Establishes a quality incentive program for managed care providers that is distributed based on managed care providers' performance in meeting quality objectives.
Summary
Bill S06266 aims to establish a quality incentive program for managed care providers in New York. 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 a minimum of three hundred million dollars, whichever is greater. The bill also outlines that the methodology for measuring quality and distributing funds will prioritize those providers achieving the highest quality scores, with input from key stakeholders in the managed care sector.
Impact
The implementation of this bill will amend the social services law and the public health law, introducing a structured incentive system for managed care providers. This change is expected to enhance the quality of care provided to enrollees in managed long-term care plans by aligning financial incentives with quality outcomes. It will also require the commissioner of health to consider various factors, such as enrollee characteristics and service costs, when establishing payment rates, thereby potentially leading to more tailored and effective healthcare delivery.
Sentiment
The sentiment surrounding Bill S06266 appears to be overwhelmingly positive, as indicated by the unanimous support in committee and floor votes, with no recorded opposition. The discussions suggest a shared belief in the importance of incentivizing quality care in managed care settings, reflecting a commitment to improving health outcomes for New Yorkers.
Contention
While there has been broad support for the bill, some concerns were raised regarding the potential administrative burden on managed care providers in meeting the new quality objectives. Stakeholders have expressed the need for clear guidelines and support from the commissioner to ensure that the implementation of the quality incentive program does not inadvertently disadvantage smaller providers or those with fewer resources.
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.