Establishes a managed long term care high acuity stabilization pool to support high-performing plans serving complex care members.
New York A10159 establishes a managed long term care high acuity stabilization pool within the medical assistance program. This pool provides financial support to managed long term care plans that demonstrate high performance on quality measures and serve a disproportionately high share of members with complex long term care needs or high service utilization. The pool is intended as a supplemental and transitional mechanism, not to replace the commissioner's obligation to establish actuarially sound premium rates.
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- Critical Issues
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