Supporting Transformation through Delivery System Reform Incentive Payment Programs: Lessons from New York State

Department

Administration

Document Type

Article

Publication Title

Journal of Health Politics, Policy and Law

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 many states. Despite New York's distinct provider relationships, previous coverage expansions, and local and state politics, it is important to understand the key characteristics of the waiver so that other states can learn how to better incorporate value-based arrangements into future waivers or attempts to limit spending under proposed Medicaid per-capita caps or block grants. In this article, we examine the New York DSRIP waiver by drawing on its design, early experiences, and evolution to inform recommendations for the future renewal, implementation, and expansion of redesigned or transformational Medicaid waivers.

First Page

185

Last Page

228

DOI

10.1215/03616878-4303527

Volume

43

Issue

2

Publication Date

4-1-2018

Publisher

Duke University Press

Medical Subject Headings

Health Care Reform; Health Expenditures; Managed Care Programs; Medicaid; New York; Patient Protection and Affordable Care Act; Quality of Health Care; Reimbursement, Incentive; Safety-net Providers; State Health Plans; United States; Value-Based Health Insurance

PubMed ID

29630709

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