Implementing New York’s DSRIP Program: Implications for Medicaid Payment and Delivery System Reform
With the implementation of the Affordable Care Act, Medicaid has become the largest insurer in the United States, covering almost 25 percent of all Americans.
State Medicaid agencies are leveraging Medicaid’s purchasing power to drive reform of the delivery system to benefit Medicaid patients and ultimately all patients.
One powerful tool available to states is the Delivery System Reform Incentive Payment (DSRIP) program authorized under Section 1115 of the Social Security Act (i.e., the law that authorizes 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.