Federal and State Guidance
Federal and State GuidanceDOH 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 GuidanceSocial 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 GuidanceDOH 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 GuidanceNew 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 GuidanceDOH 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 GuidanceDOH 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 GuidanceWork 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 GuidanceLeadingAge 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 GuidanceDOH 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 GuidanceValue-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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