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 for questions on CTIs.

Source and Additional Information: HSCRC

Care Transformation PY5 Enrollment

The PY5 (FY 2026) CTI creation application will open on Monday, March 31st and will close Friday, May 30th. This page will be updated to review the process and timeline for CTI submission, as well as demonstrates how to use the application tool for Performance Year 5.  CTI Performance Year 5-Application-Process-CTP-Updates {Slide Deck}

CTI Policy Resources and Documentation

CTI User Guide – update – 05.27.25 – this document will cover the overarching goals of the program, the program structure and key policy components critical for participation

CTI Specifications and Methods – updated – 05.27.25 – this document is a comprehensive reference on the methodology and implementation of the program

CTI Technical Review (2025) – 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.

• Report
• Webinar & Slides

CTI and CTP Training Videos

Care Transformation Steering Committee Meeting Schedule and Documents​

Effective December 2023 the Care Transformation Steering committee was terminated and the work of the Committee rolled back into the HSCRC Total Cost of Care Workgroup.  Additional information can be found on the TCOC Workgroup page.

The past meetings of The Care Transformation Steering Committee schedule can be found in the table below. Questions related to these meetings should be directed to: care.redesign@crisphealth.org