Nursing Facility

Integrated Care Updates - October 2019

October 2019 Contents: 

  • 2020 Medicare Advantage Star Ratings Released
  • 2019 MedPAC Data Book Provides Information on Demographic and Other Characteristics of Dually Eligible Beneficiaries
  • New MACPAC State Policy Compendium Provides State-by-State Detail on Medicaid Fee-for-Service (FFS) Payment Policies for Nursing Facilities
  • October 2019 Enrollment in Medicare-Medicaid Plans
  • October 2019 Enrollment in PACE Organizations
  • New Resources on the ICRC Website
  • Key Upcoming Dates


Using Value Based Purchasing (VBP) Arrangements to Improve Coordination and Quality of Medicare and Medicaid Nursing Facility Benefits

Study Hall Call

This webinar provides an overview of two health plans' approaches to Medicare-Medicaid value based purchasing (VBP) with nursing facilities. The presentation also features a panel discussion on Medicare-Medicaid nursing facility VBP with discussants from health plans, state Medicaid departments, and nursing facilities from Arizona and Minnesota.

Medicare and Medicaid Nursing Facility Benefits: The Basics and Options for Improved Coordination and Quality

Working with Medicare

This Working with Medicare webinar provides an overview of data on Medicare and Medicaid spending on nursing facilities for dually eligible beneficiaries, Medicare and Medicaid coverage of nursing facility benefits, and characteristics of Medicare and Medicaid nursing facilities and residents. The presentation also briefly reviews SNF/NF payment systems and methods utilized by FFS Medicare, FFS Medicaid, and managed care health plans, discussing options for states and health plans to increase coordination and quality in SNF and NF services.

Reducing Avoidable Hospitalizations Among Nursing Facility Residents: Three Perspectives

Study Hall Call

The webinar features perspectives and lessons learned from two Fully Integrated Dual Eligible Special Needs Plans (FIDE SNPs) - HealthPartners in Minnesota and Bridgeway Health Solutions in Arizona - and from The Curators of the University of Missouri, one of seven organizations participating in the CMS Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents.

Value-Based Payment in Nursing Facilities: Options and Lessons for States and Managed Care Plans

This brief describes value-based payment approaches currently used in select states and managed care plans, including the quality and performance measures they use, benchmarks or targets for those measures, and incentives that reward facilities. It also describes approaches to designing, administering, and evaluating state programs.


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