Membership Benefits PACE/MLTC

Advocacy strategy and execution- Services provided by LeadingAge NY’s government relations and policy staff, as well as through Hinman Straub, the Association’s legislative and regulatory counsel. Both parties bring considerable advocacy and strategy development experience and expertise on managed care issues.

Advocacy agenda - As part of its broader agenda, LeadingAge NY advocates for plans with policymakers and other stakeholders on key legislative, policy and regulatory issues such as rate adequacy, enrollment timetables and dual eligible initiatives.

Dedicated staff - LeadingAge NY provides access to a team of professionals, including a new budgeted staff position devoted principally to managed care issues.

Data resources - Members have access to MLTC FASTracker and other data resources to compare their key figures with those of other plans; benchmark expenses and utilization for individual services; identify how their metrics change relative to other plans as mandatory MLTC is phased-in; and examine other relevant data that plans report on MMCOR/PACEOR reports. In addition, LeadingAge NY MLTC members have access to similar data for almost all nursing homes and home care agencies in the state at a reduced fee.

Operational assistance - Through education and other efforts, LeadingAge NY assists plans with operational issues such as contracting, start-up and regulatory compliance.

Knowledge sharing - LeadingAge NY offers a listserv to its PACE and MLTC plan members to facilitate knowledge sharing among the plans and LeadingAge NY staff/counsel.

Governance representation - Each plan is eligible for membership on the LeadingAge NY PACE/MLTC Cabinet, which meets quarterly on issues of importance to plans. The cabinet president is a member of the LeadingAge NY Board, ensuring direct representation of the plans within the Association’s governance structure.

Exposure to service providers - Through its representation of the entire continuum of long term care and senior services, LeadingAge NY is unique in its ability to provide PACE and MLTC plans with access to a wide range of not-for-profit and public service providers. This access is provided through conferences, inter-Cabinet meetings and other member forums.