This two-part training series will be presented by representatives from VORYS Health Care Advisors, LLP (VHCA).
Ideas. Strategies. Solutions. Action.
With a unique combination of Medicaid, public policy, financial and clinical experience, Vorys Health Care Advisors consultants help stakeholders meet the challenges of a complex, rapidly changing state and federal health care environment. VHCA offers clients innovative strategies and the kind of counsel that leads to well-informed decisions - and action that gets results. Learn More
NYSRA and NYSACRA Members Only Opportunity
This training series is being brought to members through the work of the NYSRA-NYSACRA Managed Care Council.
The State of New York is testing a variety of managed care approaches. New York IDD’s future in managed care and value-based arrangements will be informed by these innovations. Even without specifics, all providers need to gather as much information about value-based payments, managed care tools and how person-centered planning fits in with the new payment arrangements and service delivery.
PURPOSE: The purpose of the three foundational webinars is to give provider agency leaders a framework for learning about New York's future managed care decisions. Each webinar will feature brief case studies, examples from other states, and ample time for questions and comments from the audience.
April 25 & 26, 2017 | Desmond Hotel & Conference Center, Albany, NY
PURPOSE: to build upon webinars, develop a deeper understanding of aligning current business practices to succeed in a person-centered, managed care / value-based world.
PLEASE NOTE-REQUIREMENT FOR ATTENDING IN-PERSON TRAINING: To attend the two-day, in-person training, participants must participate in all three of the webinars included in Part I of the training series.
Participation in the webinars includes joining the live webinar presentations on the dates above OR viewing the archived recording of the webinars which will be provided to all registrants following each webinar.
1. Care Coordination & Health Home: An in-depth look at the interplay between planning from a person-centered perspective, person-centered care coordination, and managed care "care management." Read More
2. Compliance Management & Quality Improvement: A discussion of organizational capacity and strategies for quality management and quality improvement including the types of quality measures and metrics used by managed care plans to assess the "value" of service providers. Read More
3. Documentation & Billing: Overview of the definition of medical necessity and the State's documentation requirements including a detailed review of form UB-40. Read More
4. Changing Business Relationships & Contracting with Managed Care Organizations: Gain a basic understanding of how to execute sound contracts with managed care organizations. Read More
5. Moving Toward At-Risk, Value-Based Payments: This topic will establish a framework for providers to assess their current and future services and sources of revenue. Read More
6. Holistic Care: Relationships with Other Health Care Providers: Managed care and value-based payment models work best when providers across continuums of care and settings work together. Read More
7. Intersection with HCBS: Olmstead, the ADA, and the HCBS Medicaid Rules have established expectations for residential and day / employment services that are and will have a dramatic impact on some providers’ current service models. Read More
8. Organizational Change Processes: Discussion of systems change strategies that agencies can use to achieve success in a managed care and a value-based environment. Read More
9. Data, Information Systems and Outcomes: Data is the life blood of modern health care systems and providers need to understand, collect, analyze and use information for person-centered care and measuring outcomes. Read More