A new analysis of Medicaid Delivery System Reform and Incentive Payment (DSRIP) demonstrations concludes that a strong working partnership between Medicaid and community health centers will prove central to successful reform. DSRIP programs, carried out under the demonstration authority of Section 1115 of the Social Security Act, enable states to test new approaches to health care delivery and payment aimed at improving health care quality and cost effectiveness. Ten states have ongoing DSRIP projects and each is unique; this study focuses on Massachusetts and New York, two national leaders in delivery and payment reform. While it is too early to fully evaluate these projects and their impact on health care cost, quality, and health outcomes, this study provides valuable insight for other states as well as for national policymakers involved in the effort to attain deep and lasting health systems change.
Download the report here.