DSRIP Information Center

Cureatr Enables Care Coordination for Preferred Provider Systems

The Delivery System Reform Incentive Payments (DSRIP) program is a federally sponsored pay-for-performance initiative developed by the Center for Medicare and Medicaid Services (CMS) as an alternative to supplemental payment programs. The primary goal of the program is to reduce avoidable hospital use by 25 percent over five years.

The program intends to transition supplemental payments dispensed by CMS to a rewards-based model payment structure contingent on achieving health improvement goals, which may ultimately replace all traditional supplemental payment programs.

CMS states a “Triple Aim” of the DSRIP initiative as:

  1. Better care for individuals, including access to care, quality of care, health outcomes

  2. Better health for the population

  3. Lower cost through improvement and innovation

Individual states will develop DSRIP planning and implementation protocols, to be approved by CMS and consistent with the pre-defined set of measurable, structured, and progressive activities.  Additionally, all funding and distribution protocols are subject to CMS review and approval.

States Currently Participating in DSRIP

New York State:

NY Medicaid Redesign Team (MRT)
Created in January 2011 by Gov. Andrew Cuomo to find ways to reform and improve the NY State Medicaid program. Work groups were developed around the most critical areas in need of reform, such as Affordable Housing, Behavioral Health Reform, Managed Long Term Care (MLTC) Implementations and Waiver design, and Health Disparities. A major goal of the MRT is to promote collaboration among providers within individual communities.


 

NY DSRIP – Delivery System Reform Incentive Payments
A major component of the NY State MRT (Medicare Redesign Team) Waiver Amendment, an agreement between NY State Department of Health (DOH) and CMS to reinvest $8 billion of the $17.1 billion in savings generated by previous MRT reforms over 5 years. The MRT Waiver Amendment commits $6.42 billion to the DSRIP initiative, with an additional $500 million committed to the Interim Access Assurance Fund (IAAF) as a temporary time-limited fund to ensure the stability of institutions who serve a significant number of Medicaid members and who are at financial risk, as the DSRIP initiatives roll out.

MRT states the goals of NY-DSRIP are to:

  • Transform the heath care safety net at both the system and state level; safety net providers treat CMS and uninsured patients.

  • Reduce avoidable hospital use and improve other heath and public health measure at both the system and state level

  • Ensure delivery system transformation continues beyond the waiver period through leveraging managed care payment reform

  • Near team financial support for vital safety net providers at immediate risk of closure – IAAF

NY DSRIP will select proposals based upon a selection of CMS approved projects in which communities of eligible providers collaborate to develop diverse plans. DSRIP defines Performing Provider Systems (PPS) as local partnerships of approved facilities which will cooperate in quality improvement and cost reduction programs to be supported by DSRIP funding. Those eligible are defined as safety net providers. Non-safety net providers may also participate in DSRIP PPS collaborations, though receive only up to 5% of a total project funding.


More about DSRIP:

Proposal Evaluation
Project Valuation
Funding Distribution
Safety Net Definitions
High Performance Fund
Statewide Accountability
Patient Attribution
Timeline

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