The Hilltop Institute at UMBC, with its partners ServBeyond Solutions and A-G Associates, has just been awarded a $2 million contract from the Maryland Health Services Cost Review Commission (HSCRC) to develop a multi-payer claims analytic tool (MCAT). In 2019, with federal approval, Maryland launched the Total Cost of Care Model, which is transforming the state’s long-standing all-payer hospital rate-setting system toward a model that holds the state accountable for the total cost of care for Medicare participants. The state’s goal is to achieve $300 million in annual total Medicare spending by 2023. The MCAT will support performance and quality monitoring under the Total Cost of Care Model by automating data aggregation, visualization, and report generation. The MCAT may eventually be expanded to include data from other payers.
Hilltop’s contract is for phase one of MCAT development. Hilltop will develop and test the MCAT platform and visualization tools using Medicare claims for all beneficiaries in Maryland and a sample of Medicare beneficiaries nationwide. Hilltop will model the MCAT after its existing data visualization platforms.
Jim Clavin will be directing MCAT development, and—under the guidance of Chuck Betley—Hilltop will be advising the HSCRC on performance and quality measure development.