GNYHA anticipates that New York State will apply for the new Centers for Medicare & Medicaid Services (CMS) Innovation Center’s (CMMI) total cost of care and hospital global budget initiative—called the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model—for the downstate region. We are pleased that staff from CMMI and the New York…

On Friday, March 15, 2024, GNYHA convened its Community Affairs Representatives Forum. The meeting included a refresher on the health equity-related data that hospitals must report to the Centers on Medicare and Medicaid Services, NYS’ recently approved 1115 waiver (including a section on the social care networks), and a briefing on the development of the…

On March 4, GNYHA will host a member roundtable to discuss how Medicare Advantage (MA) plans are implementing the calendar year (CY) 2024 final rule utilization management requirements. This is a follow-up to the December 19 roundtable in which we reviewed the impending CY 2024 changes. The upcoming discussion will focus on your 2024 experiences…