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What a year 2015 has been for those of us living in the high pressure and constantly changing world of health care! Like teenagers, we have a new set of very popular jargon. If we used hashtags, #populationhealth, #caremanagement, #valuebasedcontracting, #jointventure and #consolidation would be trending.   In the past 12 months we’ve seen massive […]

Introduction & Context: The transformative New York State five-year Delivery System Reform Incentive Payment (DSRIP) Program, part of New York’s 1115 Medicaid Waiver, requires organizations across the State to create regional provider networks called Performing Provider Systems (PPSs) that will coordinate care to manage the health of the Medicaid population in their respective regions. […]

Implementing a successful Delivery System Reform Incentive Project (DSRIP), or any delivery system redesign initiative, can be challenging, but overcoming those challenges can reap great reward. Organizations are often overwhelmed when planning DSRIP projects and ensuring such projects are aligned with broader population health management goals. Care management resources are often limited, resulting in focused […]

The Delivery System Reform Incentive Payment (DSRIP) program is a key element of many 1115 Medicaid demonstration waivers that have been approved in eight states. It is designed to achieve the Triple Aim by incentivizing health care providers to increase access to care and improve population health outcomes for low-income patients. Participating health care organizations […]

New York State Performing Provider Systems (PPS) can earn funds through five different pools as part of the Delivery System Reform Incentive Payment (DSRIP) Program; Net Project Valuation, Net High Performance fund, Additional High Performance Fund (AHPP), Safety Net Equity Guarantee fund (Equity Infrastructure Program or EIP), Safety Net Equity Performance Fund (Equity Performance Program […]

During the week of October 15, 2015, the New York State Department of Health (NYS DOH) released new information about three of the five DSRIP funding sources. One of these funding sources, the Additional High Performance Program, applies to all PPSs, while the other two Equity Programs are only available to 15 of the State’s […]

Health care delivery is usually discussed in broad, dramatic strokes: open heart surgeries, organ transplants, cancer patient survival rates. But seemingly insignificant things can dramatically impact health care delivery. For example, a patient misses a crucial doctor’s appointment because they lack transportation, leading to another hospital stay. Or, a patient with diabetes lets their health […]

Overview: : Washington State has proposed a Section 1115 Medicaid waiver with the goal to transform the current delivery system for Medicaid providers and beneficiaries. The waiver is a system transformation initiative that will significantly change the way care is delivered to low-income patients. Medicaid patients are entitled to accessible, coordinated and quality health care […]

Not-for-profit hospitals and health systems can achieve a ‘win-win-win’ triple bottom line with community benefit investments that focus on the diverse youth in their communities. Our COPE Health Scholars talent development pipeline programs reach deep into the communities surrounding our partner health systems and provide economic opportunities to the diverse youth in those areas. The […]

“Be careful what you ask for.”   Physicians universally heralded the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) for finally taking down the dangling Sword of Damocles. Yes, the Medicare Sustainable Growth Rate (SGR) is finally, officially gone.   The SGR, an 18-year-old unintended consequence of the Balanced Budget Act of 1997, would […]