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

  • Webinar also available in Portable Document Format (PDF)

September 2016

Today´s Agenda

  • VBP QIP Timeline Update
  • VBP QIP Governance Documents
  • VBP QIP Facility Plans
  • VBP QIP Financing Update
  • Next Steps and Q&A
  • Upcoming VBP Bootcamps
  • Open Forum

VBP QIP Timeline Update

Group 1 Key Upcoming Dates

Milestone Due Date
MCO Quarterly Reporting to DOH (April 2016 – Ongoing) – MMCOR Submissions November 15, 2016
First steps towards VBP undertaken with PPS & MCO oversight in accordance with approved Facility Plan Ongoing

Group 2 Key Upcoming Dates

Milestone Due Date
MCOs submit VBP QIP Governance Document for DOH review October 7, 2016
Facilities submit draft Facility Plan to PPSs for initial review October 14, 2016
PPSs review Facility Plan and return them to facilities for revision October 28, 2016
Baseline metrics for future measurement are co-developed by facility, PPS, & MCO (submitted as part of the Facility Plan) October 28, 2016
MCO Quarterly Reporting to DOH (April 2016 – Ongoing) – MMCOR Submissions November 15, 2016
MCOs submit a revised VBP QIP Governance Document to DOH for review December 9, 2016
Final Facility Plans approved by MCO in collaboration with PPS (final copies should be sent to DOH) December 9, 2016

Note: Although 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 VBP QIP in DY2 focuses on setting up VBP contracts, which must be in place between Facilities and MCOs by April 1st, 2017.

VBP QIP Governance Documents

  • Group 1 MCO Governance Documents were due on Friday, September 16th, 2016.
    • DOH will provide MCOs with feedback on the Governance Documents by Friday, September 30th, 2016.
  • Group 2 MCO Governance Documents are due on Friday, December 9th, 2016.
  • A blank Governance Document Scorecard can be found on the DOH VBP QIP website.
    • The Scorecard outlines the areas DOH reviews, which the MCO´s can use to establish a solid approach for overseeing their programs. This will reinforce the integrity of each program and will foster the parameters that will assist the MCO's paired Facilities with achieving their VBP QIP objectives.

VBP QIP Facility Plans

  • The Facility Plan Template provides guidance to participants on the information each party should consider when putting together their VBP transformation plan.
  • Group 1 Facility Plans were due to DOH on Friday, September 16th, 2016.
    • Finalized Facility Plans should have been approved by partnered MCOs and PPS.
    • Group 1 MCOs should have e-mailed Facility Plans to DOH at vbp_qip@health.ny.gov.
  • Group 2 Facility Plans are due to DOH by Friday, December 9th, 2016.

VBP QIP Financing Update

  • Finalization of VBP QIP DSRIP Year (DY) 2 Rates - April 2016 Rate Package
    • DOH´s submission of the DY2 Rate Package to CMS & DOB is delayed
    • DOH has worked with DOB to approve a state funded advance for the 3rd Quarter of DY2 (October 2016 - December 2016) to ensure MCOs have VBP QIP funds to pay facilities (while April 2016 rates are reviewed and approved by CMS & DOB).
      • Expect an update on the finalized DY2/Q3 advance shortly.
  • Due to the delay in the submission of the DY2 Rate Package, DOH will not recover funds previously advanced to the MCOs in September 2016 as the State has initially planned.
    • The State will not recover advances sent to MCOs until after the April 2016 rates have been approved.

Next Steps and Q&A

  • Group 1
    • Facilities should continue working towards VBP (with PPS & MCO oversight) in accordance with their approved Facility Plan.
  • Group 2
    • Facilities should continue developing their VBP QIP Facility Plans for submission to their paired PPS for review.
    • MCOs should continue to develop and prepare to submit their MCO Governance Documents to DOH for review.
  • DOH encourages all participants to continue reviewing the NYS VBP Roadmap!

Upcoming VBP Bootcamps

Date Region Session Name Location Time
Wednesday, September 21 4 - Central, Finger Lakes, Western Session 2: Contracting and Risk Management National Museum of Play at the Strong 9:00 am – 4:00 pm
Tuesday, September 27 5 - Long Island, Queens Session 1: Introduction to Value Based Payment The Adria Hotel and Conference Center 10:30 am – 4:30 pm
Thursday, October 6th 4 - Central, Finger Lakes, Western Session 3: Performance Measurement National Museum of Play at the Strong 9:00 am – 4:00 pm
Wednesday, October 19 5 - Long Island, Queens Session 2: Contracting and Risk Management Hofstra University 9:00 am – 4:00 pm

VBP Bootcamp Website

Thank you for your continued support with VBP QIP!

  • The next VBP QIP Update Webinar is scheduled for Tuesday, October 18th from 2:00 pm - 3:00 pm.
  • Please let DOH of any topics that you would like discussed during next month´s webinar by submitting your requested topics to the VBP QIP inbox.
  • The remainder of this webinar is reserved for an open forum session.

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