New York DSRIP: Planning and Implementation Critical Success Factors and Competencies
Comparing DSRIP in Texas and New York
Overview Delivery System Reform Incentive Payment (DSRIP) providers in Texas have been closely following the proposed extension to the Texas State Section 1115 Waiver as the Health and Human Services Commission (HHSC) prepares to submit an extension application to the Centers for Medicaid and Medicare Services (CMS). A main goal of the extension is to […]
Finger Lakes Care Collaborative Re-imagines Health Care Delivery
Healthcare providers in upstate New York are looking to transform care specifically for the Medicaid and uninsured population. Currently, the region is plagued by the same challenges facing many communities nationwide. Namely, a health care delivery system that operates in silos with poor care transitions and a disconnected information technology infrastructure that limits the ability […]
Supporting Transformation through Delivery System Reform Incentive Payment Programs: Lessons from New York State
Abstract: The New York Delivery System Reform Incentive Payment (DSRIP) waiver was viewed as a prototype for Medicaid and safety net redesign waivers in the Affordable Care Act (ACA) era. After the insurance expansions of the ACA were implemented, it was apparent that accountability, value, and quality improvement would be priorities in future waivers in […]
The Evolution and Future of the NY Health Home Program
Background In 2010, the Affordable Care Act provided states the option to implement a “health home” (HH) care management model, with the goal of improving care coordination, reducing costs and improving health outcomes for high-need Medicaid members with chronic conditions. In an attempt to bridge resource gaps for a particularly complex segment of the population, […]
New York Gets Approval of Waiver Extension
New York State announced the approval of an extension for the Section 1115 Medicaid Waiver and released updated Standard Terms and Conditions (STCs) this week. The STCs is the contract between the state and CMS that lays out the terms of the waiver and how waiver programs will be operated. The current waiver was originally […]
A Process for Developing Implementation Metrics that Prepare Organizations for Value Based Payments
New York State’s (NYS) Delivery System Reform Incentive Payment (DSRIP) program, a component of the NYS Department of Health’s (DOH) 1115 Medicaid Waiver, provides a unique opportunity for providers to invest in the delivery system and financial incentive transformation required for long term financial sustainability in a population health management business model. The DSRIP program […]
The Role of Medicaid Waiver Transformation Projects in Transforming the Core Strategic and business planning framework of health care organizations
Overview Across the United States over the last 10 years, 1115 Medicaid Waiver projects — initially known as Delivery System Reform Incentive Payments (DSRIP) projects — are driving health care transformation on a large scale in California, Texas and New York with other states such as Washington preparing to launch. These waiver-funded projects represent an […]
The Evolution and Future of the NY Health Home Program
Background In 2010, the Affordable Care Act provided states the option to implement a “health home” (HH) care management model, with the goal of improving care coordination, reducing costs and improving health outcomes for high-need Medicaid members with chronic conditions. In an attempt to bridge resource gaps for a particularly complex segment of the population, […]
New York Gets Approval of Waiver Extension
New York State announced the approval of an extension for the Section 1115 Medicaid Waiver and released updated Standard Terms and Conditions (STCs) this week. The STCs is the contract between the state and CMS that lays out the terms of the waiver and how waiver programs will be operated. The current waiver was originally […]