5 Things in Maryland: Department of Health RFPs, Q&A with Joe Dematos, Hospital Pricing Transparency – Status of Fix

In this month’s newsletter, we feature two new requests for proposals from the Maryland Department of Health, a video interview with HFAM CEO and President Joe Dematos, and a conversation about efforts to improve implementation of CBTs in the state.

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Emily Burger
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1. MDH issues two Medicaid-related RFPs

The Maryland Department of Health issued Request for Proposals This month Find a contractor To administer dental benefits to eligible Medicaid beneficiaries. The search for a dental benefits officer or dental services organization follows Approval of House Bill No. 6 / Senate Bill No. 150 During the last legislative session, which requires Maryland Medicaid to provide dental services to eligible adults beginning January 1, 2023.

Also this month, MDH Issued a request for proposals for A statewide non-emergency medical transportation contractor for Medicaid enrollees. Request for Proposals It states: “…the most essential functions of a NEMT intermediary are to be a single point of contact for beneficiaries to request assistance in transportation, and to directly arrange the least cost and most appropriate type of transportation for each beneficiary.” Presentations are scheduled for November 1 at 4 p.m. ET.

2. Experts discuss the implementation of CCBHC

In an effort to further improve the implementation Certified Community Behavioral Health Clinics in the state Institute of Innovation and Implementation At the University of Maryland a meeting last week to discuss CCBHC quality improvement and reporting measures. The meeting included representatives from several countries To discuss lessons learned during its implementation of CCBHCs.

One of the main lessons discussed was the importance of using data and evidence-based treatments to improve outcomes. Specifically, experts highlighted the importance of program evaluations, data sharing, and the development of new partnerships within the health system. “As we continue to move forward with the mental health crisis we are currently going through, we need to pay attention to two things in particular,” Tennessee said. Virgin Kerry. “The first is that we need to be able to partner with anyone and everyone to give people what they need. The second is services and support that are well measured and show the need for improvement to be the standard of our care.”

3. What they’re watching: Joe Dematos, HFAM

As President and CEO of a company Maryland Health Facilities AssociationAnd the Joe Dematos Focuses on improving care integration for long-term care settings in the state. In this edition ofWhat are they watching?DeMattos discusses what can be done to improve access to care, particularly for underserved communities.

“Here in Maryland, we have outstanding teaching hospitals and medical centers of excellence,” Dimatos says. “We have great nursing homes and subsidized living centers, but these dots are often not connected. Sometimes they are connected – in the most challenging communities – with dotted lines that have to be filled in. A big part of our work now is about connecting the dots, but also recognizing the work that has to be done. We have to do to reach the disadvantaged, the most vulnerable communities.”

4. Hilltop researchers to start hospital pricing studies

Researchers at Hilltop Institute At UMBC he received $282,412 Grant from the National Science Foundation to launch a comprehensive project to collect data on hospital pricing behaviors. Since 2021, hospitals have been required by federal law to offer standard fees for their services, in addition to negotiated rates for each payer. By collecting and evaluating this new data from a nationwide sample of hospitals, the researchers hope that Opening a new field of research On hospital pricing and payer negotiation.

“We feel that being in Maryland (with a payer-all model) gives us this totally unique and objective advantage, because in just about every other state, we’ve seen huge variation in pricing for the same procedure across hospital taxpayers,” says Hilltop Principal Data Scientist Dr. Morgan Henderson. “…there is a lot of interesting research to be done looking at hospitals on both sides of Maryland and other state borders. That in and of itself would be a great study.”

5. Maryland excels at Medicaid reset

States continue to prepare for the dissolution of federalism public health emergency and subsequent Medicaid eligibility readjustments that must take place. a new report The CMS studied each state’s ability to process MAGI applications under Medicaid and CHIP, and found that Maryland processed nearly all applications in less than 24 hours, second only to Oklahoma.

Maryland has Ready to disassemble PHE Throughout the pandemic, in part through ongoing communication with managed care organizations, local health departments, and community organizations. After the report was published, a spokesperson for the Maryland Department of Medicine said they are waiting for more guidance on PHE dismantling from the US Department of Health and Human Services.

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