New Tool to Aid New York’s Medicaid Managed Long Term Care Plans

by John W Rodat on April 28, 2014

Faced with the challenge of a very expensive Medicaid program, New York chose to dramatically reform it. A key element of the reform is moving Medicaid long-term care patients, including nursing home patients, into managed care plans, especially managed long-term care plans (MLTC).

A key element of the new policy is that MLTCs need not have a contractual relationship with every nursing home. While they need not negotiate prices during the transition period, nursing homes and plans may do so.

Now the managed care plans are faced with the challenge of dealing with nursing homes on a much larger scale than in the past.

A health plan representative asked whether we could create a visual, interactive dashboard that combined Medicaid price data with quality indicators. We did.

The dashboard includes:

  • CMS Nursing Home Compare Star Ratings, Overall, Staffing and Survey
  • Staffing levels for several types of staff (RN, LPN, Aides, Physical Therapy, etc.)
  • Staff, influenza vaccination percentages
  • Fines imposed, both number and level
  • Medicaid rates for operating costs and capital
  • Location
  • Number of beds
  • Vacancy rates and average number of vacant beds

The dashboard is highly visual and highly interactive. Users may filter (in or out) by quality rating, Medicaid rates, region, county and sub-county geographic areas. Users may also test the effects of discounts and value-based pricing.

 

SNF MLTC Tool 1 2014 04 15 0926

{ 1 comment }

russ May 2, 2014 at 4:01 pm

Great aggregation into a visualization interface of comparative data. Really looking forward to the state delivering this product. Information like this provides wins all the way around: for children of parents looking for long-term care options, to understanding the costs and hopefully as a side-effect improving quality of care, and to helping the suppliers of care better understand benchmarks to improve services across the board. Great job pulling together this dashboard. Hopefully this can be delivered.

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