Operations and Marketing
Operations and MarketingDOH 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 MarketingFiscal 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 MarketingMLTC 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 MarketingMay 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 MarketingCDPAS 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 MarketingDOH 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 MarketingContinuity 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 MarketingNew 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 MarketingMLTC 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 MarketingFew 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
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