Operations and Marketing
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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
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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
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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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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
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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
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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
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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
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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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Operations and Marketing
UAS-NY Software Upgrade Coming Upgrades to both online and offline versions scheduled for Nov. 7th implementation.
- October 24, 2017
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Operations and Marketing
DOH Convenes Managed Care Plan Meeting on Community First Choice Option Participants discussed unresolved operational questions related to CFCO implementation and the creation of managed care organization work groups to address implementation issues.
- January 10, 2017
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