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Federal and State Guidance

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

Federal and State Guidance

DOH Answers Additional Questions on MLTC Value-Based Payment

DOH provided answers to questions posed by LeadingAge NY in response to finance webinar for MLTC plans.

January 30, 2018

Federal and State Guidance

DOH Releases "Off-Menu" Value-Based Payment Checklist

The checklist applies to Medicaid value-based payment arrangements that do not mirror the models set forth in the State's Roadmap, but address market-specific populations or conditions.

January 30, 2018

Federal and State Guidance

New Medicare Bundled Payment Initiative

Voluntary "Bundled Payments for Care Improvement Advanced" program scheduled to begin operating in October 2018.

January 24, 2018

Federal and State Guidance

DOH Requires Integrated Medicare-Medicaid MLTC Plans to Convert Contracts to Value-Based Payment

Contracts to cover all provider types must be submitted by March 31, 2018.

January 23, 2018

Federal and State Guidance

DOH Seeks Feedback on PACE Value-Based Payment Quality Measures

Comments are due by Jan. 19th.

January 16, 2018

Federal and State Guidance

DOH Issues MLTC Value-Based Payment FAQs

The answers to "frequently asked questions" include discussions of provider aggregation, enrollee attribution, and timeframes for data reporting and performance measurement; VBP for integrated plans to commence in April 2018.

January 8, 2018

Federal and State Guidance

DOH Value-Based Payment Work Group Meets

The meeting included updates on the MLTC Clinical Advisory Group recommendations and MLTC value-based contracting requirements.

October 3, 2017

Federal and State Guidance

DOH Releases New MLTC Value-Based Payment Guidance

The guidance requires MLTC plans to revise provider contracts to reward performance on quality measures, including potentially avoidable hospitalizations.

July 25, 2017
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