Skip to main content

NYS primary care practices: Leverage New York’s 1115 Medicaid Waiver

NYS primary care provider reading about the New York state Section 1115 Medicaid Redesign Team (MRT) Waiver

In April, we wrote about the updated New York state Section 1115 Medicaid Redesign Team (MRT) Waiver and how it was a game changer for New York state primary care practices.  

Almost a year later, we have updates to share so you can drive meaningful change for your practice — while solving some of the biggest pain points in primary care. Keep reading for key summaries or to check out our complete New York 1115 Medicaid Waiver white paper that includes:   

  • an essential summary of the 1115 Medicaid Waiver; 

  • enhanced payment overview; 

  • anticipated challenges and how to navigate them; 

  • how DataGen can help you achieve and retain NCQA PCMH status. 

[Access it here]

New York 1115 Medicaid Wavier updated summary 

Primary care practices in New York state have an unprecedented opportunity to boost their revenue, improve care quality and strengthen patient outcomes through the state’s 1115 Medicaid Waiver.  

This initiative, backed by $7.5 billion in federal funding, introduces enhanced incentives for practices aligning with PCMH models and Social Care Networks (SCNs). 

Program highlights: The three pillars 

The MRT Waiver is built on three foundational pillars: 

  1. Population health: Practices with NCQA PCMH recognition can earn retroactive enhanced per member per month (PMPM) payments starting April 1, 2024. 

  1. Strengthen the workforce: Focuses on equipping primary care teams with tools and resources for better outcomes. 

  1. Social Care Networks (SCNs): A framework to connect healthcare providers with social services, ensuring holistic care. 

In part two, we’ll explore exactly how you can secure backdated payments, enhance your care model and align your practice with SCNs for long-term success. 


What’s in it for New York state primary care practices? 

  1. Retroactive enhanced PMPM payments for PCMH-recognized practices starting April 1, 2024. 

  1. Tools to connect with SCNs and address social determinants of health. 

  1. Practical strategies to overcome operational challenges and unlock financial benefits. 

Not yet PCMH recognized? DataGen’s Medical Practice Consulting services can help your practice navigate the recognition process, streamline workflows and secure these valuable incentives. 

Ready to position your practice for success in value-based care? 

Download the full white paper to explore actionable strategies, eligibility requirements and how DataGen can support your journey. 

[Get your download now] 

Comments

Popular posts from this blog

Five key components of a strong patient safety culture

In today’s healthcare environment, ensuring patient safety is more than just a priority — it’s a fundamental component of quality care. Establishing a strong patient safety culture within hospitals and health organizations can dramatically reduce errors, increase patient satisfaction and improve overall healthcare outcomes. But what exactly is a patient safety culture, and how can institutions cultivate it effectively?  This blog post explores the five key components that make up a robust patient safety culture, along with insights from the Agency for Healthcare Research and Quality (AHRQ) and The Joint Commission.  What is patient safety culture?  AHRQ defines patient safety culture as how an organization's culture supports and promotes patient safety. This can extend to multiple levels, from individual units to departments to system levels. The AHRQ patient safety culture survey encompasses the shared values, beliefs and norms of healthcare practitioners and staff that...

CMS TEAM Model Q&A: Your 10 concerns addressed in partner webinar

DataGen partnered with the VBCExhibitHall and the Association of American Medical Colleges (AAMC) to host an informational webinar on CMS’ Transforming Episode Accountability Model (TEAM), Unpacking the mandatory CMS TEAM model: Overcome new rules & challenges.   During this one-hour session, attendees received valuable TEAM insights provided by Alyssa Dahl, vice president of advanced analytics at DataGen, and Erin Hahn, lead policy analyst of value-based care and quality at the Association of American Medical Colleges (AAMC). However, some attendees had good questions that we wanted to elaborate on — hence, the creation of this blog post! Speakers answer your webinar Q&As    With great participant questions during the Q&A portion, Dahl and Hahn took time to expand on their answers to provide more clarity.* So, if you’re a hospital with mandatory TEAM participation status, keep reading to unpack the new rules and challenges.    Q1: What happens...