Value Based Payment Quality Improvement Program (VBP QIP) Update Webinar

  • Webinar also available in Portable Document Format (PDF, 306KB)

July 2016

Today´s Agenda

  1. Group 2 VBP QIP Contracts
  2. VBP QIP Webpage Update
  3. VBP QIP Pairings Update
  4. VBP QIP Timeline Update
  5. VBP QIP Financing Update
  6. Next Steps and Q&A

Group 2 VBP QIP Contracts

  • Contract for Group 2 VBP QIP partners should have been completed by July 1st, 2016.
  • MCO are asked to please submit executed contracts to DOH for record keeping at vbp_qip@health.ny.gov with "VBP QIP Contract (MCO)/(Facility)" in the subject line.
    • Please cc all VBP QIP partners when submitting the executed contract to DOH.
  • If you do not have or anticipate having an executed contract soon, please notify DOH immediately of any issues hindering contracting by sending an email to vbp_qip@health.ny.gov with "VBP QIP Group 2 Contracting Issue" in the subject line.
    • Until partners are able to execute an agreement, they cannot receive VBP QIP funds.

VBP QIP Webpage Update

VBP QIP Pairings Update

MCO PPS Facility Award Group
Affinity Advocate Community Providers Brookdale Hospital $31,000,000 2
Montefiore Hudson Valley Collaborative St. Joseph´s Hospital $6,571,728 2
Amerigroup Nassau Queens Performing Provider System, LLC Nassau University Medical Center $40,000,000 2
Excellus Central New York Care Collaborative, Inc. Lewis County General Hospital $5,500,000 2
Finger Lakes Performing Provider Systems, Inc. St James Mercy Hospital $2,580,361 2
Orleans Community Hospital $2,188,376 2
Wyoming County Community Health $1,250,000 2
Mohawk Valley PPS A O Fox Memorial Hospital $3,200,000 2
Fidelis Maimonides Medical Center Interfaith Medical Center $50,000,000 1
Kingsbrook Jewish Medical Center $50,000,000 1
Montefiore Hudson Valley Collaborative Montefiore – Mount Vernon $28,299,975 1
Nyack Hospital $4,579,744 1
Nassau Queens Performing Provider System, LLC St. John´s Episcopal $14,852,107 1
Westchester Medical Center Bon Secours Charity Health $7,416,275 1
Good Samaritan Hospital Suffern $7,000,000 1
HealthFirst Advocate Community Providers Brookdale Hospital $109,000,000 1
MVP Montefiore Hudson Valley Collaborative Montefiore - New Rochelle $22,922,530 1
Westchester Medical Center Health Alliance (Benedictine) $5,085,315 1
United Health Plan Central New York Care Collaborative, Inc. Rome Memorial Hospital $2,426,452 2
Maimonides Medical Center Wyckoff Heights Medical Center $50,000,000 1
WellCare Montefiore Hudson Valley Collaborative St. Luke´s Hospital - Cornwall $14,000,000 2
TBD* OneCity Health NYC Health + Hospitals TBD 2

Note: The VBP QIP Funding and Pairings Table is also available on the VBP QIP Website

* Pairings still under review.

VBP QIP Timeline Update

Group 1 Key Upcoming Dates

Milestone Due Date
MCO report on VBP QIP payments for the 2 nd quarter of DY2 in MMCOR August 15, 2016
MCOs submit final VBP QIP Governance Document to DOH for review September 16, 2016
Final Facility Plans approved by MCO in collaboration with PPS (final copies should be sent to DOH) September 16, 2016

Group 2 Key Upcoming Dates

Milestone Due Date
MCO report on VBP QIP payments for the 2 nd quarter of DY2 in MMCOR August 15, 2016
MCOs submit September 2016 interim report for VBP QIP payment disbursements made during
the month of July 2016 – two month lag		 September 5, 2016
MCOs develop and issue Facility Plan Templates, send to PPS for comments September 9, 2016
MCOs submit a revised VBP QIP Governance Document to DOH for review December 10, 2016
Final Facility Plans approved by MCO in collaboration with PPS (final copies should be sent to DOH) December 10, 2016

Note: Though deliverables can be completed at any time before the red dates noted on the VBP QIP Timeline. The Department encourages participants to complete them as soon as possible, as the majority of DY2 of VBP QIP should focused on setting up VBP contracts, which must be in place between Facilities and MCOs by April 1st, 2017.

VBP QIP Financing Update

  • The State released a portion of Cycle 2029 early on Monday, July 11th, 2016.
  • The July 11th payment provided a six month (April 2016 - September 2016) gross advance of the State Fiscal Year (SFY) 2016-17 funding outlined in each individual VBP QIP Acceptance Letter, in order to ensure continued funding for VBP QIP in SFY 2016-17.
  • It is the Department´s expectation that MCOs begin sending the April through July 2016 VBP QIP payments at the new funding levels (if they have not already been completed), once contractual obligations have been met.
    • Group 2 public hospitals still require a completed indemnification letter before any payments can be effectuated.
    • All Group 2 hospitals require an executed contract before any payments can be effectuated.
  • The State generated a receivable for the early transactions, and once the April 2016 Mainstream Managed Care premiums are approved by CMS, the State will recover the transactions in Cycle 2038 on September 1st, 2016 from State payments to MCOs.
    • This recovery will reduce MCOs´ normal September cycle payment by amount stated in the notifications sent out by DOH.

Next Steps and Q&A

  • The next VBP QIP Update Webinar is scheduled for August 17th at 2pm.
  • The remainder of today´s webinar is reserved for Q&A.

Thank you for your continued support with VBP QIP!

For any further questions, please contact the VBP QIP inbox: vbp_qip@health.ny.gov