New York State Delivery System Reform Incentive Payment Program (DSRIP)

What is DSRIP?

  • Part of an agreement between the federal government and New York State to improve health care services and the health of New Yorkers overall.
  • Health care providers must come together in newly-formed networks, Performing Provider Systems (PPS).  Most of the PPS are led by hospitals, and all are comprised of hospitals, community-based providers (like community health centers), specialty care providers, and community based organizations.  The PPS will develop and implement new programs to reach the goals of DSRIP:
    • Transform the health care safety net at the regional level and statewide
    • Reduce avoidable hospital use and improve other health and public health measures at both the regional and state levels.
    • Ensure delivery system transformation continues beyond the waiver period by leveraging managed care payment reform (Value Based Payment).
    • Create a more cost efficient Medicaid program with improved outcomes
    • Assure access to quality care for Medicaid consumers and long-term through managed care payment reform.

How is MMNY involved with DSRIP?

MMNY remains focused on how changes to the delivery system will impact on consumers and their access to services.  Through representation on state workgroups and committees, through projects that aim to ensure community engagement at every level, and through information sharing and collaboration among coalition members, MMNY is actively involved in making sure consumer and community interests are advanced as the state moves further down the road to a transformed system.

MMNY is particularly interested in how the DSRIP Performing Provider Systems are engaging the communities they are aiming to serve.  We know that the goals of DSRIP will be reached when community-based organizations are meaningfully engaged in DSRIP planning and project implementation.

Funding for local DSRIP activities | December 2016

MMNY has a two-year grant from the NYS Health Foundation to promote and support community engagement in these efforts.  In particular, MMNY aims to ensure community-based organizations (CBOs) have the tools and support they need to become involved at the local level in DSRIP regions around the state.

The initiative has three goals:

  • strengthen the capacity of community-based organizations throughout New York State that have historically served low-income people, people with disabilities, and vulnerable populations to engage in Medicaid system reform;
  • gather and disseminate information from community-based health and human services organizations to share promising practices and inform policy recommendations; and
  • generate and advance policy recommendations based on the experience of coalition partners, community-based organizations, and consumers.

Through its grant work to this point, including a statewide survey, regional focus group sessions, and individual interviewing, MMNY has gleaned a significant amount of information and broader understanding of the barriers CBOs face to participate effectively in DSRIP.  The number one barrier to doing DSRIP community engagement work locally that CBOs have expressed is that they do not have the funds or capacity for this work.

To help overcome this barrier, and support the work of local CBOs across the state, MMNY will provide funding for activities associated with DSRIP community engagement.  Funding will be awarded to pay for activities that would otherwise not happen due to lack of funding.

Up to $3000 per application may be requested.  All activities must be complete by August 31, 2017.  Brief reports on activities completed will be required.

More information and application instructions are available here.

Statewide DSRIP Community Engagement Forum – Friday, October 21st, 2016

MMNY’s work related to DSRIP has focused on community engagement, how community-based organizations are involved at the local level, and what we can do to enhance engagement statewide.  MMNY hosted this opportunity for CBOs from across the state to come together to share what we have learned, discuss policy recommendations, and strategize on how to reach our goals.

Forum materials can be found at the links provided in the Forum agenda below:

10:15-10:20     Welcome and opening remarks

  • Medicaid Matters NY Steering Committee Co-Chairs: Briana Gilmore and Mark Hannay

10:20-11:30     Panel: DSRIP Community Engagement Across the State

The panel will present on community engagement activities in DSRIP across the state.  What are the Performing Provider Systems doing to engage the communities they aim to serve?  How effective are their efforts?  What are the barriers community-based organizations face in fully participating in DSRIP?

11:30-12:30     Group dialogue with Peggy Chan, NYS DOH DSRIP Project Director

12:30-1:00       Lunch

1:00-2:30         Panel: Emerging Best Practices, Informing Policy and Advocacy

The panel will discuss a variety of best practices emerging across the state and provide perspectives on how we might use what we know to inform policy recommendations at the state and local levels.

  • Moderator:  Lara Kassel, Medicaid Matters NY
  • Gwen O’Shea, Health and Welfare Council of Long Island
    Project 11 and connecting people to community-based services
  • Gail Myers, StateWide Senior Action Council
    NYS DOH DSRIP CBO Strategic Planning Grant 
  • Latisha Gibbs, Health People and Communities Together for Health Equity
    Importance of consumer perspective, and Innovation Fund proposal

2:30-3:00         Next steps, closing remarks

Statewide survey on community engagement in DSRIP

MMNY conducted a survey to assess the degree to which CBOs are engaged in DSRIP.  This information will be used to help MMNY assess what the needs are around the state for advancing community interests in local DSRIP regions.  It will also allow MMNY to conduct state level advocacy to ensure that the DSRIP process engages CBOs in ways that recognizes their strengths and addresses barriers to their participation.

 

Helpful resources:

NYS Department of Health DSRIP Website

To find specific DSRIP resources on the DOH website, use the following links:

DSRIP timelines

DSRIP frequently asked questions

DSRIP glossary

Performing Provider Systems by county, which provides a map and links to each of the PPS.

Whiteboard videos presented by NYS Medicaid Director Jason Helgerson provide brief presentations on various DSRIP topics.

This report provides DSRIP implementation details and implications for broad Medicaid reform:   Commonwealth Fund report about NYS DSRIP

This webinar provides a basic overview of the DSRIP program:  Center for Health Care Strategies presentation about New York’s program

Fact sheet on the DSRIP mailing to consumers regarding opting out of information sharing.  The mailing is available in multiple languages on the DOH DSRIP website here.

Fact sheet for legislators and staff on the importance of consumer and community engagement in payment and delivery system reform.

MMNY participated on the plenary panel session regarding community engagement at the NYS DOH DSRIP Annual Learning Symposium on September 21, 2016.  See the slides here.