Implementing New York's DSRIP Program: Implications for Medicaid Payment and Delivery System Reform. April 2. 1, 2. 01. Authors. Deborah Bachrach, William Bernstein, Jared Augenstein, Mindy Lipson, and Reni Ellis. D. Augenstein et al., Implementing New York's DSRIP Program: Implications for Medicaid Payment and Delivery System Reform, The Commonwealth Fund, April 2. One powerful tool available to states is the Delivery System Reform Incentive Payment (DSRIP) program authorized under Section 1. Publications Fund Reports Implementing New York's D. Implementing New York's DSRIP Program: Implications for Medicaid Payment and Delivery System Reform. Medicaid & CHIP in Medicaid is a health and long-term care coverage program that was enacted in 1965. The Children's Health Insurance Program (CHIP) was established. Care Management helps NH Medicaid recipients to coordinate their health care. Social Security Act (i. Medicaid). To secure DSRIP funds, states must articulate a clear vision and plan for reforming their payment and delivery models, integrating care across providers and settings, and advancing the “Triple Aim” of better care, better health, and reduced costs. Of the waiver funds, $6. DSRIP (Exhibit 1). Aside from this, CMS and the state have allocated an additional $1. DSRIP, bringing total DSRIP funds to $8. In addition, the state is funding a $1. Capital Restructuring Financing Program to “help strengthen and promote access to essential health services.”4 Seven other states (Alabama, California, Kansas, Massachusetts, New Hampshire, New Jersey, and Texas) also are implementing DSRIP initiatives. Additional states are in negotiations with CMS regarding approval of a DSRIP waiver or have expressed interest in pursuing a DSRIP program. The design and planning of these new programs will be shaped by the experiences of the early implementers. The goal of New York’s DSRIP is to “reduce avoidable hospital use by 2. New York State health care system into a financially viable, high performing system.”5 At the outset, New York required Medicaid providers and community- based organizations to form integrated delivery networks, referred to as Performing Provider Systems (PPSs) as a condition of receiving DSRIP funding. Today, 2. 5 PPSs are implementing a range of projects to build care management and population health management infrastructure, enhance disease management programs for targeted chronic conditions, and improve population health. Payment reform is a central component of the New York DSRIP. To ensure that its investments in delivery reforms are sustained in the long term, New York is requiring that by the end of the five- year DSRIP waiver at least 8. Medicaid managed care plans and providers use value- based methodologies. This fact, combined with the magnitude of change contemplated in New York, has grabbed the attention of Medicaid stakeholders across the country. Findings are informed by two rounds of interviews: the first with federal and state officials and thought leaders from national health care organizations, and the second with New York stakeholders involved in on- the- ground implementation efforts, including leaders from provider entities, health care trade organizations, and health plans.
Commission on Medicaid Care Management. Governor's New Release. Full text of the Governor’s Executive Order. All documents have been saved in Adobe Acrobat Reader. Most NH Medicaid recipients receive their health care services through the Medicaid Care Management which provide health care services to most of Medicaid's population. Commission on Medicaid Care Management. Governor's New Release. Full text of the Governor’s Executive Order. The September 8th meeting of the Governor's Medicaid. Across each of these topics, we describe the New York approach, assess the early successes and challenges, and identify how New York’s experiences can influence new state payment and delivery system reform initiatives. Paradise, Medicaid Moving Forward (Kaiser Family Foundation, March 2. Centers for Medicare and Medicaid Services, New York Partnership Plan Special Terms and Conditions, March 3. New Hampshire health insurance marketplace All 5 carriers will continue to offer plans in the exchange in 2017. ORIGIN OF STATE NAME: Named for the English county of Hampshire. NICKNAME: The Granite State. New York State Department of Health, Final DSRIP Valuation Overview, June 2. New York State Department of Health, Capital Restructuring Financing Program, April 2. New York State Department of Health, New York State Delivery System Reform Incentive Payment Program Project Toolkit, Oct.
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