New York State Social Care Networks Announced: 5 Essential Steps for Success
New York State has revealed the nine organizations awarded with Social Care Network (SCN) status under the 1115 Medicaid Waiver Amendment. One of the state’s main goals under the 1115 Waiver is to invest in the screening and delivery of Health-Related Social Needs (HRSN) services to reduce health disparities and improve quality outcomes. SCNs will be […]
New York State 1115 Medicaid Waiver Amendment: Social Care Networks
One of the main initiatives in New York’s just under $7.5 billion 1115 Medicaid waiver amendment is the formation of 13 regionally based Social Care Networks (SCN) that will be responsible for building, maintaining and strengthening networks of Community-Based Organizations (CBO) to deliver health-related social needs (HRSN) services. The Request for Application (RFA) window to become an […]
Medicaid Global Budgets for Downstate New York Safety Net Hospitals
On January 9, 2024, CMS approved an amendment to New York’s Medicaid 1115 Waiver, allowing the state to make investments in Medicaid initiatives that expand access to primary and behavioral health, address health-related social needs (HRSN) to reduce disparities and promote health equity, and strengthen the healthcare workforce. The term of the demonstration amendment will […]
New York State 1115 Waiver: An Overview of Its Contents
On January 9, 2024, CMS approved a just under $7 billion amendment to New York’s Medicaid 1115 Waiver, allowing the state to make investments in Medicaid initiatives that expand access to primary and behavioral health, address health-related social needs (HRSN) to reduce disparities and promote health equity, and strengthen the healthcare workforce. The term of […]
5 Things for Upstate New Yorkers To Know About the CMS MCP Request For Application
On August 14, CMS published the Request For Application (RFA) for Making Care Primary (MCP), a progressive roadmap to value-based payment for primary care providers with little-to-no VBP experience. Both CMS and the State of New York have said that the program will be aligned with the upcoming New York 1115 Medicaid Waiver amendment which […]
5 Key Considerations of the New CMS AHEAD Model
Yesterday, September 5, 2023, the CMS Innovation Center released the AHEAD Model focused on improving overall population health of a specific state or region, advancing health equity by reducing disparities in health outcomes and curbing the growth of health care costs. Key aspects of the model: All states required to in one of two windows […]
2023 Health Care Forecast, Trends and Key Issues
1. Continued transition to more value-based payment and risk for all lines of business 2. Staffing crisis driving access challenges and financial pressures on hospitals and health systems in particular 3. Population health management/value-based payment EDW for health systems, IPAs, CINs is on the rise 4. Social Determinants of Health (SDoH) and the drive towards […]
What to Know About the Newly Submitted NY State Medicaid Waiver
The New York State Medicaid Redesign team has made a formal request to the federal government for a $13.52 billion investment over five years, starting on January 1, 2023, to continue to fund new amendments to its 1115 Waiver Demonstration. This will address the health disparities and systemic health care delivery issues that have been […]
What You Need to Know About the New York Medicaid Waiver Proposal and Concept Paper
The New York State Medicaid Redesign team this week released a concept paper for a new 1115 Waiver, including a request for $17 billion over 5 years from the Centers for Medicare & Medicaid Services to build an enhanced health care delivery system as part of New York’s overall efforts to “reimagine, rebuild, and renew” […]