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LeadingAge

Center for Managed Care Solutions & Innovations

Center for Managed Care Solutions & Innovations

The Center for Managed Care Solutions & Innovations is LeadingAge’s clearinghouse for information, resources, networking, and assistance about the relationship between managed care, both Medicare and Medicaid, and post-acute and long-term services and supports providers. Here you can find information, education and tools providers need to participate in managed care, integrated service delivery and alternative payment models, such as accountable care organizations and/or bundled payments. Questions? Contact us.

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Managed Care/Payment Models Basics

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Tools, Checklists, and Promising Practices

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Partnerships and Strategies

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Advisory and Interest Groups

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Resources

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Thought Leadership

  1. LeadingAge Offers Provider View on CMS Proposed 2020 MA Plan Policies and Rates

    LeadingAge also asked CMS to provide more detail on the types of benefits a MA plan may offer under the new Special Supplemental Benefits for Chronically Ill policy and clarification on how these customized, person-centered benefits will be authorized.  Additional comments were offered recommending ways for CMS to reduce ...

  2. Comments on CMS Proposals for 2020 MA Plan Operations Due March 1

    .The new Special Supplemental Benefits for the Chronically Ill (SSBCI) likely holds the most interest for long term services and supports, housing and home and community-based service providers but lacks the detail around the services that can be provided. In 2020, MA plans will have the new ...

  3. CMS Proposes 2020 MA Plan Rates and New Supplemental Benefits

    LeadingAge is reading through the details of the Advance Notice and Draft Call Letter now and will provide a more detailed summary in the coming days.  For now, here are a few highlights of what we know so far: Plans will not be getting as big of a rate increase in 2020. Capitated payments to MA plans will ...

  4. What Have We Done for You Lately? – January 2019

    Here’s an overview of our work for you in January 2019.

  5. What’s on the Horizon for Managed Care in 2019?

    New Rules:  The passage of legislation in 2018, such as the Bipartisan Budget Act of 2018 which contained provisions of the CHRONIC Care Act, will lead to changes in the types of benefits Medicare Advantage (MA) plans may offer in 2020 and beyond and what is expected of both MA and Special Needs Plans (SNPs).  CMS closed 2018 ...