Consumer Standing Advisory Committee (C-SAC)

The Consumer Standing Advisory Committee:

The Maryland Department of Health and Mental Hygiene (DHMH) and the Maryland Health Services Cost Review Commission (HSCRC) are working on transforming Maryland’s healthcare payment and delivery system. Partnering with a broad group of stakeholders, the State is focused on three core goals: improving health outcomes, reducing costs, and improving quality of care and patient experience for all Marylanders.

To achieve these goals, consumer engagement is essential at all levels of the healthcare delivery system. Therefore, DHMH and HSCRC established the Consumer Standing Advisory Committee (C-SAC) to bring together a diverse cross-section of consumers, consumer advocates, subject matter experts, and other stakeholders.

The C-SAC will:

   - Ensure that the consumer perspective is reflected in, and remains central to, the All-Payer Model and other related State initiatives;
   - Provide expertise in consumer engagement to DHMH and HSCRC;
   - Promote understanding about the All-Payer Model and its impact on healthcare for consumers, caregivers, and patients;
   - Gather input from patients and consumers and represent their voices in policy development and implementation discussions; and
   - Advise on the ongoing implementation of the All-Payer Model, including evaluation of responsiveness to consumer feedback.

Background on the All-Payer Model and the Comprehensive Primary Care Model:
Maryland, under agreement with the Centers for Medicare & Medicaid Services (CMS), launched the All-Payer Model in 2014 to transform the health care delivery system and improve care, while moderating cost growth. The All-Payer Model changed the way Maryland hospitals provide care, shifting hospitals from a financing system based on volume of services to a system of hospital-specific global revenues and value-based incentives. While still in the early stages of transformation, Maryland has employed a robust stakeholder process and has achieved many successes during its first term (2014-2019). For example, the All-Payer Model has encouraged hospitals to reduce readmissions, unnecessary emergency department utilization, and hospital-acquired conditions, while also limiting the growth in health care costs.

The current All-Payer Model is set to expire in 2019. As a result, the State is currently negotiating a second term of the All-Payer Model, as described in the State’s “Progression Plan.” In the Progression Plan, the State recognizes that further collaboration across the spectrum of health care delivery (i.e., beyond hospital walls) is necessary to support the health and well-being of individuals as they move across care settings. Thus, Maryland is expanding its efforts to support hospitals, physicians, and other providers as they take on increasing responsibility for improving care and population health, while moderating cost growth.

Maryland’s Comprehensive Primary Care Model (MD CPC) is key to the Progression Plan. While hospital-based programs are essential for complex and high-need patients who are already using extensive resources, primary care is critical for patients with rising needs, who may be able to avoid seeking care in higher acuity settings. Therefore, the MD CPC focuses on a targeted population of the approximately 800,000 Medicare patients in Maryland, who often have chronic illnesses and rising needs. The MD CPC supports the vision of the All-Payer Model by: implementing effective care management; connecting patients with social services; improving transitions of care between hospital-led care and community-based care; and providing additional reimbursement for MD CPC providers, practices and care management organizations to support care transformation.

Consumer Standing Advisory Committee Membership

The HSCRC and DHMH have appointed a diverse group of individuals to serve on the Consumer Standing Advisory Committee. The current list of workgroup members is available CSAC Roster

Meeting Schedule and Documents

​Dates and Location ​Meeting Materials                         
​December 14, 2016
9:30 - 11:30 AM
  1. Agenda
  2. CSAC Slides
​March 1, 2017
3:00 - 5:00 PM
  1. Agenda
  2. CSAC Slides

May 3, 2017
9:30-11:30 AM
  1. Agenda
  2. CRISP Presentation
  3. Webinar Recording
​July 5, 2017
9:30 - 11:30 AM
  1. Agenda for CSAC July 5 2017
  2. HSCRC  MDH CSAC Scope and Charge
           Webinar Recording
September 6, 2017
9:30 - 11:30 AM
​      1. Agenda for CSAC September 6, 2017
      2. Slide Presentation
      3. HSCRC-MDH Scope & Charge Document for CSAC
      4. MDH Comprehensive Primary Care Model Update
      5. Presentation from JHHS Care Integration - Dr. Constantine Lyketsos
           Webinar Recording 

​November 1, 2017
9:30 - 11:30 AM
​      1. Agenda for CSAC November 1, 2017
      2. HSCRC "Measuring Hospital Quality" Presentation
      3. HSCRC TCOC Update Presentation
      4. Update on MD Primary Care Program 

           Webinar Recording 
​January 31, 2018
11:00AM - 1:00 PM


Public Comments Submitted to the Consumer Standing Advisory Committee

The Committee will reserve time at the end of each meeting for brief comments and questions from the public. The public is also encouraged to submit written comments related to C-SAC initiatives to: hscrc.csac@maryland.gov​