately reduced costs due to higher quality healthcare and improvements in patient health. Determining the technical aspects of TCOC for the Care Redesign programs and the State as a whole will be crucial to meeting the State’s obligations under the All-Payer Model.

The initial charge of the TCOC workgroup is to provide feedback to HSCRC on the development of specific methodologies and calculations while considering implications to avoid cost-shifting.

Total Cost of Care Workgroup Membership

The Health Services Cost Review Commission (HSCRC) has appointed a diverse group of individuals to serve on the Total Cost of Care Workgroup. The list of workgroup members is available at the following link:

Total Cost of Care Work Group Membership Roster- Updated June 19,2018 

Meeting Schedule and Documents​

The Total Cost of Care Workgroup schedule is provided in the table below. Additional meetings will be ​added to the schedule. Please check back for the location and schedule of future meetings. Questions related to the schedule and location of meetings should be directed to: hscrc.tcoc@maryland.gov.

All meetings are located at the HSCRC, 4160 Patterson Ave, Baltimore, MD 21215. 410-764-2605 

Resources
QP Score: Below is a combination of two memos -- from HSCRC to CMS, and a response from CMS to HSCRC.  These memos describe how CMS will calculate the Threshold Score for assessing whether or not clinicians who are certified care partners in a Maryland Care Redesign Program (CRP) are Qualified Advanced Alternative Payment Model Participants (QPs), for purposes of the federal MACRA law and its 5% APM Incentive Payment. 
Y1 MPA FAQ: Below is the draft Frequently Asked Questions (FAQ) for the Year 1 (RY 2020) Medicare Performance Adjustment (MPA). This document is not final and may be updated with edits or additional questions. Questions about this document should be directed to hscrc.tcoc@maryland.gov. Versions of this document will be posted below.​


2016-2018

 

Dates and Location Meeting Materials
December 14, 2016
7:30 - 9:30 a.m.

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
  1. Workgroup Intro
  2. Workgroup Charge
  3. Work Plan
  4. Membership List

  5. Webinar Recording
January 25, 2017
8:00 - 10:00 a.m.

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
  1. Agenda
  2. Slides
  3. Data
  4. CCIP/HCIP Calendar

  5. Webinar Recording
March 1, 2017
8:00 - 10:00 a.m.

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
  1. Agenda
  2. Slides

  3. Webinar Recording
March 29, 2017
8:00 - 10:00 a.m.

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
  1. Agenda
  2. Workgroup Presentation
  3. Episodes
  4. PSA by Hospital

  5. Webinar Recording
April 26, 2017
8:00 - 10:00 a.m.

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
  1. Agenda
  2. HSCRC Slides
  3. MHA Slides
  4. PSA-Episode Examples

  5. Webinar Registration
May 24, 2017
8:00 - 10:00 a.m.

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
  1. Agenda
  2. HSCRC Presentation
  3. Total Cost of Care Beneficiary Attribution Results
  4. Hospital Primary Service Area Results

           Webinar Recording 
June 28, 2017
8:00 - 10:00 a.m.

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
​   
      1. Agenda
      2. HSCRC Presentation
      3. TCOC Attribution Methodologies 
      4. Key for Hospital-Specific PSA Maps 
      5. Maps - Part 1
      6. Maps - Part 2

           Webinar Recording​
July 26, 2017
8:00 - 10:00 a.m.

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
      1. Agenda
      2. HSCRC Presentation
      3. TCOC Workbook
      4. Regional Maps Part 1
      5. Regional Maps Part 2​

        Webinar Recording
September 27, 2017
8:00 - 10:00 a.m.

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605
​      1. Agenda 
      2. HSCRC Presentation 
      3. MPA by Hopsital Spreadsheet


        Webinar Recording​

 
November  29, 2017
8:00 - 10:00 a.m.

HSCRC
4160 Patterson Ave.
Baltimore, MD 21215
410-764-2605​​
     ​1. Agenda
     2. HSCRC Presentation 11.29.2017
     3. Final Recommendation​ on MPA


     Webinar Recording​​
​January 17, 2018  
8:00 - 10:00 a.m.
  1. Agenda 
  2. January 2018 TCOC Slides
  3. Webinar Recording
February 28, 2018  ​
8:00 - 10:00 a.m. 
  1. Agenda
  2. February 2018 TCOC Presentation
​****MARCH MEETING (3/28) RESCHEDULED***

April 4, 2018
10 a.m - 12 p.m.
​1. Agenda
2. April 2018 TCOC Presentation
April 25, 2018  ​
8:00 - 10:00 a.m. 
  1. Registration Link/Webinar Recording​
  2. Agenda​
  3. April 25 TCOC Presentation
  4. April 25 CRISP Reporting Presentation​
May 23, 2018  ​
8:00 - 10:00 a.m. 
  1. ​​Registration Link/Webinar Recording​
  2. Agenda​
  3. May 23 TCOC Presentation​
June 27, 2018  ​
8:00 - 10:00 a.m. 
  1. Registration Link/Webinar Recording​​
  2. Agenda​
  3. Jun​e 27 TCOC Presentation
​​July 25, 2018  
8:00 - 10:00 a.m. 
  1. Registration Link/Webinar Recording​
  2. Agenda
  3. July 25 TCOC Presentation​
​​September 26, 2018
8:00 - 10:00 a.m.  ​
  1. ​​Registration Link/Webinar Recording​
  2. RY2021 MPA Policy Discussion Draft​
​October 24, 2018
8:00 - 10:00 a.m. ​
​CANCELLED
​​November 28, 2018
8:00 - 10:00 a.m. ​​
  1. Registration Link/Webinar Recording​​
  2. Agenda
  3. Nov 28 TCOC Presentation​​

2019

 
Dates and Times Meeting Documents

January 30, 2019 
 
8:00 - 10:00 a.m. 
 

  1. Webinar Link

Febuary 27, 2019
8:00 - 10:00 a.m. 
  1. Webinar Link
March 27, 2019
8:00 - 10:00 a.m. 
  1. Webinar Link
​April 24, 2019
8:00 - 10:00 a.m. 
  1. Webinar Link
May 29, 2019
8:00 - 10:00 a.m. 
  1. Webinar Link
June 26, 2019
8:00 - 10:00 a.m. 
  1. Webinar Link