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Value Based Payment: Key Materials

Introductory Information:

·         VBP: An Introduction Video: Link   

·         VBP Overview VideoLink

·         Value Based Payment for Providers Video: Link

·         Webinar slides outlining the VBP RoadmapLink

·         Myths and Facts of Value Based Payment:  During this presentation, New York State’s Medicaid Director, Jason Helgerson, talks about common myths and facts about the Value Based Payment (VBP) initiative. He debunks common misunderstandings about the program and promotes the facts of what VBP actually means to those who are and will be participating in it.  Link

·         The VBP Roadmap outlines in detail, the direction NYS DOH is moving toward for contracts between Managed care organizations and providers.  The document is comprehensive, however very time consuming: Link

 

VBP Bootcamps:

The DOH released a series of materials walking organizations through Value Based Payment.  These materials are comprehensive, covering the basics of VBP through and advanced stages of contracting with Managed Care Organizations:

 

Bootcamp 1 - Introduction to VBP:  This introductory session will provide a clear foundational understanding of VBP, the implementation work that has been done to date, and where implementation is heading in the coming years.   The below topics are addressed in the materials:

1.       Introduction to Value-Based Payments

2.       High-level overview of VBP Readiness Assessment

3.       New VBP Design Standards:

a.       Technical Design

b.      Patient Engagement

c.       Social Determinants of Health

The following link contains the materials:  Link

 

Bootcamp 2 - Contracting and Risk Management: The second installment of the VBP Bootcamp series will familiarize participants with VBP contracting as well as risk management techniques. It will provide real life experience and examples of strategizing and contracting value-based arrangements. The below topics are addressed in the materials:

1.       VBP Contracting Overview:

a.       VBP Contracting Entities

b.      Presentation on two types of contracts:

                                                                           i.      Contract between a plan and a provider network (IPA/ACO)

                                                                         ii.      Contract between IPA/ACO and downstream providers

c.       Contracting considerations

d.      Contract necessities vs. optional items

e.      Contracting with Community Based Organizations

2.       Risk management mechanisms (stop loss provisions, risk corridors, etc.) and their importance in VBP contracting

3.       Leveraging analytics tools

4.       Advancement in risk levels

The following link contains the materials:  Link

 

Bootcamp 3 - Performance Measurement:  The final Bootcamp session is devoted to performance measurement and how performance results will impact the adjustment (upward or downward) in target budgets and shared savings/losses.  The below topics are addressed in the materials:

1.       Overview or Performance Measurement in VBP:

a.       Data

b.      IT guidance / considerations

c.       Rapid Cycle Evaluation

d.      Overview of the Process (Start to Finish)

e.      Provider / MCO / State expectations

The following link contains the materials:  Link

 

VBP University

NYSDOH is excited to announce the launch of VBP University! VBP University is an online, educational resource created to raise awareness, knowledge and expertise in the move to Value Based Payment (VBP). VBP University combines informational videos and supplemental materials that stakeholders interested in VBP can use to advance their understanding of this massive transformation effort.The VBP University curriculum includes four semesters.

 

 

Date of Release

Area of Study

Semester One

July 2017

Background and foundational information on VBP

Semester Two

August 2017

Topic specific information such as governance, business strategy, stakeholder engagement, finance, and data

Semester Three

September 2017

VBP Contracting

Semester Four**

October and November 2017**

VBP Bootcamps**

 

**VBP Bootcamps will take place in October and November 2017 in locations throughout the state. More information including dates and locations will be distributed shortly.

 

To watch an overview of the VBP University curriculum from NYS Medicaid Director, Jason Helgerson, click here: http://www.health.ny.gov/health_care/medicaid/redesign/dsrip/vbp_u/docs/vbpu_welcome_overview.mp4

 

How to Graduate from VBP University:

Semesters one through three conclude with a quiz on the topics covered. Those who pass all three quizzes will receive a certificate of completion. If you attend a bootcamp, you will receive a printed copy of your certificate. If you are unable to attend a bootcamp, a copy of your certificate will be e-mailed to you.

 

 

To begin semester one of VBP University, please visit www.health.ny.gov/VBP. Additional materials will be announced through this listserv when they become available. Any questions can be sent to MRTUpdates@health.ny.gov

 

 

 

Miscellaneous:

Value Based Payment (VBP) Baseline Survey was administered by NYS gathering details of current state payment arrangements between MCO’s and providers:  Medicaid MCOs VBP Baseline Survey Results (PDF)