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.

  1. What Have We Done for You Lately? – October 2018

    October was an activity-filled month at LeadingAge. In addition to preparing for our successful Annual Meeting & EXPO in Philadelphia, we also launched a major new managed care initiative, advocated for nursing homes on several fronts, raised awareness about the role of technology, and weighed in on important issues in our field. Here’s a rundown of our work this month on your behalf.

  2. New Center for Managed Care Solutions & Innovations Launched

    The center’s goal is to be a one-stop shop of tools, resources, and education members need to succeed in managed care, integrated services, and other alternative payment models. Resources ...

  3. New Bundled Payment Initiative: Why You Should Care

    Here are few key points to understand about BPCI-A: All providers will still be paid Medicare fee-for-service rates. Just because the hospital or physician group practice is initiating a bundle doesn’t mean that they are responsible for paying all the providers of services covered by the ...

  4. Few 2019 MA Plans Test New HCBS Supplemental Benefits

    These new supplemental benefit options were added in April 2018 when CMS announced in its Call Letter that it had re-interpreted the definition of “primarily health-related” opening the door to some limited home and community-based services being covered by MA plans who previously could only cover Medicare services. ...

  5. Clarifying the New Opportunities for HCBS Providers Under Medicare Advantage Plans

    These new supplemental benefits policies for Medicare Advantage plans are the result of two key policy actions: the 2019 Medicare Advantage and Part D Final Rate Notice and Call Letter issued by CMS in early April 2018 and the passage of the Bipartisan Budget Act of 2018, which include provisions of the CHRONIC Care Act. Both ...