Member Feedback Tool Table 1: Summary Results

  • Table 2 is also available in Portable Document Format (PDF)
Proposal Description Measure Total Responses Median Mean Min Max Variation
1. Increase the Health Facility Cash Assessment Rates Cost Year 1 24 3 2.8 −1 3  
Cost Years 2 and 3 24 3 2.8 −1 3  
Quality 25 0 0 −1 2  
Efficiency 24 0 0.2 −1 3  
Overall Impact 25 0 0.7 −1 3  
2. Reduce and Control Utilization of Personal Care Services Cost Year 1 24 3 2.6 −1 3  
Cost Years 2 and 3 24 3 2.6 −1 3  
Quality 24 −1 −0.1 −1 3  
Efficiency 24 1 0.5 −1 3  
Overall Impact 24 0 0.4 −1 3  
3. HCRA Streamlining Cost Year 1 22 3 2.6 −1 3  
Cost Years 2 and 3 22 3 2.6 −1 3  
Quality 23 0 −0.1 −1 3  
Efficiency 23 0 0.3 −1 3  
Overall Impact 23 0 0.5 −1 3  
4. Eliminate 2011 Trend Factor (1.7%) Cost Year 1 23 3 3 3 3  
Cost Years 2 and 3 23 3 3 3 3  
Quality 24 0 −0.4 −1 0  
Efficiency 23 0 0.2 −1 3  
Overall Impact 24 0.5 0.8 −1 3  
5. Reduce and Control Utilization of CHHA Services Cost Year 1 24 3 2.7 −1 3  
Cost Years 2 and 3 24 3 2.7 −1 3  
Quality 25 0 0 −1 3  
Efficiency 24 1 0.8 −1 3  
Overall Impact 25 1 0.7 −1 3  
6. Reduce MC / FHP Profit (from 3% to 1%) Cost Year 1 23 3 2.8 1 3  
Cost Years 2 and 3 23 3 2.6 0 3  
Quality 24 0 0 −1 3  
Efficiency 24 1 1.2 −1 3  
Overall Impact 24 1 1.1 −1 3  
7. Elimination of the Personal Care Benefit for Persons who are not NH Certifiable Cost Year 1 24 3 2.6 −1 3  
Cost Years 2 and 3 24 3 2.5 −1 3  
Quality 25 −1 −0.2 −1 3  
Efficiency 24 −1 −0.1 −1 3  
Overall Impact 25 −1 0 −1 3  
8. Reduce MC / FHP / CHP Trend Factor (1.7%) Cost Year 1 24 3 2.9 1 3  
Cost Years 2 and 3 24 3 2.8 1 3  
Quality 25 0 −0.1 −1 3  
Efficiency 25 0 0.7 −1 3  
Overall Impact 25 1 1.2 −1 3  
9. Eliminate All Targeted Case Management for Managed Care Enrollees Cost Year 1 24 2 1.5 −1 3  
Cost Years 2 and 3 24 2 1.8 −1 3  
Quality 25 0 −0.2 −1 3  
Efficiency 25 0 0.3 −1 3  
Overall Impact 25 0 0 −1 3  
10. Eliminate Direct Marketing of Medicaid Recipients and Facilitated Enrollment Activities by Medicaid Managed Care Plans Cost Year 1 22 3 2.3 −1 3  
Cost Years 2 and 3 22 3 2.2 −1 3  
Quality 23 0 −0.1 −1 2  
Efficiency 23 0 0.4 −1 3  
Overall Impact 22 0 0.3 −1 3  
11. Bundle Pharmacy into MMC Cost Year 1 24 3 2.3 −1 3  
Cost Years 2 and 3 24 3 2.6 −1 3  
Quality 25 2 1.4 −1 3  
Efficiency 25 2 1.7 −1 3  
Overall Impact 25 3 2 −1 3  
12. Reduce/Redirect Indirect Medical Education (IME) Payments Cost Year 1 24 3 2.7 2 3  
Cost Years 2 and 3 24 3 2.7 2 3  
Quality 25 0 0.1 −1 3  
Efficiency 25 0 0.4 −1 3  
Overall Impact 25 0 0.7 −1 3  
14. Restructure Reimbursement for Proprietary Nursing Homes Cost Year 1 23 2 2 0 3  
Cost Years 2 and 3 23 2 2.3 0 3  
Quality 24 0 −0.1 −1 1  
Efficiency 24 1 0.8 −1 3  
Overall Impact 24 1 1 −1 3  
15. Rebuild NY Preferred Drug List Cost Year 1 24 2 1.8 −1 3  
Cost Years 2 and 3 23 2 2 −1 3  
Quality 25 0 0.4 −1 3  
Efficiency 25 2 1.4 −1 3  
Overall Impact 25 1 1.2 −1 3  
16. Implement Pricing Reimbursement Methodology for NHs Cost Year 1 24 2 1.9 0 3  
Cost Years 2 and 3 24 3 2.4 0 3  
Quality 25 0 0.2 −1 3  
Efficiency 25 1 0.7 −1 3  
Overall Impact 25 0 0.7 −1 3  
17. Reduce Fee−For−Service Dental Payment on Select Procedures Cost Year 1 24 2 1.7 −1 3  
Cost Years 2 and 3 24 2 1.9 −1 3  
Quality 25 0 −0.4 −1 1  
Efficiency 25 0 0.5 −1 2  
Overall Impact 25 1 0.4 −1 3  
18. Eliminate Spousal Refusal. Cost Year 1 21 2 1.9 −1 3  
Cost Years 2 and 3 21 3 2.5 −1 3  
Quality 22 0 0.2 −1 3  
Efficiency 22 1.5 1.3 −1 3  
Overall Impact 22 1.5 1.2 −1 3  
19. Eliminate D&TC Bad Debt and Charity Care Cost Year 1 24 2 1.9 −1 3  
Cost Years 2 and 3 24 3 2 −1 3  
Quality 25 −1 −0.7 −1 0  
Efficiency 25 −1 −0.6 −1 2  
Overall Impact 25 −1 −0.7 −1 2  
22. Establish New Ambulette Dialysis Transportation Fee Cost Year 1 23 2 1.8 1 2  
Cost Years 2 and 3 23 2 1.8 1 2  
Quality 24 0 0 −1 2  
Efficiency 23 1 1.5 −1 3  
Overall Impact 23 2 1.5 −1 3  
23. Coverage for Dental Prosthetic Appliances Cost Year 1 24 2 1.4 −1 2  
Cost Years 2 and 3 24 2 1.3 −1 2  
Quality 25 −1 −0.7 −1 1  
Efficiency 24 −1 −0.4 −1 2  
Overall Impact 25 −1 −0.5 −1 1  
25. Remove Physician component from Ambulatory Patient Group (APG) Base Rate Cost Year 1 24 2 1.9 1 3  
Cost Years 2 and 3 24 2 1.9 1 3  
Quality 25 0 0.3 −1 3  
Efficiency 25 1 1.1 0 3  
Overall Impact 25 1 1.2 −1 3  
26. Utilization Controls on Behavioral Health Clinics Cost Year 1 22 2 1.3 −1 2  
Cost Years 2 and 3 22 2 1.4 −1 2  
Quality 23 0 0 −1 3  
Efficiency 23 1 0.8 −1 3  
Overall Impact 23 1 0.7 −1 3  
32. Prior Authorization for Exempt Drug Classes Cost Year 1 24 1 1.1 −1 2  
Cost Years 2 and 3 24 2 1.7 −1 3  
Quality 25 1 0.9 −1 3  
Efficiency 25 1 1.4 −1 3  
Overall Impact 25 2 1.5 −1 3  
35. Prescription Limitation to 5/month Cost Year 1 24 1 0.8 −1 1  
Cost Years 2 and 3 24 2 1.5 −1 2  
Quality 25 0 0 −1 3  
Efficiency 25 1 0.6 −1 3  
Overall Impact 25 1 0.8 −1 3  
43. Eliminate Part D Drug Wrap in Medicaid Cost Year 1 24 1 0.9 0 1  
Cost Years 2 and 3 24 1 1.1 −1 2  
Quality 25 0 0.3 −1 3  
Efficiency 24 1 1.1 −1 3  
Overall Impact 25 1 1.2 −1 3  
57. Limit Opioids to a Four Prescription Fill Limit Every Thirty Days. Cost Year 1 24 1 0.7 −1 1  
Cost Years 2 and 3 24 1 0.7 −1 1  
Quality 25 2 1.2 −1 3  
Efficiency 25 2 1.4 −1 3  
Overall Impact 25 2 1.4 −1 3  
61. Home Care Worker Parity − CHHA / LTHHCP / MLTC Cost Year 1 22 0 −0.3 −1 3  
Cost Years 2 and 3 22 0 −0.4 −1 0  
Quality 24 1 1.2 −1 3  
Efficiency 24 0 0.8 −1 3  
Overall Impact 24 0 0.8 −1 3  
66. Revise Indigent Care Pool Distributions to align with Federal Reform Cost Year 1 23 3 2.7 0 3  
Cost Years 2 and 3 23 3 2.7 0 3  
Quality 24 0 0.5 −1 3  
Efficiency 24 0 0.7 −1 3  
Overall Impact 24 0.5 0.9 −1 3  
67. Assist Preservation of Essential Safety−Net Hospitals, Nursing Homes and D&TCs Cost Year 1 23 0 −0.1 −1 3  
Cost Years 2 and 3 23 0 0 −1 3  
Quality 24 1.5 1.3 −1 3  
Efficiency 24 2 1.4 −1 3  
Overall Impact 24 2 1.3 −1 3  
69. Uniform Assessment Tool (UAT) for LTC Cost Year 1 23 0 0.3 −1 3  
Cost Years 2 and 3 23 1 1 0 3  
Quality 25 3 2.2 −1 3  
Efficiency 25 3 2.4 −1 3  
Overall Impact 25 3 2.4 −1 3  
70. Expand current statewide Patient−Centered Medical Homes (PCMH) Cost Year 1 24 −0.5 0.1 −1 3  
Cost Years 2 and 3 24 −0.5 0.3 −1 3  
Quality 25 3 2.3 0 3  
Efficiency 25 2 2.2 0 3  
Overall Impact 25 2 2.2 −1 3  
79. Implement Episodic Pricing for Certified Home Health Agencies Cost Year 1 24 0 0.9 0 3  
Cost Years 2 and 3 24 1.5 1.5 0 3  
Quality 25 1 0.9 0 3  
Efficiency 25 2 1.8 0 3  
Overall Impact 25 2 1.6 −1 3  
87. Reduce Unnecessary Hospitalizations − Geographic Community Based Pay for Performance Cost Year 1 21 0 1 −1 3  
Cost Years 2 and 3 21 0 1.2 −1 3  
Quality 22 1.5 1.1 −1 3  
Efficiency 22 1 1.1 −1 3  
Overall Impact 22 1 1 −1 3  
89. Address Health Homes for High Cost/High Need Enrollees Cost Year 1 24 2 2 1 3  
Cost Years 2 and 3 24 3 2.9 1 3  
Quality 25 3 2.5 −1 3  
Efficiency 25 3 2.5 1 3  
Overall Impact 25 3 2.7 1 3  
90. Mandatory Enrollment in MLTC Plans/Health Home Conversion Cost Year 1 24 2 1.7 −1 3  
Cost Years 2 and 3 24 3 2.6 −1 3  
Quality 25 1 1.1 −1 3  
Efficiency 25 2 1.4 −1 3  
Overall Impact 25 2 1.4 −1 3  
91. Carve In for Behavioral Health Services into Managed Care Cost Year 1 24 −1 −0.3 −1 3  
Cost Years 2 and 3 24 2 1 −1 3  
Quality 25 0 0.5 −1 3  
Efficiency 25 1 0.8 −1 3  
Overall Impact 25 0 0.7 −1 3  
92. Allow Restricted Recipient Program in Managed Care Cost Year 1 24 1 1 −1 2  
Cost Years 2 and 3 24 2 2.1 −1 3  
Quality 25 2 1.4 −1 3  
Efficiency 25 2 1.4 −1 3  
Overall Impact 25 2 1.4 −1 3  
93. Implement Regional BHOs for Behavioral Health Organization Cost Year 1 24 1 0.5 −1 3  
Cost Years 2 and 3 24 1.5 1.2 −1 3  
Quality 25 1 0.9 −1 3  
Efficiency 25 1 0.8 −1 3  
Overall Impact 25 1 1 −1 3  
95. Include Personal Care Benefit in Managed Care Cost Year 1 24 1 0.8 −1 1  
Cost Years 2 and 3 24 1 0.8 −1 1  
Quality 25 1 0.8 −1 2  
Efficiency 25 1 1.4 −1 3  
Overall Impact 25 1 1.1 −1 3  
96. Expand Managed Care Enrollment Cost Year 1 22 1 0.8 −1 3  
Cost Years 2 and 3 22 1.5 1.3 −1 3  
Quality 23 1 0.7 −1 3  
Efficiency 23 1 1.1 −1 3  
Overall Impact 23 1 0.9 −1 3  
97. Assign Medicaid Enrollees to Primary Care Providers Cost Year 1 24 1 1 0 3  
Cost Years 2 and 3 24 1 1 0 3  
Quality 24 2 1.7 −1 3  
Efficiency 24 1.5 1.6 0 3  
Overall Impact 24 1.5 1.7 −1 3  
98. Streamline Managed Care Enrollment Eligibility Process Cost Year 1 24 1 0.9 0 3  
Cost Years 2 and 3 24 1 0.9 0 3  
Quality 25 1 1.5 −1 3  
Efficiency 25 2 1.9 0 3  
Overall Impact 25 1 1.8 0 3  
101. Develop Initiatives for People with Medicare and Medicaid Cost Year 1 21 0 0 −1 1  
Cost Years 2 and 3 20 0 0.3 −1 3  
Quality 23 2 1.8 0 3  
Efficiency 23 2 1.7 −1 3  
Overall Impact 23 2 1.9 0 3  
111. Limit Divestment and Encourage Private LTC Insurance Cost Year 1 20 0 0.1 −1 1  
Cost Years 2 and 3 21 0 0.5 −1 2  
Quality 23 0 0.7 0 3  
Efficiency 23 1 1.4 −1 3  
Overall Impact 23 2 1.6 0 3  
131. Reform Medical Malpractice and Patient Safety Cost Year 1 23 3 2.7 0 3  
Cost Years 2 and 3 23 3 2.7 0 3  
Quality 24 2 1.5 −1 3  
Efficiency 24 2.5 2 0 3  
Overall Impact 24 3 2.2 −1 3  
155. Mandate Participation in the OMIG Cardswipe Program for all Pharmacies. Cost Year 1 24 2 1.6 0 2  
Cost Years 2 and 3 24 3 2.6 1 3  
Quality 25 0 0.8 −1 3  
Efficiency 25 2 1.8 0 3  
Overall Impact 25 2 1.5 −1 3  
162. Eliminate Medicaid Payments for Medicare Part B Co−insurance Cost Year 1 24 2 1.9 0 3  
Cost Years 2 and 3 24 2 2.1 −1 3  
Quality 25 0 0 −1 3  
Efficiency 25 0 0.4 −1 3  
Overall Impact 25 1 0.6 −1 3  
196. Supportive Housing Initiative Cost Year 1 20 0 −0.2 −1 2  
Cost Years 2 and 3 20 0 −0.1 −1 2  
Quality 22 2 1.9 0 3  
Efficiency 22 2 1.8 0 3  
Overall Impact 22 2 2 0 3  
243. Accountable Care Organizations (ACOs) Cost Year 1 17 0 0 −1 3  
Cost Years 2 and 3 17 0 0.4 −1 3  
Quality 22 3 2.4 0 3  
Efficiency 22 3 2.3 0 3  
Overall Impact 22 3 2.3 0 3  

Notes

Green = Low Variation       Yellow = Medium Variation       Red = High Variation

2/23/2011