cye 15 payment reform initiatives
Download
Skip this Video
Download Presentation
CYE 15 Payment Reform Initiatives

Loading in 2 Seconds...

play fullscreen
1 / 6

CYE 15 Payment Reform Initiatives - PowerPoint PPT Presentation


  • 123 Views
  • Uploaded on

CYE 15 Payment Reform Initiatives. Acute Care Continue CYE 14 model with 1% capitation withhold and the following changes: Minimum 10% of the value of total payments under all contracts with providers must be governed by shared-savings arrangements – NO sub-cap contracts counted

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' CYE 15 Payment Reform Initiatives' - iola-alexander


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
cye 15 payment reform initiatives
CYE 15 Payment Reform Initiatives

Acute Care

  • Continue CYE 14 model with 1% capitation withhold and the following changes:
  • Minimum 10% of the value of total payments under all contracts with providers must be governed by shared-savings arrangements – NO sub-cap contracts counted
  • AHCCCS considering limiting portion of shared savings with owner systems – 33% of total maximum?
  • AHCCCS considering adding geographic requirements – e.g. 80% maximum in any one GSA for multiple GSA plans?
cye 15 payment reform initiatives1
CYE 15 Payment Reform Initiatives

ALTCS EPD

  • Implement initiative similar to Acute Care CYE 14 model:
  • Minimum 5% of the value of total payments under all contracts with providers must be governed by shared-savings arrangements – NO sub-cap contracts counted
    • Minimum 2% of total Acute Care service payments
    • Minimum 2% of total LTC service payments
    • Remaining 3% of total spend at MCO discretion
cye 15 payment reform initiatives2
CYE 15 Payment Reform Initiatives

ALTCS EPD

  • Minimum 1.5% of Medicare DSNP total payments under all contracts with providers must be governed by shared-savings arrangements – NO sub-cap contracts counted
  • 1% capitation withhold
    • Distribution based on existing performance measures
    • Would prefer mix of Acute Care and LTC services
    • Input on performance measures welcome
cye 15 payment reform initiatives3
CYE 15 Payment Reform Initiatives

ALTCS DDD

  • LTC Services
    • DES/DDD submit plan regarding value-based purchasing to AHCCCS by April 2015 for CYE 16 implementation
  • Acute Care Services
    • Implement initiative similar to Acute Care CYE 14 model:
  • Minimum 5% of the value of total payments under all contracts with providers must be governed by shared-savings arrangements – NO sub-cap contracts counted
  • Consider 1% capitation withhold
  • Input on performance measures welcome
cye 15 payment reform initiatives4
CYE 15 Payment Reform Initiatives

CRS

    • Implement initiative similar to Acute Care CYE 14 model:
  • Minimum 5% of the value of total payments under all contracts with providers must be governed by shared-savings arrangements – NO sub-cap contracts/block purchasing counted
  • No capitation withhold due to single Contractor
  • Consider sanction for non-compliance
cye 15 payment reform initiatives5
CYE 15 Payment Reform Initiatives

BHS

  • Implement initiative for integrated RBHA
    • Minimum 1% of the value of total payments under all contracts with providers must be governed by shared-savings arrangements – NO sub-cap contracts/block purchasing counted
    • No capitation withhold due to single Integrated RBHA
    • Consider sanction for non-compliance
ad