Specifications include, but are not limited to: . Develop an equitable approach for reimbursing hospitals for part of on-call and standby expenses. The Contractor shall assess approaches for paying on-call and standby expenses. The Contractor will review the current approach derived from the Reasonable Cost Equivalents and updated annually by the change in the physician compensation component of the Medicare Economic Index. The Contractor shall evaluate other approaches such as using industry benchmarks established by the Medical Group Management Association, health services researchers' analyses, and industry trade associations. The Contractor shall also recommend an inflation adjustment that would be used to apply an annual adjustment to the recommended benchmarks. The Contractor shall evaluate: • approaches that do not incentivize on-call and standby physicians to escalate stipend requests or hospitals to pass-through ever greater shares of on-call and standby costs to the Trauma Fund; • approaches that compensate trauma centers equitably without regard to Trauma Center level, geographic location, or organization of the hosting hospital; and • the stability of the on-call payments relative to actual on-call expenses overtime. The Contractor shall consult with MHCC and MIEMSS staff in developing the approach and shall present the recommendation to the Commission. Should the Commission recommend changes to the on-call formula, the Contractor shall work with MHCC staff in developing statutory changes to the Trauma Fund statuette
