Volume Technical Subgroup

​Volume Technical Subgroup Provides Input to Payment Models Workgroup. Their focus includes:

​1. Formal Policy on Out-of-State and Deregulation Volume Adjustments: The subgroup is working towards establishing a formal policy that will allow for routine adjustments that enhance transparency and predictability in the system.​

​The HSCRC adjusts global budgets to account for anticipated changes in demographics/volume patterns and observed shifts in the market. These adjustments are implemented through the following volume policies:

The workgroup's evaluation of methodologies for adjustments related to out-of-state and deregulated volumes includes considerations such as:

​2. Comprehensive Volume Scorecard: The workgroup will advise on the development of a comprehensive volume scorecard that accounts for all volume policies. The current scorecard assesses only Marketshift and Demographic Adjustment funding for growth in in-state volumes (excluding PAU, high-cost drugs, innovation, and chronic cases). The future scorecard will incorporate adjustments for out-of-state volumes, deregulation, and PAU, as well as adjustments related to Efficiency policies, but will not include CDS-A and Complexity and Innovation, as those policies are standalone.