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

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 ACAwere implemented, it was apparent that accountability, value, and quality improve...

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Publicado en:Journal of Health Politics, Policy & Law Vol. 43; no. 2; pp. 305 - 324
Autores principales: Roby, Dylan H., Louis, Christopher J., Johnson Cole, Mallory M., Chau, Natalie, Wiefling, Bridgette, Salsberry, David C., King, Evan, Miller, Allen
Formato: Artículo
Publicado: Duke University Press Apr2018
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2018
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        atl: Supporting Transformation through Delivery System Reform Incentive Payment Programs: Lessons from New York State.
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          Roby, Dylan H.
          Louis, Christopher J.
          Johnson Cole, Mallory M.
          Chau, Natalie
          Wiefling, Bridgette
          Salsberry, David C.
          King, Evan
          Miller, Allen
        affil:
          University of Maryland
          Boston University
          COPE Health Solutions
          Rochester Regional Health System
      su:
        United States
        New York (State)
        State governments
        Medicaid
        Health care reform
        Labor incentives
        Pay for performance
        Patient Protection & Affordable Care Act
      sug:
        subj:
          State governments
          Medicaid
          United States
          New York (State)
          Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs)
          Health care reform
          Labor incentives
          Pay for performance
          Patient Protection & Affordable Care Act
      keyword:
        ACA
        Affordable Care Act
        Delivery System Reform Incentive Payment
        DSRIP
        New York
        ACA
        Affordable Care Act
        Delivery System Reform Incentive Payment
        DSRIP
        New York
      ab: 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 ACAwere implemented, it was apparent that accountability, value, and quality improvement would be priorities in futurewaivers inmany 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.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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