MHDO Board Meeting Highlights - September 5, 2024
The MHDO Board Meeting on September 5, 2024, covered topics such as the final adoption of rule Chapter 340, board composition proposal, review timelines, Maine Quality Forum update, priorities, and guiding principles set by the board. The meeting also included discussions on the Uniform Reporting System for Reporting 340B Drug Program Data Sets and important recommendations.
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Content Content 1. Board votes on final adoption of rule chapter 340, Uniform Reporting System for Reporting 340B Drug Program Data Sets, as proposed and amended 2. Board votes on board composition proposal 3. Review timeline for mandated reporting 4. Review timeline for CompareMaine V. 13.0 5. Maine Quality Forum Update 1 MHDO BOARD MEETING SEPTEMBER 5, 2024
Chapter 340, Uniform Reporting System for Reporting 340B Drug Program Data Sets (routine technical rule) Written comments were received on the proposed rule. Board received copies of the written comments submitted and an updated copy of the Basis Statement, documenting the comments received, staff s proposed responses and recommendations. Summarize content of updated Basis Statement. 2 MHDO BOARD MEETING SEPTEMBER 5, 2024
Chapter 340, Uniform Reporting System for Reporting 340B Drug Program Data Sets (routine technical rule) Recommendation: Board votes to adopt Chapter 340, Uniform Reporting System for Reporting 340B Drug Program Data Sets, as proposed and amended; and authorize Karynlee to sign the MAPA 1 form. 3 MHDO BOARD MEETING SEPTEMBER 5, 2024
Review Priorities and Guiding Principles Set by MHDO Board Review Key Accomplishments Over Last 12 Years Current Board Membership Proposal MHDO Board Composition 4 MHDO BOARD MEETING SEPTEMBER 5, 2024
Priorities of the MHDO Priorities of the MHDO as established by Board in 2013: 1. Manage a high-quality, secure, comprehensive health information data warehouse. 2. Manage the appropriate release of healthcare data and information. 3. Promote the transparency of healthcare cost and quality information. 4. Support ongoing stakeholder engagement with our data submitters, data users and consumers. 5. Support a culture of change based on our stakeholders needs. 5 MHDO BOARD MEETING SEPTEMBER 5, 2024
Guiding Principles of the MHDO Guiding Principles of MHDO as established by the board in 2013: 1. Responsive and Timely: Communicate data availability and manage data releases to published timeframes. 2. Accurate: Ensure consistency and conformity of all data submissions. 3. Accessible: Provide self-service applications where possible and remove barriers to access. 4. Streamlined: Build efficient processes for data collection and release; leverage national standards when available. 5. Secure: Protect the confidentiality of personal health data electronic threats change, and systems must adapt to meet these challenges. 6 MHDO BOARD MEETING SEPTEMBER 5, 2024
A Few of MHDOs Key Accomplishments CompareMaine - recognized in the State of Maine and Nationally as one of the most comprehensive, consumer friendly health care cost and quality transparency websites. Integration of Maine s cancer registry and vital statistics data into MHDO s hospital encounter and claims data. Development of a de-identified person index and a provider directory that support enhanced data analytics. Development and maintenance of a MHDO Data User Group which has been meeting since late 2013 and continues to meet bi-monthly. Participating in a Tri-State APCD Collaboration to demonstrate we can move towards more efficient data integration when appropriate. Recognized by our legislative committee of oversight and stakeholders as a reliable data source. 7 MHDO BOARD MEETING SEPTEMBER 5, 2024
A Few of MHDOs Key Accomplishments MHDO s data users rely on MHDO s data assets and comment that our data is the most comprehensive and important statewide resource when analyzing health care costs, utilization, outcomes, benchmarking, and trending. MHDO s data collection rules keep pace with changing needs while at the same time balancing the administrative burdens on the submitters. MHDO is responsible for producing several mandated annual reports; and we are mandated to support several State programs (e.g., workers comp, surprise billing, office of affordable health care). 8 MHDO BOARD MEETING SEPTEMBER 5, 2024
For the last twelve years the MHDO board membership has varied between 8-11 members. Specifically, over the last three years the membership has been 8-9 members. During this time: we have a quorum at each meeting solid board member participation robust conversations, leading to timely decisions and agency action MHDO Board Composition Bottom line: Effective and efficient board of directors, which has helped shape an effective and efficient organization. 9 MHDO BOARD MEETING SEPTEMBER 5, 2024
Proposal: Board Composition Present (current members for last 10 years) 1 Consumer Proposed (proposed members) 2 Consumers Past (in statute) 4 Consumers 3 Providers 2 Providers 8 Providers 1 Hospital (vacant) 1 Hospital 1 Hospital 2 Employers (vacant) 2 Employers 3 Employers 2 Third Party Payors (one seat vacant as of September 2024) 2 State (one seat represents DHHS- MaineCare; one seat is the Commissioner of Professional and Financial Regulation-serves as vice chair) Total: 11 2 Third Party Payors 2 Third Party Payors 2 State (one seat represents DHHS-MaineCare; one seat is the Commissioner of Professional and Financial Regulation-serves as vice chair) Total: 11 3 State Total: 21 10 MHDO BOARD MEETING SEPTEMBER 5, 2024
Current Nominating Body Current Nominating Body Consumer" means a person who is not affiliated with, or employed by a 3rd-party payor, a provider or an association representing those providers or those 3rd-party payors. One seat for Provider Reps is nominated by the Maine Medical Association, one seat is nominated by a statewide Chiropractic Association and one seat represents home health care. Currently the Hospital Rep seat is vacant - nomination has been submitted by the Maine Hospital Association. As of 9/24 one Third Party Payor seat is vacant - nominations will be submitted by the Maine Association of Health Plans. Both Employer seats are currently vacant (one more recent). A nomination was submitted by the health management coalition in the State (Purchasing Coalition); and one member is chosen from a list provided by a statewide chamber of commerce. Commissioner of DHHS appoints employee of the department. Commissioner of DPFR Or designee (non-voting). 11 MHDO BOARD MEETING SEPTEMBER 5, 2024
Next Steps Next Steps Revise language in Title 22, Chapter 1683, 8703.2. A.(1, 2, and 4) B. and D. Board reviews language at November 7th board meeting 12 MHDO BOARD MEETING SEPTEMBER 5, 2024
Review Mandated Reports and Timelines Annual Mandated Reporting 13 MHDO BOARD MEETING SEPTEMBER 5, 2024
MHDO Report Statute Due Date Submit to Annual Prescription Drug Pricing Transparency PL 2020, Chapter 470 January 2025 Joint Standing Committee on Health Coverage, Insurance and Financial Services (HCIFS) Reports Due to Legislature & Timelines Reports Due to Legislature & Timelines Top 25 most frequently prescribed drugs in the State, costliest and highest year-over-year increases Interactive Report included in CM 13.0 Release PL 2017, Chapter 406 January 2025 HCIFS Cost and Quality Data by procedure, provider and payer PL 2009, Chapter 613 January 2025 Interactive Website-CompareMaine V. 13.0 Annual International Referenced Rate Pricing for Prescription Drugs Online Report PL 2021, Chapter 606 January 2024 HCIFS, Office of Affordable Health Care and the Maine Prescription Drug Affordability Board Annual Primary Care Spending PL 2019, Chapter 244 January 2025 HCIFS & the Commissioner of DHHS Behavioral Health Care Spending PL 2021, Chapter 603 January 2025 HCIFS & the Commissioner of DHHS 14 MHDO BOARD MEETING SEPTEMBER 5, 2024
MHDO Report Statute Due Date Submit to Annual report on Payments for Facility Fees made by Payors Annual Report on 340B Prescription Drug PL 2023, Chapter 410 January 1, 2024 HCIFS and the Office of Affordable Health Care HCIFS, Office of Affordable Health Care and the Maine Prescription Drug Affordability Board Reports Due to Legislature & Timelines Reports Due to Legislature & Timelines Program-assumes reporting to MHDO algins with the hospital's fiscal year, October is the first month for hospitals to submit FY2024 financial data. In the interim, link to new page on MHDO website https://mhdo.maine.gov/340B_hospitals.htm PL 2023, Chapter 276 Nov/Dec of 2025 Other Reporting: 2023 Standardized Annual Hospital Financial Report (three-part report)- posted to MHDO website in October 2024 Health Care Expenditures in Maine-Baseline Report released in January 2023 Currently updating the dashboards with one additional year of data (2022) and refinements in methodology-New title of dashboard reports- Health Care Spending in Maine 2017-2022 Plan to release by end of September 2024 Currently in the process of finalizing the new dashboards for the Office of Affordable Health Care (OAHC), Hospital Services Payments and Utilization, which builds off the Health Care Expenditures in Maine Dashboards, and presents aggregated information on payments and utilization for 36 hospitals in the state of Maine. OAHC shared the Dashboards with their advisory committee at their August 2024 meeting. 15 MHDO BOARD MEETING SEPTEMBER 5, 2024
CompareMaine V. 13.0 Based on feedback received and additional data elements we are refining the way in which we present the location of the health care setting (defined as hospitals, surgical centers, diagnostic imaging centers, health centers, laboratories, and clinics) the procedures/services provided at the physical location of the health care setting location and the associated average payment information (even if the payment estimates are the same at different locations). Specifically, we are removing the structure where we default to a primary location as illustrated below. Concentra Urgent Care 1570 Main Street, Suite 3 Oxford, ME 04270-3390 Multiple locations Concentra Urgent Care, Augusta219 Capitol Street, Suite 2 Augusta, ME 04330-6235 Concentra Urgent Care, Bangor34 Gilman Road Bangor, ME 04401-3516 Concentra Urgent Care, Brunswick11 Medical Center Drive Brunswick, ME 04011-2690 Concentra Urgent Care, Lewiston59 East Avenue Lewiston, ME 04240-5667 Concentra Urgent Care, Oxford1570 Main Street, Suite 3 Oxford, ME 04270-3390 Concentra Urgent Care, South Portland400 Southborough Drive South Portland, ME 04106-3249 16 MHDO BOARD MEETING SEPTEMBER 5, 2024
CompareMaine V. 13.0 These refinements will lead to more accurate information about the physical location where specific services and procedures are provided; and will enhance the geographic search feature as it will no longer be limited to the primary location when there are multiple geographic locations. 17 MHDO BOARD MEETING SEPTEMBER 5, 2024
CompareMaine V. 13.0 New Release Date: End of January 2025 This new release date will allow us to integrate: Q2 2024 claims data into our payment estimates. We are discussing internally what the new data period should be. April 1, 2023-June 30, 2024 (15 months of data) (historically the data period is 12 months , April 1- March 31), or July 1, 2023-June 30, 2024. The most recent quality data which is generally available in October/November. 18 MHDO BOARD MEETING SEPTEMBER 5, 2024
Developing annual report on rate of healthcare associated infections in the State of Maine Working on Project First Line Deliverables Drafting annual primary care spending report Drafting annual behavioral health care spending report 19 MHDO BOARD MEETING SEPTEMBER 5, 2024
