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Federal and State Guidance

Federal and State Guidance

DOH Finalizes Level 2 Value-Based Payment for MLTC

Level 2 of MLTC value-based payment is a pay–for–performance agreement between an MLTC plan and a provider that must include both an upside (e.g., performance bonus) and a downside (e.g., penalty) incentive based on quality.

July 31, 2018

Federal and State Guidance

Social Determinants of Health Webinar Describes Role of CBOs in Value-Based Payment

A DOH webinar released last week provided information for community-based organizations about the roles they can play in supporting value-based payment arrangements and social determinants of health interventions.

July 17, 2018

Federal and State Guidance

DOH Finalizes 2018 PACE Value-Based Payment Measure Set

DOH has released final PACE VBP quality measures for the 2018 measurement year. In addition to these PACE-specific measures, PACE programs may use approved measures adopted for partially-capitated plans in their VBP contracts.

June 25, 2018

Federal and State Guidance

New VBP Specifications and Guidance Released

DOH recently released two value-based payment resources: an update to the Technical Specifications Manual for VBP reporting and a webinar comparing the VBP requirements of New York State’s Roadmap with the requirements of the MACRA Quality Payment Program for eligible clinicians.

June 19, 2018

Federal and State Guidance

DOH Presents MLTC Value-Based Payment Plans to Clinical Advisory Group

DOH hosted a webinar last week to present its plans for quality measurement under MLTC VBP to its Clinical Advisory Group.

June 12, 2018

Federal and State Guidance

DOH Holds Level 2 VBP Webinar

On May 24, the Department of Health (DOH) held a webinar on its plans for Level 2 Value Based Payment (VBP) for partially-capitated Managed Long Term Care (MLTC) plans.

May 29, 2018

Federal and State Guidance

Work Group Discusses the Next Phase of MLTC Value-Based Payment

The Department of Health has proposed requiring providers and plans to engage in two-sided risk arrangements in Phase 2 of MLTC value-based payment.

May 21, 2018

Federal and State Guidance

LeadingAge NY Questions Speed and Scope of MLTC VBP Requirements

LeadingAge NY submitted comments on DOH's recently announced requirement that partially-capitated MLTC plans begin to shift provider contracts to VBP arrangements involving two-sided risk in 2019.

March 6, 2018

Federal and State Guidance

DOH Seeks Comments on Risk-Based VBP Models for Partial Capitation Plans and Releases VBP Quality Measure Sets for Integrated Plans

Under the Department's proposals, at least 5 percent of partially-capitated plan expenditures would have to be in two-sided risk arrangements by April 1, 2019. MAP, FIDA, and PACE plans must reach a target of 10 percent of expenditures in VBP arrangements by April 1, 2018 or face penalties; new measure sets apply to those arrangements.

February 20, 2018

Federal and State Guidance

Value-Based Payment Contract Requirements for Medicare-Medicaid Plans: DOH Releases FAQs and LeadingAge NY Submits Comments

The Department of Health's FAQs provide basic information about the new requirement for PACE, MAP, and FIDA plans to enter into value-based payment arrangements with network providers by March 31, 2018.

February 13, 2018
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