CHASE Board October 2018 Nancy Dolson Department of Health Care - PowerPoint PPT Presentation

CHASE Board October 2018 Nancy Dolson Department of Health Care Policy and Financing

Our Mission Improving health care access and outcomes for the people we serve while demonstrating sound stewardship of financial resources

HQIP Process Environmental scan of measures to identify best practices and • review measure alignment Identified potential priority areas for the Department and assess • alignment with other programs Developed a proposed measure framework with subcommittee • and received approval of the framework from the CHASE board Developed and review measures that would fit in the framework • Consulted with quality measure experts, HCPF Chief Medical • Officer, internal subject matter experts, the Colorado Hospital Association, and Public Consulting Group HQIP subcommittee review, discussion, and consensus • 3

HQIP • At April 2018 meeting board approved measurement areas for 2019-20 HQIP payments • Today ➢ Scoring methodology and rubric ➢ Methodology is the approach to scoring for each of the measures ➢ Rubric details the number of points assigned per measure, per measurement group, and in total 4

Additional 2017-18 DSH Payment Table 1: Planned Federal DSH Reductions and Delays (dollars in billions) Federal Fiscal Year 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Original Schedule ($0.5) ($0.6) ($0.6) ($1.8) ($5.0) ($5.6) ($4.0) (2010) Delay #1 (2013) ($1.2) ($1.8) ($5.0) ($5.6) ($4.0) ($4.0) ($4.0) ($4.0) Delay #2 (2014) ($1.8) ($4.7) ($4.7) ($4.7) ($4.8) ($5.0) ($5.0) ($4.4) Delay #3 (2015) ($2.0) ($3.0) ($4.0) ($5.0) ($6.0) ($7.0) ($8.0) ($8.0) Delay #4 (2018) - ($4.0) ($8.0) ($8.0) ($8.0) ($8.0) ($8.0) Current Law Note: In years after those explicitly enumerated in federal law. DSH allocations will grow annually at the rate of Consumer Price Index for All Urban Consumers (CPI-U) over the previous year without regard to the cuts, meaning that the cuts are temporary and aggregate allocations will be restored to approximately $12 billion annually. Source: Medicaid and CHIP Payment and Access Commission, “Disproportionate share hospital payments” (accessed February 20, 2018). Orecki, Patrick. (2018). DSH Cuts Delayed. Retrieved from https://cbcny.org/research/dsh-cuts-delayed 5

Additional 2017-18 DSH Payment Payment Unreduced DSH Payment $207,938,060 Modeled DSH Payment (reduced) $172,633,510 Difference $35,304,550 Distribution CICP Write-Off Costs • Medicaid Inpatient Utilization Rate • Hospital type and Critical Access • Uninsured Cost • 6

Thank You Nancy Dolson Director, Special Financing Division Department of Health Care Policy & Financing nancy.dolson@hcpf.state.co.us