![]() All other existing contracts must be updated at the end of the contract´s current measurement period and before the contract´s next measurement period begins, or no later than April 1, 2023.Įach measure has been designated by the State as Category 1, 2, or 3 with associated recommendations for implementation and testing for future use in VBP Arrangements. Therefore, all new contracts submitted on or after July 1, 2022, must meet this requirement. The DOH recognizes that MCOs and providers are in the process of negotiating VBP arrangements to meet Statewide VBP goals. This will allow the State to stratify measure performance by race and ethnicity categories for applicable performance measures at the VBP contract and VBP Contractor levels. Race and ethnicity fields will be added to the annual VBP member attribution submission file specifications. Plans will be required to include the race and ethnicity data submitted to NYS using the following method:.Indicate how the stratified measure results for applicable measures will be shared with the VBP contractor.Indicate what measure(s) will be included for race and ethnicity stratification.Payers will be required to include the following detail in the Provider Contract Statement and Certification form and Contract language:.Stratification of selected measures will be classified as pay-for-reporting (P4R).Hemoglobin A1c Control for Patients with Diabetes 3 The table below depicts available quality measures by arrangement type. Payers will be required to include at least one of the following measures in all level 1 or higher VBP arrangements and stratify results by race and ethnicity categories as outlined in the HEDIS MY2022 specifications.To align with this initiative, NYS will require payers and providers to incorporate race and ethnicity measure stratification in Value Based Payment (VBP) arrangements starting in July 2022. They also hope to identify and learn from top performers in areas where disparities don´t exist. ![]() By doing so, NCQA hopes to better identify where disparities exist, so they can be addressed. PROPOSED VBP ARRANGEMENT REQUIREMENTS FOR MY2023 - HEALTH EQUITYįor MY2022, NCQA is adding race and ethnicity stratification for five HEDIS measures to help promote transparency into health plan performance. This culminates in a total of nineteen Category 1 and 2 Children´s Quality Measures (QM). For MY2022, fifteen measures have remained unchanged, two measures were revised by HEDIS, and two measures have been removed. Upon receiving recommendations from the CAGs, the release of guidelines from national measure stewards, such as NCQA/HEDIS®, and in accordance with the NYS VBP Roadmap, 2 the State defined a final list of measures to be included in the TCGP Measure Set for MY2022. MEASURE SELECTION AND FEASIBILITYĭuring the spring and fall of 2021, the Children´s Health CAG reconvened and made recommendations to the State on quality measures, data collection, data reporting, and support required for providers to be successful in a VBP environment. The measure set is designed to encourage providers to meet high standards of patient-centered clinical care and coordination across multiple care settings. The goal of this measure set is to align with measures put forth in the NYS Quality Assurance Reporting Requirements (QARR), the HEDIS® 1 Technical Specifications for Health Plans, the CMS Core measure set, and the Merit-based Incentive Payment System (MIPS), where applicable. The Measurement Year (MY) 2022 Children´s Quality Measure Set was created in collaboration with the Children´s Health, the Primary Care (Physical Health), the Maternity Care, and the Behavioral Health/HARP Clinical Advisory Groups (CAGs), as well as the New York State Department of Health (NYS DOH) CAG Strategy team. ![]() Measure Set is also available in Portable Document Format (PDF)ĭecemNYS Medicaid Value Based Payment INTRODUCTION.All Health Care Professionals & Patient SafetyĬhildren's Value Based Payment Quality Measure Set Measurement Year 2022.Clinical Guidelines, Standards & Quality of Care.Health & Safety in the Home, Workplace & Outdoors.Birth, Death, Marriage & Divorce Records.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |