Under the proposed 1115 waiver, the value-based payment framework described in the Roadmap will drive a substantial investment in the State's health system.

The 2022 VBP Roadmap Update would make VBP arrangements optional for partially capitated MLTC plans and their network providers. PACE and MAP plans would continue to be subject to VBP arrangements.

The Work Group met on Dec. 11^th to discuss strategies for strengthening and expanding VBP arrangements under Medicaid managed care and MLTC.

Level 2 of MLTC value-based payment is a pay–for–performance agreement between an MLTC plan and a provider that must include both an upside (e.g., performance bonus) and a downside (e.g., penalty) incentive based on quality.

A DOH webinar released last week provided information for community-based organizations about the roles they can play in supporting value-based payment arrangements and social determinants of health interventions.

DOH has released final PACE VBP quality measures for the 2018 measurement year. In addition to these PACE-specific measures, PACE programs may use approved measures adopted for partially-capitated plans in their VBP contracts.

DOH recently released two value-based payment resources: an update to the Technical Specifications Manual for VBP reporting and a webinar comparing the VBP requirements of New York State’s Roadmap with the requirements of the MACRA Quality Payment Program for eligible clinicians.

DOH hosted a webinar last week to present its plans for quality measurement under MLTC VBP to its Clinical Advisory Group.