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Value-Based Payments
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As New York’s payment reform plan for Medicaid Managed Care approaches year three of a five-year plan, resources are becoming available to keep health care providers informed and engaged. The goals of this overhaul are to improve the quality of care, improve individual health, and to reduce expenditures. By 2020, all Managed Care Organizations must employ non fee-for-service payment systems that reward value over volume for at least 80-90% of their provider payments.  

 


New York’s Value-based Payment Model: Join a PPS Between March 15 – April 1, 2017

New York State is at the midpoint of the Delivery System Reform Incentive Payment (DSRIP) program and many pharmacists are still unaware of what it is or why it is. 

DOH has reopened the PPS Provider Network for a SHORT period of time (March 15 – April 1, 2017) to allow providers, such as pharmacies, to contact and express interest in joining a Performing Provider System (PPS).  If you are interested in in being included in a PPS network please reach out to your local PPS.

 

PPS contact information is posted on the DSRIP website via this link under the heading "PPS Information” or contact dsrip@health.ny.govRead more

 

Clinical Improvement Projects

PPS Contacts


Value-based Bootcamps 

The Department of Health is launching the Value-based Payment (VBP) Bootcamps webpage. The VBP Bootcamps are three-day regional learning series created by the Department of Health with a goal to equip future VBP contractors with the knowledge necessary to implement NYS Payment Reform. The website will provide you with the Bootcamp schedule, content outlines and ability to register for sessions in your region. Please remember to visit and sign up, as the first session for the Capital Region kicks-off on June 2nd. Registrations will open 3 weeks in advance and close 1 week before the event. These events are free and open to the public.

 

For those who are unable to attend the Bootcamp sessions 1, 2, and 3 of Region 1 (Capital region, Mid-Hudson, and the Southern Tier) will be webcast live. The link will be sent out when it becomes available.

 

Please follow this link to see the VBP Bootcamps page and a VBP library.

Any questions may be directed to dsrip@health.ny.gov.

 


Value-based Webinars

In addition, the Multi-State Collaborative Spring Webinar Series, a four-part series, was recently released that discuss:  

  1. Early Considerations When Establishing a Community Pharmacy Enhanced Services Network
  2. Launching a Community Pharmacy Enhanced Services Network: Quality Assurance
  3. Launching a Community Pharmacy Enhanced Services Network: Considerations with Performance
  4. Marketing Your Community Pharmacy Enhanced Services Network: Demo of the Pharmacy Locator
  5. Medical Home Network – “The Journey to Value Based Payment” webinar

 


Additional resources: