The Center for Medicare and Medicaid Innovation released an updated summary table of adjustments related to Value Based Payment (VBP) models that reflect changes made by CMS for coronavirus-related services.The summary table supplements emergency rules and waivers granted under section 1135. Included in this … Read More
A New York Update: CBO Survey Plus OCFS Funding Opportunity
Posted on by SAE
Community-Based Organization Directory and Engagement Survey The New York State Department of Health (DOH) has released a new statewide Community Based Organization (CBO) directory and engagement survey. The survey has been simplified based on feedback from stakeholders and designed to capture information about CBO … Read More
SAE’s Value Proposition Capacity
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The Measurement Year 2019 Health and Recovery Plan (HARP) Quality Measure Set was created in collaboration with the Behavioral Health/ HARP Clinical Advisory Group (CAG) and the New York State Value Based Payment Workgroup. This measure set is meant to align with measure sets … Read More
Sustainability in the Behavioral Healthcare Landscape
Posted on by SAE
Behavioral health services have often been an afterthought in the overall care and prevention of illnesses. Due to the combination of stigma, policy trends, provider shortages, and a lack of parity in reimbursement and healthcare coverage, behavioral health services oftentimes lag in innovation opportunities … Read More
2018 Value-Based Payment Quality Measure Sets for MAP, FIDA, and PACE
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The New York State Department of Health just released the Value Based Payment (VBP) quality measure sets for Medicaid Advantage Plus (MAP), Fully Integrated Duals Advantage (FIDA), and Programs of All-Inclusive Care for the Elderly (PACE) for measurement year 2018. These documents contain the … Read More
DOH Releases Statewide Value-Based Payment Survey + Health Care Facility Transformation FOA
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NYS Department of Health Releases Statewide Value-Based Payment Survey to All Community Based Organizations The New York State Department of Health (NYS DOH) recently released a statewide survey to all Community Based Organizations (CBOs). DOH developed this survey to capture current services CBOs are … Read More
Next Steps for Providers After Getting the Value-Based Payment Readiness Grant
NYS DOH Updates On PPS Progress And Provider Contract Guidelines For IPAs
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NYS DOH Announces Provider Contract Guidelines For Article 44 MCOs, IPAs And ACOs New York State Department of Health (DOH) released Provider Contract Guidelines for Article 44 MCOs, IPAs, and ACOs with the intent of establishing standards for contract submission and review, clarifying required contract provisions, … Read More
HANYS Hosts SAE’s Presentation On Managing Utilization Review In Light Of Parity
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Early this month, SAE headed to Tarrytown, New York to present at the Behavioral Health and Primary Care Strategies, Weapons, and Tactics (SWAT) conference, hosted by Healthcare Association of New York State (HANYS). This year’s SWAT program, Strategies for Success, was designed to provide guidance on … Read More
Managed Care Contract Analysis For Value-Based Payment
Posted on by SAE
Managed care contracting is a priority in value-based payment (VBP) agreements. Before attempting a VBP agreement with a managed care organization or setting up a VBP linkage relationship, you should have a comprehensive understanding of negotiated rates and payer mix. Understand the risk management … Read More