​​​​​​​​​​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