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. CMS Finalizes Chronically Ill Benefits, DSNP Integration, and Telehealth policies for MA

    As it relates to Medicare Advantage (MA) plans offering supplemental benefits, CMS made two key changes in the final Call Letter. The first was to include a larger rate increase to MA plans than originally proposed – now 2.53%, an increase of nearly 1%. This “modest” increase, as it ...

  2. CMS Talks Hospice Carve-In

    Two policy goals were identified to test through the Value-Based Insurance Design (VBID) Model: Improve quality and access by increasing appropriate and timely access to care along with promoting better care coordination for people who choose MA and elect hospice benefits Enable innovation by fostering ...

  3. 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 ...

  4. 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 ...

  5. 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 ...