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    ​​​​​​​​​​SIM Payer/Provider Stakeholder Group

    Charge

    The Payer/Provider Stakeholder Group will develop programmatic standards and administrative structures for the CIMH. This will require accommodating existing medical home programs and other policy levers and initiatives.  Specific goals include:

    Establishing a Governance Structure.  This governance structure will make programmatic decisions about the operation of the CIMH program.   For each decision, we anticipate conducting a review of current procedures in existing initiatives, reviewing best practices, and considering practical issues.  Our goal is to establish a clear set of minimum standards, with room for innovation and flexibility where appropriate.

    Establishing Framework for Public Utility.  We envision creating a new public utility that will help streamline analytical work and other administrative activities of the CIMH program.  This public utility may be housed in DHMH, MHCC, or be created as a new entity; the governing body will help develop plans for its creation.

    Setting Programmatic Standards.  The following are a selection of programmatic standards to be considered by the governing body. Standards to be established include, but are not limited to practice inclusion, analytics, quality assessment, and shared savings.

    ​Meetings

    Meetings of the Payer/Provider Group will be held at DHMH headquarters at 201 W. Preston St. in Baltimore.  All meetings are open to the public.  

    May 9, 12:30 - 5:00 pm, Conference Room L-1

     


    ​​​​June 5, 12:30 - 5:00 pm, Conference Room L-3

     

     

    July 9, 12:30 - 5:00 pm, Conference Room L-1

    Members​

    ​​

    ​​Lisa R. Ad​kins

    Director of Communications and Strategic Initiatives​

    Kaiser Foundation Health Plan of the Mid-Atlantic

    Vincent Ancona

    CEO

    Amerigroup

    Craig R. Behm

    Executive Director

    Accountable Care Organization of Western Maryland

    Patty Brown

    SVP, Managed Care & Population Health and President,  Johns Hopkins HealthCare

    Johns Hopkins Medicine

    Patricia Czapp

    Chair of Clinical Integration

    Anne Arundel Medical Center

    Scott Feeser

    Medical Director

    Johns Hopkins Community Physicians

    Richard Fornadel

    Medical Director

    Aetna

    Sen. Robert Garagiola

    Senator, District 15

    Maryland General Assembly

    Debbie Goeller

    Health Officer

    Worcester County Health Department

    Matthew Hahn

    Physician

    Hahn and Nelson Family Medicine

    Julia Huggins

    President, Mid-Atlantic Region

    Cigna

    Bonnie B. Katz

    Vice President, Business Development and Operations

    Sheppard Pratt Health System

    Edward Koza

    Senior Medical Director

    UnitedHealthcare

    Debi Kuchka-Craig

    Vice President for Managed Care

    MedStar Health, Inc.

    Scott Krugman

    President

    Maryland Chapter American Academy of Pediatrics

    Traci La Valle

    Vice President, Financial Policy & Advocacy

    Maryland Hospital Association

    Robin Motter

    Lead PCMH Physician and  Chairman of Family Medicine

    GBMC

    Susan R. Phelps

    Senior Director, Transformation & Reform

    Johns Hopkins HealthCare

    Larry Polsky

    Health Officer

    Calvert County Health Department

    Mark Rajkowski

    Executive Director

    West Cecil Health Center, Inc.

    Gene Ransom

    CEO

    MedChi, The Maryland State Medical Society

    Richard Reeves

    President & CEO

    UnitedHealthcare (MCO)

    Maura Rossman

    Health Officer

    Howard County Health Department

    Parag Shah

    Chairman/CEO

    Clinical Network Services/Southern MD ACO

    Jon Shematek

    Senior Vice President and Chief Medical Officer

    CareFirst BlueCross BlueShield

    Fredia Wadley

    CEO

    Delmarva Foundation/Quality Health Strategies

    Colin Ward

    Executive Director

    Greater Baltimore Health Alliance

    Jay Wolvovsky

    President and CEO

    Baltimore Medical System