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Value-Based Payment

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.

5 months ago

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.

7 months ago

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.

8 months ago

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.

9 months ago

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.

7 months ago

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.

7 months ago

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.

9 months ago

Value-Based Payment

DSRIP 2.0 Draft Amendment Includes Long-Term Care Elements

The draft amendment proposal released by DOH on Sept. 17th seeks a four-year extension and renewal that would invest $8 billion in DSRIP Performance, Workforce Development, Social Determinants of Health, and the Interim Access Assurance Fund and identifies long-term care as a "high-need priority area."

10 months ago
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