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Overview of Key Changes to PFM
More Information...
• Events
• Calendar
Overview of Key Changes to PFM
May
26
RHP Plan Update Submissions/Timelines:
Given current timelines, the RHP Plan Update Submission is changed from November 30, 2017, to January 31, 2018.
Category Funding Distribution
The main change is the addition of a payment to providers equal to
20% of their valuation for the submission of a complete and approved RHP Plan Update.
This payment would be made in July 2018 along with payments for achievement of milestones that are eligible to report in April 2018.
The remaining 20% DY6A Anchor payment would also be included with July 2018 payments. There is no additional Anchor-specific DY7 DSRIP payment. Anchors may claim administrative costs at the 50/50 match in DY7-8.
Remaining Unused Funds - Additional Regional Allocations
Leadership decision on unused funds is to first allow RHPs that did not fully use their allocation to use it for DY7-8. HHSC will be reaching out to those RHPs.
There are no unused funds in RHP9.
New and existing Performing Providers would be eligible for the funds through a process determined by the RHP and meets the requirements under PFM paragraph 31.c. HHSC is not prescribing the RHP process or how public meetings are conducted.
If a provider chooses not to participate in DY7,
then the funds will be included for a statewide proposal that may be submitted in DY7 or later.
These funds would not be redistributed to regions and will not be considered in the funds under PFM paragraph 31.
System Definition
In response to feedback, the revisions provide additional system definition detail, structure, and flexibility for the variances in DSRIP performing provider systems.
For each provider type, there will be a minimum definition required (this is what is meant by
“base unit”),
to which the
provider may add other components of their delivery system
.
So while there is some flexibility, HHSC wants there to be
some level of consistency across provider types
.
HHSC is still working toward finalizing what the minimum required system definition is for the respective providers
. It may be helpful to think of the system as something that will be defined in the template for the RHP Plan Updates. If, for example, you are a hospital, there will be a menu of items that you must include in your system definition if you actually have those elements: inpatient, Emergency Department, maternal department, homeless care, owned outpatient clinics, for example. And then a hospital provider would be able to add contracted outpatient clinics, contracted community organizations, etc.
Additional clarification will be provided in the Measure Bundles Protocol.
Private Hospital Participation Incentive
: Based on feedback from private hospitals that the incentive was not enough, the revision
increases the incentive from 10% to 15% Pay for Reporting in Category D.
Costs and Savings
Allows providers to track costs and savings for just one activity
of their choice rather than for all their activities. It also exempts providers with $1 million or less in valuation by DY.
The activity selected must be from one of the Performing Provider’s Category A - Core Activities.
Reporting
Based on stakeholder feedback, the revision changes the timeframes during which providers may report DY7 MLIU PPP. The revision allows
providers to report DY7 MLIU PPP in the 2nd reporting period of DY7 (October 2018) or the 1st reporting period of DY8 (April 2019)
For Category C, adds ability to carry forward performance.
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