Maternity Delivery Kick Payment Sample Clauses

Maternity Delivery Kick Payment. We reviewed the mix of vaginal and cesarean section deliveries by MCP and region to determine appropriate efficiency adjustments for the maternity delivery kick payment. Delivery managed care efficiency adjustments were developed by analyzing the percent of cesarean and vaginal deliveries by MCP and region. Vaginal delivery percentages were adjusted to levels achieved by MCPs with at least 1,000 deliveries in a region, with a minimum assumed percentage of 70%. This analysis resulted in shifting approximately 0.8% of CY 2016 deliveries from cesarean to vaginal. Managed care savings were estimated by evaluating the cost per delivery difference between cesarean and vaginal deliveries. No adjustments were made to the total number of deliveries. Adoption and Xxxxxx Kids For the AFK population, managed care adjustment factors were developed independently from the process outlined above. The FFS data for the AFK population was adjusted to reflect anticipated managed care efficiencies that are reasonably achievable. These estimates were developed by reviewing efficiencies that were gained in other state Medicaid programs for similar populations that were transitioned from FFS to managed care. Additionally, we reviewed the historical experience for the ABD <21 population that was transitioned to managed care on July 1, 2013. It should be noted that for AFK members that were previously enrolled in the MMC program, managed care efficiencies were set equal to their originating population.
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Maternity Delivery Kick Payment. We reviewed the mix of vaginal and cesarean section deliveries by MCP and region to determine appropriate efficiency adjustments for the maternity delivery kick payment. Delivery managed care efficiency adjustments were developed by analyzing the percent of cesarean and vaginal deliveries by MCP and region. Vaginal delivery percentages were adjusted to levels achieved by MCPs with at least 1,000 deliveries in a region, with a minimum assumed percentage of 70%. This analysis resulted in shifting approximately 1.0% of CY 2017 deliveries from cesarean to vaginal. Managed care savings were estimated by evaluating the cost per delivery difference between cesarean and vaginal deliveries. No adjustments were made to the total number of deliveries.
Sample 1Sample 2
Maternity Delivery Kick Payment. We reviewed the mix of vaginal and cesarean section deliveries by MCO and region to determine appropriate efficiency adjustments for the maternity delivery kick payment. Delivery managed care efficiency adjustments were developed by analyzing the percent of cesarean and vaginal deliveries by MCO and region. Vaginal delivery percentages were adjusted to levels achieved by MCOs with at least 1,000 deliveries in a region. Managed care savings were estimated by evaluating the cost per delivery difference between cesarean and vaginal deliveries. No adjustments were made to the total number of deliveries.
Sample 1

Related to Maternity Delivery Kick Payment

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