2017 MLTC Clinical Advisory Group Report

On September 12th, the New York State Department of Health released the draft of the Managed Long Term Care (MLTC) Clinical Advisory Group (CAG) Report for 2017 for public comment. As part of New York State’s commitment to transitioning at least 80 percent of managed care payments to value-based payment (VBP) arrangements by 2020 as part of the Delivery System Reform Incentive Payment (DSRIP) program, DOH convened CAGs, composed of clinicians and subject matter experts, to create guidelines and recommend quality measures for various VBP arrangement subtypes.

The MLTC CAG has met twice in 2017 to provide ongoing recommendations regarding implementation of VBPs for MLTC providers, including:

  • Adjustments to the MLTC VBP quality measure set for Measurement Year (MY) 2017;
  • Recommendations for MLTC VBP quality measure set for MY 2018;
  • Implementation guidance for Level 1 MLTC VBP arrangements; and
  • Considerations for the development of Level 2 and higher MLTC VBP arrangements.

The draft report is available here. A summary can be found here.