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New York State Department of Health Continues Medicaid Waiver

On Wednesday, November 27, 2019, the New York State Department of Health (NYSDOH) “submitted a 1115 Medicaid waiver amendment that establishes a framework for ongoing efforts to drive value.” The Medicaid Redesign Team (MRT) 1115 Waiver was submitted to the Centers for Medicare and Medicaid Services (CMS), who for the current waiver, is pursuing a 1 year extension, and a 3 year renewal. The current waiver does expire on March 31, 2020 but, per the NYSDOH website, since April 14, 2014, the waiver allows New York State to reinvest $8 Billion in federal savings.

The waiver “will address critical issues throughout the state and allow for comprehensive reform through a Delivery System Reform Incentive Payment (DSRIP) program.” Through the DSRIP program, its goal is to attain a 25% “reduction in avoidable hospital use over 5 years.” Additionally, another goal is to reduce preventable hospital admissions by 17%. The MRT reported that the top 5 Performing Provider Systems (PPS), which are participating in the current waiver, have reduced avoidable hospitalizations by almost 40%.

More information on the renewal of the waiver can be found here.

More information about the current waiver’s results can be found here.

Community Partners of WNY Team Presented at NY DSRIP Symposium

Representatives from the Community Partners of WNY (CPWNY) attended the New York State Population Health Symposium in New York City, New York. One of the CPWNY team members, Roxanne Cuebas, presented: Integration is Not One Size Fits All. The presentation described two models for behavioral health and primary care integration. One is a “fully integrated practice, and the other is a primary care practice with on-site behavioral health services using a satellite license.” Alongside her colleagues from some of our partner behavioral health and primary care clinics, they examined some of the lessons learned, challenges, and successes for each of the unique models.

The slides for the presentation can be found here.

D’Youville College Health Professions HUB

Catholic Health has partnered with D’Youville College to help implement a community clinic within the Health Professions Hub. The Community Partners of WNY (CPWNY) invested $5,070,000 to help aid the building of the Hub. As described on the D’Youville College’s website, the Hub will be used as a teaching hospital, and will offer home health and community services with a wide variety of trained health teams. The Hub will offer education programs for undergraduate and graduate students, all levels of certification programs, and even programs for high school students. The partnership with Catholic Health will extend professional staffing and necessary resources to operate patient-centered primary care services for the community. Construction is expected to be complete around the Fall of 2020.

For more information, you can read this article on the building of the Hub, or access the Hub’s main site here.

Just Tell One Program

Recently, Niagara Falls High School teachers were trained through the Just Tell One Program to bring tools to teach mental health awareness into the classroom, and for students to be able to get help, and help others. As described on Just Tell One.org, the program is a public awareness initiative whose mission is to “give Western New York youth and young adults the tools and confidence to start the conversation about their mental health or behavioral health issues.” This initiative is led by the Mental Health Advocates of WNY, and works with the Community Partners of WNY. As also decribed on the website, they work with many different issues: depression/mental health, substance/alcohol abuse, drug abuse, and suicide; their main focus with this initiative is the younger generation.

https://spectrumlocalnews.com/nys/buffalo/news/2019/11/16/niagara-falls-teachers-get-a-lesson-in-peer-to-peer-mental-health-training-program

More information about the program can be found here.

New York State Department of Health (NYSDOH) Medical Record Reviews

On behalf of the NYSDOH, your practice/organization may be contacted by a medical record collection and abstraction vendor, Cotiviti, to review DSRIP/Medicaid patient records. Because this is a claims-based audit, Cotiviti may contact a DSRIP participating or non-participating practice or organization.  The review will occur from November, 2019 – March, 2020.

The official notice can be found here. If you have questions, please contact Phyllis Gunning, CPWNY Director of Clinical Programs, at pgunning@chsbuffalo.org or 716-862-2482.

1115 MRT Waiver Upstate Public Forum – Syracuse NY

The upstate public comment day will be held on October 30, 2019 at the Oncenter’s Carrier Theater, 421 Montogomery Street, Syracuse, NY 13202. This will be an opportunity for stakeholders to voice their opinions either in person at the meeting, or by email to 1115waivers@health.ny.gov through November 4, 2019 (please include “1115 Public Forum Comment” in the subject line).

The 1115 waiver, or Medicaid Redesign Team (MRT) waiver, is:

  • an agreement between the federal Centers for Medicare and Medicaid Services (CMS) and New York State that allows the State to use a managed care delivery system to deliver benefits to Medicaid members, create efficiencies in the Medicaid program, and enable the extension of coverage to certain individuals who would otherwise be without health insurance.
  • a vehicle by which the State has implemented the initiatives of MRT and subsequent health systems reforms, including the Delivery System Reform Incentive Payment (DSRIP) program.
  • A step toward New York’s goals in implementing its MRT waiver include improving access to health services and achieving better health outcomes for New Yorkers through multiple programs.

This meeting will be webcast live at: https://www.health.ny.gov/events/webcasts/, and will be open to the public. Registration will begin at 10:30am, no pre-registration is required. Individuals who wish to provide comments in person are asked to register on-site no later than 12:00pm, and will speak in the order of their registration. All comments are limited to five minutes per presenter to ensure that all public comments may be heard.

VBP Forward: The Workshops offered in our area!

The CBO Consortium of Upstate New York has partnered with VBP Forward to bring to our members an exciting training opportunity. VBP Forward: The Workshops will be offered in Buffalo, Syracuse and Albany this Fall and will focus on building the capacity of community-based organizations in fostering stronger sustainability through value-based payments and contracting. The workshop will include four unique sessions facilitated by industry experts. It will combine didactic learning and group collaboration towards the goal of building stronger organizations. For more information on the type of content and presenters that will be at the trainings, please take a look at this sample agenda from a recent event.

The CBO Consortium of Upstate New York has provided their eligible member CBOs the opportunity for one agency representative to participate in the Buffalo, Syracuse or Albany workshop as part of full membership at NO COST. Eligible CBOs have received an email directly from Tony Sanfilippo which included the Zoom registration links and click on one of the three Upstate workshops city hyperlinks:

Buffalo
October 2, 2019
Northland Workforce Training Center
683 Northland Ave, Buffalo, NY 14211
 
Albany

October 24, 2019
Location TDB
 
Syracuse

November 7, 2019
HealtheConnections
443 N Franklin St, Syracuse, NY 13204

Affiliate Members and partners are invited to register at www.VBPForward.com at the cost of $125 per registration.

If you have any questions or need help registering for one of these events please contact Joslyn Teter at jteter@ccsi.org and for assistance.

DSRIP 2.0! MRT Waiver Extension Amendment Request Released For Review, Let Your Voice Be Heard!

The New York State Department of Health (NYSDOH) has released the draft of an amendment proposal to the Centers for Medicare and Medicaid Services (CMS) for the Medicaid Redesign Team (MRT) waiver, the purpose of which would be to extend the DSRIP program through to march 31, 2021. This extension would then be renewable every year for a total of four more years of DSRIP, going through March 2024.  The goal in extending the program is to further support quality improvements and cost savings that have been achieved through the DSRIP program.

The NYSDOH is calling on stakeholders to submit written comment to them by email at 1115waivers@health.ny.gov or by mail at the address below. All comments must be postmarked or emailed by November 4, 2019.

 

Health Care in 2020 and Beyond – Expert Discussion

The University at Buffalo School of Management and the American College of Healthcare Executives will be hosting a forum to discuss the pressing questions for the future of the healthcare industry. Some of the topics covered will be increasing pharmaceutical costs, the evolution of EMRs, payor model uncertainty, and patient care and access. To answer questions about these topics, the program will feature keynote speakers Mark Sullivan, Jody Lomeo, and Candace Johnson who are all President and CEO for their organizations: Catholic Health, Kaleida Health, and Roswell Park Comprehensive Cancer Center, respectively. Expert in the field, including various consulting and educational center representatives, will also share their insights on these topics in four different expert discussion panels.

The meeting will take place on Friday, October 11, from 8am to 6pm at Templeton Landing. For more information, please check out the event flyer here. The registration link is available here.