Delivery System Reform Incentive Payment (DSRIP) Programs

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March 2018

State and federal policymakers have expressed interest in reforming the health care delivery system to use resources more efficiently and direct resources in ways that improve health outcomes and population health. States have implemented various strategies for changing health care delivery in their Medicaid programs, including Delivery System Reform Incentive Payment (DSRIP) programs.

This brief describes the design and structure of DSRIP programs and how they have evolved over time. Our analysis draws on work published in MACPAC’s June 2015 report to Congress, as well as newer information from key informant interviews conducted in 2016 and 2017 by the National Academy of State Health Policy under contract to MACPAC.

Download the contractor report, Exploration of the Evolving Federal and State Promise of Delivery System Reform Incentive Payment (DSRIP) and Similar Programs, here.

Publication Type: Issue Briefs

Tags: delivery system reform, fee for service, financing, hospitals, managed care, oversight, payment, safety net providers, Section 1115 research and demonstration project waivers, spending, supplemental payments, value-based purchasing