Feburary 9, 2018
SNP Alliance celebrates that Special Needs Plans achieve permanency with the Passage of H.R. 1982, the “Bipartisan Budget Act of 2018.”
November 20, 2017
SNP Alliance provides comment letter to the Centers for Medicare and Medicaid: Innovation Center New Directions Request for Information (RFI)
October 2017 - Project Update
SNP Alliance received funding from The SCAN Foundation to conduct a planning and design effort on examining implementation of evidence-based care management or other best practices designed for special needs populations.
May 25, 2017
A report developed by the SNP Alliance and the Center for Consumer Engagement in Health Innovation at Community Catalyst. The report examines how two special needs health plans are responding to the social determinant of health characteristics to improve health outcomes for people who are dually eligible for Medicare and Medicaid. Social determinants of health―also known as social risk factors―can significantly impact medical and health outcomes. Individuals who are dually eligible (low-income meeting Medicaid criteria, and disabled or elderly meeting Medicare criteria) often have more social risk factors than the general population.
March 31, 2015 - Inovalon
With input from The SNP Alliance, Inovalon conducted a study of CMS Star Measures, comparing unadjusted results of dual eligible to non-dual beneficiaries enrolled in the same health plan. Their "An Investigation of Medicare Advantage Dual Eligibles Member-Level Performance on the Centers for Medicare and Medicaid Services (CMS) Five-Star Quality Measures," found that beneficiary income and other sociodemographic factors were strongly associated with adverse health outcomes. The findings support other evidence that factors and characteristics outside of the health plan and providers control affect outcomes and that plans that specialize in serving these vulnerable populations may be penalized in the quality measurement system.
Blueprint for the CMS Measures Management System, Version. 12.0 May 2016
National Quality Forum
Institute of Medicine
National Academies of Science, Engineering, Medicine
Measurement, Monitoring, and Evaluation of the Financial Alignment Initiative for Medicare-Medicaid Enrollees
Report on the Early Implementation of Demonstrations under the Financial Alignment Initiative, October 15, 2015