Value-Based Payment
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Value-Based Payment
DOH Releases 2022 Draft VBP Roadmap for Comment The 2022 VBP Roadmap Update would make VBP arrangements optional for partially capitated MLTC plans and their network providers. PACE and MAP plans would continue to be subject to VBP arrangements.
- 3 months ago
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Value-Based Payment
DOH Value-Based Payment Work Group Discusses Next Steps in VBP The Work Group met on Dec. 11th to discuss strategies for strengthening and expanding VBP arrangements under Medicaid managed care and MLTC.
- 2 years ago
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Value-Based Payment
Highlights of December Plan Meeting The December managed care plan meeting with DOH covered a variety of new and long-standing MLTC issues, including updates on the nursing home benefit limit and MLTC enrollment lock-in, integrated Medicare-Medicaid managed care policies, the transition of FIDA program enrollees, VBP contract submission deadlines, CINERGY payments, DSRIP 2.0, and MLTC model contracts, as well as new requirements governing crossover coordination of benefit agreements.
- 2 years ago
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Value-Based Payment
LeadingAge NY Calls for Investment of DSRIP 2.0 Funds in Long-Term Care Workforce and Innovative Models In comments submitted to DOH on its draft application to extend and renew the DSRIP program, LeadingAge NY requested the allocation of 40 percent of DSRIP 2.0 funds to the LTPAC sector for purposes such as workforce recruitment and retention, implementation of innovative models of care, and investment in telehealth and health information technology.
- 2 years ago
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Value-Based Payment
Highlights of February 2020 Plan Meeting DOH announced a delay in the implementation of the MLTC nursing home benefit limit due to a systems issue. The transition of long-term nursing home residents from MLTC to FFS will not take place on March 1st upstate, as previously planned. The expected duration of the delay and whether it will affect the NYC transition were not known at the time of the meeting. The meeting also included updates on quality measure reporting, provider network submissions, and Medicare-Medicaid managed care procedures.
- 2 years ago
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Value-Based Payment
DOH DSRIP Phase 2 Webinar Offers Additional Detail on Waiver Plans DOH hosted a webinar on Dec. 11th to share details with stakeholders on the recently submitted application to extend and renew the State's DSRIP Program waiver. The webinar highlighted the successes of the first phase of DSRIP and described how the second phase would expand and strengthen the VBP arrangements initiated in the first phase.
- 2 years ago
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Value-Based Payment
DOH Waiver Request Recognizes LTC as High Priority; LTC Funding Not Specified DOH last week submitted a request to CMS to extend and renew its 1115 Medicaid waiver. The proposal includes the creation of new VMOs to support the transition to VBP, requires VMOs to engage in specified LTC promising practices, and continues training funds for LTC workforce.
- 2 years ago
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Value-Based Payment
New Resources Available for Community Services Providers and Managed Care Plans DOH has posted the social determinants of health interventions approved to date for VBP arrangements with managed care plans, and LeadingAge National has unveiled a toolkit for evaluating Medicare Advantage supplemental benefit opportunities.
- 2 years ago
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