CRS Product Release Summary – February 2025

Data Delays

Due to a delay in CCLF data delivery this month, reports in CRS currently reflect claims through November 2024 (and complete claims through August 2024). Reports will be updated in March with claims through January 2025 and complete claims through October 2024.

Treatment relationships (Clinician and Facility Partners) submitted through MATT in January are also not reflected and will be updated in the next monthly release.

Multi-Payer Reporting Suite

Overview

CRISP, in collaboration with hMetrix, developed the Multi-Payer Reporting Suite to enhance alignment between Maryland Medicaid and the Maryland Primary Care Program (MDPCP). The suite integrates Medicaid and Medicare FFS claims data into a single platform for patients on an organization’s panel uploaded through CRISP, enabling users to analyze trends in hospital utilization, support care coordination, and monitor population health for Medicare and Medicaid beneficiaries. Users that have access to their panel in CRS can access the suite. If you are interested in the report, please contact report-support@crisphealth.org.

NEW – Prediction Tool Report

CRISP Reporting Services is excited to announce the launch of the Prediction Tools report in the Multi-Payer Reporting Suite on February 7th. CRISP will host a webinar to walk through both the Quality Dashboard and the Prediction Tools on Friday, February 28th from 11:30 AM – 12:30 PM. You can register for the webinar here.

The Prediction Tools report provides risk scores for Medicare and Medicaid beneficiaries on your panel, based on Hilltop’s Pre-AH (Avoidable Hospitalizations) and Pre-DC (Diabetes Complications) Models. These scores enable practices to identify and prioritize care coordination and targeted interventions for beneficiaries at high risk for avoidable hospitalizations and severe diabetes complications.

• Users can filter by risk score range and view patient-specific attributes that contribute to their risk score.
• For more information on these risk scores, additional resources are available in the Help section of the Multi-Payer Reporting Suite. These include the User Guide which has been updated to provide details on the Prediction Tools report.

MDPCP practices already have access to a similar report for their MDPCP attributed population in the MDPCP Reporting Suite. The Prediction Tools in Multi-Payer Reporting Suite are applied to beneficiaries on your panel, including both Medicare FFS and Medicaid FFS and MCO beneficiaries.

Value-Based Care Insights Tool

Several enhancements and new features have been added to the Value-based Care Insights tool including a new dashboard on Infused/Injectable medications, trend charts on multiple pages, an expanded Executive Summary and more.

The following CRISP issues/bugs were resolved:

• Optimized the Cost Model
• Removed renormalization of the risk scores (aged non dual is now lower risk than aged dual)
• Exports now include filters in use
• Filters include scroll bars so you can see the full facility name/zip code
• Fixed download bug on SNF page

Maryland Primary Care Program (MDPCP) Reports

The 2025 Reporting Suite for Y7 is now available. This report has:

• Q1 2025 MDPCP attribution
• Claims through November (complete claims through August)
• Performance data (AHU/EDU/TPCC) through Q3 2024

The AHU/EDU Report and TPCC Report in the Y6 reporting suite are now updated with Q3 performance data (July through September).

Medicare Performance Adjustment (MPA)

The national trends now account for non-claims-based-payments (NCBP) across all years.

Casemix

The Casemix reports for RY26 in the CRS Portal include preliminary data through December 2024 data.

• Please note: Quality Based Reimbursement (QBR) Timely Follow-up Disparity and TFU Medicare data will be released on 2/21/25.

For report feedback or questions, please email report-support@crisphealth.org.

CLICK HERE TO VIEW THE 2025 CRS PUBLICATION DATES