The National Voice for Special Needs and Medicare-Medicaid Plans

News & Reports

Recent News and SNP Policy Reports

SNP Alliance Press Release on SNP Permanency

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.”

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SNP Alliance Response to CMI RFI

November 20, 2017

SNP Alliance provides comment letter to the Centers for Medicare and Medicaid: Innovation Center New Directions Request for Information (RFI)

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Implementing Improved Care for Special Needs Populations: A Planning Grant (SCAN Foundation)

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.

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SPECIAL NEEDS PLANS: Focusing on Social Determinants of Health among Duals

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.

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QUALITY MEASURES NEED ADJUSTMENT

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.

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THE SNP ALLIANCE REPORTS

SNP Alliance Gold Standards Framework
Gold Standards Executive Summary
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OTHER EXTERNAL AGENCY REPORTS

CMS

Blueprint for the CMS Measures Management System, Version. 12.0 May 2016


National Quality Forum

Promoting Integrated and Coordinated Care that Addresses Social Risk for the Dual Eligible Beneficiary Population

Advancing Person-Centered Care for Dual Eligible Beneficiaries through Performance Measurement, Final Report, August 31, 2015


MedPAC

March 2017 Report to Congress - Chapter 13 

Medicare Advantage Program: Status Report; Chapter 12 in MedPACs March 2016 Report to Congress


Institute of Medicine

Accounting for Social Risk Factors in Medicare Payment: Identifying Social Risk Factors January 2016 [Abstract]

National Academies of Science, Engineering, Medicine

Accounting for Social Risk Factors in Medicare Payment

Social Risk Factors in Medicare Payment: Identifying Social Risk Factors January 2016 [Abstract]


RTI International

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