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CYE 15 Payment Reform Initiatives

CYE 15 Payment Reform Initiatives. Only presenting changes from January 15, 2014 proposal Draft policies to be released in April 2014 Will be changing mechanics of withhold to a Payment Reform Reconciliation for Acute and ALTCS EPD Full capitation will be paid

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CYE 15 Payment Reform Initiatives

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  1. CYE 15 Payment Reform Initiatives • Only presenting changes from January 15, 2014 proposal • Draft policies to be released in April 2014 • Will be changing mechanics of withhold to a Payment Reform Reconciliation for Acute and ALTCS EPD • Full capitation will be paid • Reconciliation will be performed when performance measure results are complete • Will reconcile Quality Distribution payments, if any, against 1% recoupment

  2. CYE 15 Payment Reform Initiatives Acute Care

  3. CYE 15 Payment Reform Initiatives ALTCS EPD

  4. CYE 15 Payment Reform Initiatives ALTCS EPD, continued

  5. CYE 15 Payment Reform Initiatives ALTCS DDD

  6. CYE 15 Payment Reform Initiatives CRS

  7. CYE 15 Payment Reform Initiatives BHS

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