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Operations and Marketing

Operations and Marketing

CDPAS FI Workgroup Discusses Quality, Selection Criteria

At the third Fiscal Intermediary Workgroup meeting, participants continued to review suggestions that stakeholders submitted to DOH.

July 15, 2019

Operations and Marketing

DOH Presents Update on MLTC Value-Based Payment Quality Measures

A measure related to emergency room utilization was restored to the list of Category 1 quality measures for MLTC plans.

July 2, 2019

Operations and Marketing

Fiscal Intermediary Work Group Focuses on Best Practices and Roles of FIs

The second meeting of the Fiscal Intermediary Work Group focused on stakeholder feedback concerning best practices and the proper roles and responsibilities of fiscal intermediaries.

July 1, 2019

Operations and Marketing

MLTC Plans Instructed to Submit Patient Attribution Files by Aug. 1st

The Patient Attribution Files represent plan members served by specified providers for purposes of calculating performance on quality measures.

June 18, 2019

Operations and Marketing

May Medicaid Renewal Mailing Delayed in NYC

DOH has notified plans that May renewal packets are expected to reach beneficiaries in June.

June 11, 2019

Operations and Marketing

CDPAS Fiscal Intermediary Workgroup Meets

Group discusses geographic variation and other program dynamics; DOH requests input on best practices, standardization, quality indicators.

May 20, 2019

Operations and Marketing

DOH Explains Next Steps for MLTC Value-Based Payment

In a webinar, DOH provided guidance for the second year of VBP under MLTC, VBP performance adjustments and penalties for MLTC plans, and its strategy for nursing home VBP in 2019.

December 26, 2018

Operations and Marketing

Continuity of Care Exception to LHCSA Cap Expanded

In a Dear Administrator Letter, DOH announced that MLTC plan contracts with LHCSAs that are intended to continue care for new enrollees who transfer from a plan that has closed, merged with another plan, or narrowed its service area are not counted in determining compliance with the MLTC LHCSA network cap.

December 17, 2018

Operations and Marketing

New Study Details Medicare Advantage Plans Offering Newly Authorized Supplemental Benefits

The study, commissioned by the Better Medicare Alliance, identifies the plans that are offering new health-related benefits, the benefits they are offering, and the states in which they are available.

December 11, 2018

Operations and Marketing

MLTC Quality Work Group Discusses 2018 and 2019 Quality Incentive Changes

DOH proposes minor changes in 2018 and 2019 MLTC Quality Incentive.

December 10, 2018
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