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Medicaid/CHIP Quality-Based Payment Advisory Committee

Overview

The Quality-Based Payment Advisory Committee, created under Senate Bill 7 during the first called session of the 2011 Legislature, advises the Texas Health and Human Services Commission on:

  • Establishing Medicaid and CHIP reimbursement systems to reward the provision of high-quality, cost-effective health care, quality performance and quality-of-care outcomes with respect to health care services.
  • Developing standards and benchmarks for quality performance, quality-of-care outcomes, efficiency, and accountability by managed care organizations and health care providers and facilities.
  • Developing programs and reimbursement policies that encourage high-quality, cost-effective health-care delivery models that increase appropriate provider collaboration, promote wellness and prevention, and improve health outcomes.
  • Developing outcome and process measures which can be used to support these endeavors.

Members

The committee includes health-care providers, including obstetrician-gynecologists, pediatricians, internal or family medicine physicians, geriatric medicine physicians, and long-term care services providers. Membership also includes a consumer representative and a member of the Advisory Panel on Health Care-Associated Infections and Preventable Adverse Events.

  • Dr. Mary Peterson, Chair – Pediatrician
  • Trey Berndt – Consumer representative
  • Dr. Jorge Blanco – Obstetrician / gynecologist
  • Dr. Glenda Coleman – Geriatric medicine
  • Dr. Barry Lachman – Pediatrician
  • Susan Mellott – Health Care-Associated Infections and Preventable Adverse Events
  • Dr. Tom Parker – Internal medicine / family practice
  • Dr. Hanoch Patt – Pediatrician
  • Dr. Robert Stephens – Pediatrician
  • Dr. John Thoppil – Obstetrician / gynecologist
  • Dr. Ronald Walters – Internal medicine / family practice
  • Dr. Stephen Whitney – Pediatrician
  • Dr. Jonathan Williams – Long term care representative

To Submit a Quality-Based Payment Proposal

Proposals:  To submit a Quality-Based Payment Proposal for the committee’s consideration, please send an email to MCD_QBPAC@hhsc.state.tx.us or mail to Quality and Cost Containment Unit, 11209 Metric Blvd., Bldg H, Austin, 78758, TX. 

The following information MUST be included in order to be considered: 

  • Name.
  • Phone and email contact information.
  • Affiliation (company and/or professional).
  • Succinct description of the proposal (include links or references to literature when available, but do not attach the documents). 

Note:  Staff can contact you for additional information, if needed.

Materials

More Information

For more information about the Quality-Based Payment Advisory Committee, contact Matthew Ferrara:

Phone: (512) 491-1806
Email: MCD_QBPAC@hhsc.state.tx.us