Establishes a quality incentive program for managed care providers that is distributed based on managed care providers' performance in meeting quality objectives.
Summary
Bill A02044 aims to amend the social services law and public health law in New York by establishing a quality incentive program for managed care providers. This program will reward providers based on their performance in meeting predetermined quality objectives set by the commissioner of health. The funding for this program will be at least one percent of the total annual premium paid to managed care providers or three hundred million dollars, whichever is greater. The bill outlines that the methodology for measuring quality and distributing funds will prioritize those providers achieving the highest quality scores, with input from stakeholders in the managed care sector.
Impact
The enactment of this bill will significantly impact managed care providers in New York by introducing a structured incentive program aimed at enhancing the quality of care provided to enrollees. It mandates that payment rates for managed long-term care plans reflect the quality of services, which may lead to improved health outcomes for patients. The bill also aligns with federal regulations regarding Medicaid managed care, ensuring that state laws are consistent with broader health care standards.
Sentiment
The sentiment surrounding Bill A02044 appears to be positive, as indicated by the unanimous support during the Assembly Health Committee vote, where it received 24 yeas and no nays. The favorable reception suggests that stakeholders and committee members recognize the potential benefits of incentivizing quality in managed care services.
Contention
While there are no specific points of contention highlighted in the available discussions, potential concerns may arise regarding the implementation of the quality measurement criteria and the distribution of funds. Stakeholders may have differing opinions on what constitutes quality care and how it should be quantified, which could lead to debates among managed care providers and regulatory bodies.
Same As
Establishes a quality incentive program for managed care providers that is distributed based on managed care providers' performance in meeting quality objectives.
Establishes a quality incentive program for managed care providers that is distributed based on managed care providers' performance in meeting quality objectives.
Establishes a quality incentive program for managed care providers that is distributed based on managed care providers' performance in meeting quality objectives.
Establishes the managed long term care high acuity stabilization pool to support managed long term care plans that demonstrate high performance on quality measures established by the department and serve a disproportionately high share of members with complex long term care needs or high service utilization.
Establishes the managed long term care high acuity stabilization pool to support managed long term care plans that demonstrate high performance on quality measures established by the department and serve a disproportionately high share of members with complex long term care needs or high service utilization.