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Date and Time 11/10/2017, 3:00 – 4:00PM Meeting Title NYP PPS Finance Committee

Location Milstein Hospital Building, 177 Fort Washington Avenue, Milstein 1HN-151

Facilitators David Grayson & Jeremy Arnold

WebEx https://nyp.webex.com/nyp/j.php?MTID=m29d7768045ce8532b5ce40839321758c

Conference Line Dial: 415-655-0001 Access code: 857 408 465 Host key: 480218

Invitees

Co-Chair: David Grayson (Calvary) NYP Co-Chair: Jeremy Arnold

Michael Ashby (1199 SIEU) Judy Hederman (The Alliance for Positive Change)

Rob Basile (Metropolitan Center for Mental Health) Hanny Hillal for Elan Katz (QuickRx)

Carol Cassell (ArchCare) Carolyn Wiggins (Fort George Community Enrichment Center)

Dan Del Bene (SPOP) Steve Zhou (Village Care)

Jay Gormley (MJHS) Andrew Missel (NYP)

Meeting Objectives Facilitator Time Start End

Welcome & Roll Call David Grayson 10 min 3:00 3:10

Review & Discuss Committee Membership Transition Process

David Grayson Andrew Missel

10 min 3:10 3:20

Endorsement of P4P Funds Flow Model Andrew Missel 10 min 3:20 3:30

Review CBO Innovation Fund & Health Home Fund Models

Andrew Missel 20 min 3:30 3:50

Select New Meeting Date/Time Andrew Missel 5 min 3:50 3:55

Next Steps

Monthly PPS Financial Reports Available by Request

Andrew Missel 5 min 3:55 4:00

Action Items

Description Owner Start Date Due Date Status

Vote to approve P4P incentive model; review Health Home and CBO Innovation Fund models

Andrew Missel 9/29 11/10 In-Progress

Feedback to Co-Leads on presenting total funds flow model to Exec Comm

Andrew Missel 10/13 12/8 In-Progress

https://nyp.webex.com/nyp/j.php?MTID=m29d7768045ce8532b5ce40839321758chttps://nyp.webex.com/nyp/j.php?MTID=m29d7768045ce8532b5ce40839321758chttps://nyp.webex.com/nyp/j.php?MTID=m29d7768045ce8532b5ce40839321758c

Governance Committee Membership TransitionFinance Committee

November 10, 2017

Overview of Governance Committee Terms of Service & Relevant PPS Bylaws

Members commit to 12 month terms, incl. Co-Leads.

Members can serve up to 3 terms (we’re entering Term 3).

Members who miss 3 or more consecutive meetings at any point during their term

of service (without prior notice) are automatically rotated off.

Members who wish to not renew for an additional term of service are welcome to

do so.

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2017-2018 PPS Governance Committee Transition Process

# StepApprox.

Date

1 PPS Executive Committee approves transition plan 10/16/2017

2PPS broadcast announcing beginning of process, encouraging

existing members to attend Committee meetings through 201710/31/2017

3 Committees review and discuss transition process November

4 Notify members who will be rotated off due to lack of participation November

5 PPS broadcast to fill Committee openings November

6 Announce new members; Thank outgoing members December

7 First Committee meetings of new term January

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Funds Flow ModelFinance Committee

November 10, 2017

Proposed Development Timeline

September Committee meeting

– Approve overall development timeline (this slide)

– Review P4P Incentive key features

– Source volunteers for offline development of P4P Incentive

October Committee meeting

– Vote to approve P4P Incentive

– Review Health Home Incentive and Innovation Fund key features

– Source volunteers for offline development of Health Home Incentive and

Innovation Fund

November Committee meeting

– Vote to approve Health Home Incentive and Innovation Fund

– Complete NYP PPS Funds Flow Model

– Any feedback to Co-Leads to prep for presentation to Executive Committee

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NYP PPS Funds Flow Updates

Model Description Status

PPS

Engagement

Compensation for participation in

PPS workgroups, surveys,

governance committees, and

contributing data to RHIO

Live as of DY3

P4P IncentiveCompensation for demonstrating

improvement in PPS P4P metrics

Under review by PPS

Finance Committee*

Health Home

Incentive

Compensation for HH collaborators’

impact on designated PPS P4P

metrics

Under review by PPS

Finance Committee*

CBO Innovation

Fund

Competitive RFP process for CBO-

driven interventions to affect

metrics

Under review by PPS

Finance Committee*

6*Anticipated go-live in DY3

ENDORSE PAY-FOR-PERFORMANCE (P4P) MODEL

Funds Flow Model

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Seeking Endorsement for Measurement Year 3 Performance (July 1, 2016 – June 30, 2017)

P4P Performance Payment Model Overview

Partners are eligible to receive P4P performance payments if at least 1 member is

attributed to the partner for a given metric:

– The payment for a given metric is divided proportionally to the attribution;

– E.g. One patient attributed out of 100 total patients = 1% of the attribution;

– E.g. 1% attribution on a metric worth $100,000 = $1,000 performance payment.

PPS overall must achieve annual metric performance target in order for dollars to

be available for funds flow.

Payments will be made to NYP PPS partner organizations once NYS has

communicated our MY3 final performance (~ April 2018).

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REVIEW CBO INNOVATION FUNDFunds Flow Model

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Key Elements of the CBO Innovation Fund

Focus areas

Improve access to and engagement in primary or ambulatory care for medically

underserved populations;

Improve access to and engagement in community-based, licensed behavioral

health services; or

Improve education around the appropriate use of emergency departments.

Target service locations:

– Northern and lower Manhattan, the Bronx and Queens).

Who is eligible?

– CBOs: Agency/organization should derive the majority of its revenue from non-

Medicaid billing activities.

Grant-based pricing model

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Overview of RFP Process

Proposal responses should include:

– How will the project drive performance improvement and help the NYP PPS

achieve its five-year targets?

– What are the project’s performance metrics?

– How will the project sustain improvements post-DSRIP Year 5?

– How will the project achieve financial sustainability post-DSRIP Year 5

Timeline:

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Deliverable Due Date

RFP announced to PPS & released to all vendors 11/15/2017

Informational webinars 11/16-17/2017

RFP responses due 12/08/2017

Conclude individual vendor discussions 01/31/2018

Announcement of RFP winners 02/28/2018

Implementation of new contract(s) 03/30/2018

SELECTING A NEW MEETING DATE & TIME

Finance Committee Meetings

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Thank You to Email Responders

Mon Tue Wed Thu Fri

AM AM AM AM AM

PM PM PM PM PM

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Top vote-getter: