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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.
Source and Additional Information: HSCRC
This webinar (slides here) will walkthrough the construction of a CTI episode from base claims to reconciliation
Additional Documentation: Identifying the Population for a Care Transformation Initiative
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: firstname.lastname@example.org
|Meeting Dates||Agenda Items||Meeting Recording||Meeting Documents|
|July 28, 2023||Register Here|
|April 2023||PY1 CTI Results Finalized, PY3 CTI Enrollment||No Recording Available||Slides|
|Mar 2023||Upcoming CTI Releases, CTI Evaluation and Agenda for Next Meeting, Reporting Enhancements||No Recording Available||Slides|
|Aug 2022||Review of Target Prices for PY1, Modification to Target Pricing Methodology for PY2, Next Steps||Recording||Slides|
|May 2022||CRP Waiver, Supplemental Adjustment Buyout, CTI Risk Adjustment||Recording||Slides|
|Apr 2022||CRP Next Steps, CTI/MPA Supplemental Adjustment Overlaps, Review of CTI Risk Adjustment||Recording||Slides|
|Mar 2022||Future of CRP, Review of CTI Program, Application Process for CTI||Recording||Slides|
|Dec 2021||CTI Savings Estimate and MPA Offset, Process for new CTI Submissions, Care Redesign Program||No Recording Available||Slides|
|Jul 2021||Initial CTIs are Active, Requested Modifications, Call for New "Thematic Areas"||No Recording Available||Slides|
|May 2021||Review of Timelines, Review of CTI Savings Methodology, Next Steps||No Recording Available||Slides|
|Apr 2021||Administrative Updates for CTI Starting July 1, 2021, Revisions to the Palliative Care CTI, Next Steps||No Recording Available||Slides|
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.
Tutorial for PY3 CTI Submission via the CTP
Update to the State Summary Tab, New Panel-Based CTI Reports, Addition of Target Price and Final Reconciliation Tabs
Policy review - Eligible Beneficiaries
Policy review - Overlaps and Criteria Selection
Tutorial for CTP Management Tab View
CTP Overview and Access