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10 Things You Need to Know About DSRIP

10 Things You Need to Know About DSRIP

Okay, so you’re asking what the heck DSRIP is and how it affects ME. Well, even if you are a provider or a patient, we have all experienced issues resulting from poor coordination of care in the healthcare system. CMS – State and Federal – have decided to do something about this. On April 14, 2014 Governor Cuomo announced that New York and the Federal Government finalized a groundbreaking (Medicaid) waiver allowing the State to reinvest $8 billion in Federal savings, previously generated by the Medicaid Redesign Team reforms. They are investing all of this back into that very thing that has frustrated us – poor care coordination – right here in Cureatr’s home-court New York.

This financial incentive program is specifically designed to promote the sustainable and systemic changes we desperately need to help providers implement the changes that will allow patients to receive better care for years to come. By covering the cost of system transformation, DSRIP will support the innovative solutions that will help providers be more cost-effective over the long-term.

1. The State has agreed to reinvest $ 6.42 billion in this 5.5 year plan to reform New York’s healthcare system and address underlying healthcare cost and quality issues.

2. The primary goal of DSRIP is to reduce avoidable hospital use by curbing (by 25%) readmissions and inpatient admissions that could have been avoided if the patient had received proper care services.

3. Payout of the $ 6.42 billion are allocated to eligible hospital based providers upon achieving predefined results in system transformation, clinical management, and population health.

4. DSRIP will select proposals based upon a selection of CMS approved projects in which communities of eligible providers collaborate to develop diverse plans.

5. Facilities (Safety Net Hospitals) which will cooperate in quality improvement and cost reduction programs must meet one of three criteria to participate.

6. Proposals submitted must include projects for each of four domains to classify their clinical impact and to clarify appropriate evaluation metrics.

7. Projects are evaluated over 5 elements and given a final score to represent the highest possible financial allocation.

8. DSRIP payments for each provider whose proposal has been accepted are contingent on them meeting program metrics at annual intervals to account for progress over the 5 year timeline.

9. On January 1, 2015 independent assessor approval recommendations are made public and the State will distribute DSRIP project plan awards, with project implementation beginning April 1, 2015.

10. Cureatr will provide all updates on DSRIP and give insight into the efforts being made to transform the healthcare industry.

Download our Achieving DSRIP Program Success White Paper to learn about the DSRIP program background and objectives, how to leverage technology, and ways to meet requirements and measure success.

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