Federal and State Guidance
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
Federal and State GuidanceDOH 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 GuidanceDOH 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 GuidanceNew 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 GuidanceDOH 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 GuidanceDOH Seeks Feedback on PACE Value-Based Payment Quality Measures
Comments are due by Jan. 19th.
- January 16, 2018
Federal and State GuidanceDOH 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 GuidanceDOH 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 GuidanceDOH 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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