Quality of Service Changes are in the Wind

Quality of Service Changes are in the Wind

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Description

The Health and Human Services Commission is soliciting feedback on their quality strategy which is to be submitted to CMS in early March of this year. Suggestions for change or comments on the revised proposal should be made to HHSC. (See below) In addition, the Senate Committee on Health and Human Services will be holding a hearing March 21st on the following two interim charges: 1) Review the Health and Human Services Commission’s efforts to improve quality and efficiency in the Medicaid program, including pay-for-quality initiatives in Medicaid managed care. Compare alternative payment models and value-based payment arrangements with providers in Medicaid managed care, the Employees Retirement System, and the Teacher Retirement System, and identify areas for cross-collaboration and coordination among these entities. 2) Evaluate the commission’s efforts to ensure Medicaid managed care organizations’ compliance with contractual obligations and the use of incentives and sanctions to enforce compliance. Assess the commission’s progress in implementing competitive bidding practices for Medicaid managed care contracts and other initiatives to ensure the best value for taxpayer dollars used in Medicaid managed care contracts.


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