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Background Information : Basic concepts of value-based payments: As the healthcare industry continues to implement many aspects of the Accountable Care Act (ACA), much of the focus is on payment reform. One of the most commonly utilized terms about payment reform is value-based payments (VBP). As an umbrella term, VBPs can cover a wide […]

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 […]

Dawn Johnson joined COPE Health Solutions in January 2016 as Vice President, responsible for developing and growing our care coordination offering line of business. This line of business will support both the consulting and HCTI clients and programs. Dawn is a masters-prepared registered nurse with a diverse background in clinical care, health policy and consulting. […]

Overview: In April 2014, New York State finalized the terms and conditions of the Medicaid 1115 Waiver, which allows the state to reinvest approximately $8 billion generated in savings from the Medicaid Redesign Team (MRT) reforms across a five-year period. Part of these efforts is the Delivery System Reform Incentive Payment (DSRIP) program, which […]

This is the age of transitory labor. The most recent labor statistics on employee tenure indicate that the average worker will spend 4.6 years in one position.1 Over a series of 10 years, those engaged in “healthcare support occupations” average 3.2 years, and those identified as “healthcare practitioners and technical occupations” average 4.9 years.2 In a […]

What a year 2015 has been for those of us living in the high pressure and constantly changing world of health care! Like teenagers, we have a new set of very popular jargon. If we used hashtags, #populationhealth, #caremanagement, #valuebasedcontracting, #jointventure and #consolidation would be trending.   In the past 12 months we’ve seen massive […]

Introduction & Context: The transformative New York State five-year Delivery System Reform Incentive Payment (DSRIP) Program, part of New York’s 1115 Medicaid Waiver, requires organizations across the State to create regional provider networks called Performing Provider Systems (PPSs) that will coordinate care to manage the health of the Medicaid population in their respective regions. […]

Implementing a successful Delivery System Reform Incentive Project (DSRIP), or any delivery system redesign initiative, can be challenging, but overcoming those challenges can reap great reward. Organizations are often overwhelmed when planning DSRIP projects and ensuring such projects are aligned with broader population health management goals. Care management resources are often limited, resulting in focused […]

The Delivery System Reform Incentive Payment (DSRIP) program is a key element of many 1115 Medicaid demonstration waivers that have been approved in eight states. It is designed to achieve the Triple Aim by incentivizing health care providers to increase access to care and improve population health outcomes for low-income patients. Participating health care organizations […]

New York State Performing Provider Systems (PPS) can earn funds through five different pools as part of the Delivery System Reform Incentive Payment (DSRIP) Program; Net Project Valuation, Net High Performance fund, Additional High Performance Fund (AHPP), Safety Net Equity Guarantee fund (Equity Infrastructure Program or EIP), Safety Net Equity Performance Fund (Equity Performance Program […]