University at Albany
 

Delivery System Reform Incentive Payment Program (DSRIP)

In 2014, New York State received $6.42 billion from the federal Centers for Medicare and Medicaid Services to launch the Delivery System Reform Incentive Payment (DSRIP) program. DSRIP’s mission is to fundamentally restructure the health care delivery system by reinvesting in the Medicaid program, with the primary goal of reducing avoidable hospital use by 25 percent over five years. System transformations include reforming managed care payments, shifting payments from fee-for-service to Value Based Payments, and creating Performing Provider Systems (PPS) that include cooperative partnerships between different types of health care facilities.

Evaluation & Research

The University at Albany School of Public Health is partnering with the Center for Human Services Research and the University at Albany Econometrics Research Institute to evaluate whether the DSRIP initiatives have achieved the desired impact, effectiveness, and value improvements using a pre-post design. The evaluation consists of an implementation study, an analysis of the comparative effectiveness of different PPSs, and a time series analysis to determine whether health care service delivery, population health, and Medicaid costs change over the study period.

The Center for Human Services Research will lead the implementation study from 2017 through 2021. Study activities include conducting surveys, interviews, and focus groups with DSRIP administrators, providers, and patients. Data collected include the successes and challenges of PPS planning, implementation, operation, and program sustainability plans.

Contact: Sarah Rain