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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:
      1. Demographic Adjustment: Annual age-adjusted population funding for in-state use rate growth.
      2. Marketshift: Semi-annual adjustments for regulated market shifts (zero-sum).
      3. Complexity and Innovation: Prospective funding to Academic Medical Centers for growth in unique quaternary services.
      4. CDS-A: Funding for changes in volume for select drugs (only volume variable methodology).
      5. Out-of-State (NEW!): Annual adjustments for material changes to out-of-state volumes.
      6. Deregulation (NEW!): As needed reductions for observed shifts to unregulated settings.
The workgroup's evaluation of methodologies for adjustments related to out-of-state and deregulated volumes includes considerations such as:
      • ​Data sources and granularity of analysis.
      • Materiality thresholds.
      • Time periods for assessment and potential one-time adjustments.
      • Implementation schedule.
      • Interaction with other policies (e.g., EQIP, total volume policies).
​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.

Subgroup Meeting Schedule:

​Meeting Materials​
​March 18, 2024 (9AM-11AM)
Meeting Recording (Passcode: 16wbeP#n)
​April 25, 2024 (9AM-11AM)
Meeting Recording​ (Passcode: vsjie$.9​)
August 8, 2024 (1PM-3PM)
Zoo​m Link​
​Future meeting dates will be posted shortly

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