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 (UA) Institute of Health Systems Evaluation is partnering with the UA Center for Human Services Research, the UA Econometrics Research Institute, Boston University School of Public Health, and University of Maryland School of Public Health to evaluate whether the DSRIP initiatives have achieved the desired impact, effectiveness, cost savings 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 qualitative research to provide context for the quantitative data, focused on the successes and challenges of PPS planning, implementation, operation, and program sustainability plans from the perspectives of DSRIP administrators, providers, and patients.

Contact:Sarah Rain