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Operations and Marketing

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

Operations and Marketing

Few Medicare Advantage Plans Offering New Supportive Services Benefits in 2019

Despite new authority to offer expanded "health-related" benefits, only a small fraction of Medicare Advantage plans are offering new supplemental benefits, such as adult day health care and personal care, in 2019.

November 13, 2018

Operations and Marketing

DOH Provides Answers to Value-Based Payment Reporting and Penalty Questions

MLTC plans that chose to resubmit value-based payment reports for the period ending March 31, 2018 must do so by August 1, 2018. 

July 31, 2018

Operations and Marketing

2017 Managed Long Term Care Quality Report Released

The MLTC Report includes information about the enrollees in each MLTC plan and the plan's performance on quality, compliance, efficiency, and consumer satisfaction measures.

May 7, 2018

Operations and Marketing

Medicare Advantage to Cover Non-Skilled In-Home Care

The benefit marks the first time CMS has allowed supplemental benefits that include daily maintenance in Medicare Advantage.

April 3, 2018

Operations and Marketing

Managed Long Term Care Quality Work Group Discusses 2018 Measures and Value-Based Payment

DOH announced at the Work Group meeting a commitment of $10 million in 2017 and $50 million in 2020-21 for value-based payment contracting.

November 13, 2017
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