Care Transformation Initiative (CTI) and Care Transformation Profiler (CTP)

Care Transformation Initiatives (CTIs) are initiatives undertaken by a hospital, group of hospitals, or a collaborative partnering with a hospital to reduce the total cost of care of a defined population. Under the CTI program, hospitals choose the eligible Medicare population targeted by the CTI intervention; define how to restrict the population to those most likely to be impacted or enrolled in the intervention; and choose the intervention duration. CRISP operates the Care Transformation Profiler (CTP), to enable hospitals to view all CTIs statewide, and to monitor their own CTI progress.

Contact care.redesign@crisphealth.org or hscrc.care-transformation@maryland.gov for questions on CTIs.

Source and Additional Information: HSCRC

CTI Policy Resources and Documentation

 

CTI Introduction Policy Guide – this document will cover the overarching goals of the program, the program structure and key policy components critical for participation

CTI Specification and Methodology – this document is a comprehensive reference on the methodology and implementation of the program

CTI Technical Review – this document is intended to allow a user to walkthrough the construction of a CTI episode from base claims to reconciliation. A recording of the technical review can be viewed below.

 

Evaluation of CTI Program

AIR conducted a two-part evaluation of the Care Transformation Initiative (CTI) program. The first part was a pre-implementation report from 2021, summarizing the design and target areas of the proposed CTIs.

The second part of their evaluation reviewed findings from the first complete year of the CTI program (2021-2022). The following conclusions were discovered: (1) 32% of CTIs generated savings; (2) On average, across all CTIs, performance year costs exceeded baseline costs by more than $1 million; (3) CTIs with a focus on SDOH, performed better, on average; (4) 86% of hospitals that responded to the AIR survey reported that the implementation of their CTI was positive; (5) 75% of CTIs had fewer episodes during the performance year than at baseline; (6) The majority of interview and survey responses mentioned data access as an area for improvement; and (7) Nearly 95% of hospitals plan to continue the program in the second performance year.  A full recording of the webinar can be viewed below.

 

CTI and CTP Training Videos

Related Events

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Care Transformation Steering Committee Meeting Schedule and Documents​

The Care Transformation Steering Committee schedule is provided in the table below. All meetings are virtual and require registration. Questions related to the schedule and location of meetings should be directed to: hscrc.care-transformation@maryland.gov

Meeting DatesAgenda ItemsMeeting RecordingMeeting Documents
April 2023PY1 CTI Results Finalized, PY3 CTI EnrollmentNo Recording AvailableSlides
Mar 2023Upcoming CTI Releases, CTI Evaluation and Agenda for Next Meeting, Reporting EnhancementsNo Recording AvailableSlides
Aug 2022Review of Target Prices for PY1, Modification to Target Pricing Methodology for PY2, Next StepsRecordingSlides
May 2022CRP Waiver, Supplemental Adjustment Buyout, CTI Risk AdjustmentRecordingSlides
Apr 2022CRP Next Steps, CTI/MPA Supplemental Adjustment Overlaps, Review of CTI Risk AdjustmentRecordingSlides
Mar 2022Future of CRP, Review of CTI Program, Application Process for CTIRecordingSlides
Dec 2021CTI Savings Estimate and MPA Offset, Process for new CTI Submissions, Care Redesign ProgramNo Recording AvailableSlides
Jul 2021Initial CTIs are Active, Requested Modifications, Call for New "Thematic Areas"No Recording AvailableSlides
May 2021Review of Timelines, Review of CTI Savings Methodology, Next StepsNo Recording AvailableSlides
Apr 2021Administrative Updates for CTI Starting July 1, 2021, Revisions to the Palliative Care CTI, Next StepsNo Recording AvailableSlides

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