Member Feedback Tool Table 2: Rank Ordering of Proposals

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  Individual Rankings
Proposal Description Composite Rank Cost Year 1 Cost Years
2 and 3		 Quality Efficiency Overall Impact
89. Address Health homes for high cost/high need enrollees 1 15 2 1 1 1
131. Reform Medical Malpractice and Patient Safety 2 6 6 9 5 4
11. Bundle Pharmacy into MMC 3 12 12 10 10 6
155. Mandate Participation in the OMIG Cardswipe Program for all Pharmacies. 4 25 14 20 9 13
90. Mandatory Enrollment in MLTC Plans/Health Home Conversion 5 23 13 15 14 18
69. Uniform Assessment Tool (UAT) for LTC 6 41 39 4 2 2
6. Reduce MC / FHP Profit (from 3% to 1%) 7 3 10 38 23 25
66. Revise Indigent Care Pool Distributions to align with Federal Reform 8 5 5 25 36 30
8. Reduce MC / FHP / CHP trend factor (1.7%) 9 2 3 41 35 23
92. Allow Restricted Recipient Program in Managed Care 10 31 20 11 15 17
243 Accountable Care Organizations (ACOs) 11 44 44 2 3 3
18. Eliminate spousal refusal. 12 17 16 30 22 22
5. Reduce and Control Utilization of CHHA Services 13 7 8 35 30 37
70. Expand Current Statewide Patient-Centered Medical Homes (PCMH) 14 43 45 3 4 5
98. Streamline Managed Care Enrollment Eligibility Process 15 33 40 8 6 9
97. Assign Medicaid Enrollees to Primary Care Providers 16 32 37 7 12 10
4. Eliminate 2011 Trend Factor (1.7%) 17 1 1 46 45 33
15. Rebuild NY Preferred Drug List 18 21 23 26 20 20
12. Reduce/Redirect Indirect Medical Education (IME) Payments 19 8 7 31 41 38
22. Establish New Ambulette Dialysis Transportation Fee 20 22 26 33 13 15
79. Implement Episodic Pricing for Certified Home Health Agencies 21 35 29 18 8 12
1. Increase the Health Facility Cash Assessment Rates 22 4 4 36 46 36
32. Prior Authorization for Exempt Drug Classes 23 29 28 17 17 14
25. Remove Physician Component from Ambulatory Patient Group (APG) Base Rate 24 19 25 28 26 21
2. Reduce and Control Utilization of Personal Care Services 25 10 11 39 38 44
3. HCRA Streamlining 26 9 9 40 44 42
14. Restructure Reimbursement for Proprietary Nursing Homes 27 14 18 42 32 28
16. Implement Pricing Reimbursement Methodology for NHs 28 18 17 29 34 39
87. Reduce Unnecessary Hospitalizations - Geographic Community Based Pay for Performance 29 30 34 16 27 29
101. Develop Initiatives for People with Medicare and Medicaid 30 45 46 6 11 8
57. Limit Opioids to a Four Prescription Fill Limit Every Thirty Days. 31 39 42 13 18 16
10. Eliminate Direct Marketing of Medicaid Recipients and Facilitated Enrollment Activities by Medicaid Managed Care 32 13 19 43 40 45
196 Supportive Housing Initiative 33 47 48 5 7 7
162. Eliminate Medicaid Payments for Medicare Part B Co- insurance 34 20 21 37 42 41
7. Elimination of the Personal Care Benefit for Persons who are not NH Certifiable 35 11 15 45 47 47
96. Expand Managed Care Enrollment 36 36 33 22 24 31
95. Include Personal Care Benefit in Managed Care 37 38 41 21 21 26
43. Eliminate Part D Drug Wrap in Medicaid 38 34 36 27 25 24
93. Implement Regional BHOs for Behavioral Health Organization 39 40 35 19 29 27
26. Utilization Controls on Behavioral Health Clinics 40 28 31 32 31 40
111. Limit Divestment and Encourage Private LTC Insurance 41 42 43 23 16 11
17. Reduce Fee-For-Service Dental Payment on Select Procedures 42 24 24 47 39 43
67. Assist Preservation of Essential Safety-Net Hospitals, Nursing Homes and D&TCs 43 46 47 12 19 19
35. Prescription Limitation to 5/month 44 37 30 34 37 34
9. Eliminate All Targeted Case Management for Managed Care Enrollees 45 26 27 44 43 46
91. Carve In for Behavioral Health Services into Managed Care 46 49 38 24 28 35
19. Eliminate D&TC Bad Debt and Charity Care 47 16 22 48 49 49
61. Home Care Worker Parity - CHHA / LTHHCP / MLTC 48 48 49 14 33 32
23. Coverage for Dental Prosthetic Appliances 49 27 32 49 48 48

Notes

For each proposal, the five metrics (Cost Year 1, Cost Years 2 and 3, Quality, Efficiency and Overall Impact) were standardized taking into consideration both the mean and variation. A score is calculated for each metric, and then ranked from 1 (highest) to 49 (lowest). A composite rank is also computed which is the average score across the five metrics and then ranked 1 to 49.