Value-Based Arrangements Request for Provider Feedback

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Value-Based Arrangements Request for Provider Feedback

SB0834/Ch. 298, HB 1148/Ch. 297(2), 2022 - Health Insurance – Two–Sided Incentive Arrangements and Capitated Payments – Authorization requires the Maryland Health Care Commission (MHCC) to aggregate the (1) the number and type of value–based arrangements entered into in accordance with the authority established under the law; (2) quality outcomes of the value–based arrangements; (3) the number of complaints made regarding value–based arrangements; (4) the cost–effectiveness of the value–based arrangements; and (5) the impact of two–sided incentive arrangements on the fee schedules of health care practitioners included in the target budget that are not eligible providers.

In addition to meeting these requirements, MHCC is interested in seeking provider feedback on value-based arrangements in the commercial fully-insured market. Responses will be aggregated and anonymized in subsequent reporting.

Submission Guidance:

Please submit your responses by email or using this form. All submissions should be directed to Shankar Mesta at Shankar.Mesta@maryland.gov. Please ensure your submission is completed by September 23rd, 2025.

If you have any questions or need assistance with the submission process, feel free to reach out to Shankar Mesta at Shankar.Mesta@maryland.gov.

Name of provider or organization.

Question 1: If your provider organization has not participated in or been eligible for carrier value-based care/alternative payment model (APM) arrangements (e.g. incentive programs, shared saving programs, two-sided incentive arrangements, and/or capitation arrangements) in 2022 or 2023, why?

Question 2: Is your organization a: *

Small group (2–10 providers)

Medium group (11–50 providers)

Large group practice (51–200 providers)

A health system (200+ providers)

Other:

Question 3: If your provider organization has not participated in or been eligible for carrier value-based care/alternative payment model (APM) arrangements (e.g. incentive programs, shared savings programs, two-sided incentive arrangements, and/or capitation arrangements) in 2023 or 2024, why?

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