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Value-Based Payment

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 days 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.

1 month ago

Value-Based Payment

MLTC 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.

5 months ago

Value-Based Payment

Value-Based Payment and CFCO Discussed at Managed Care Plan Meeting

DOH stressed value-based payment deadlines and reporting requirements at the monthly managed care plan meeting. It also described upcoming workgroups on Community First Choice Option implementation.

8 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.

1 month 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."

2 months ago

Value-Based Payment

DOH Work Group Discusses Revisions to Value-Based Payment Roadmap

Proposed revisions align MLTC provisions of the Roadmap with previously issued policy directives and also impact social determinants of health interventions.

6 months ago

Value-Based Payment

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.

11 months ago
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