Under the Delivery System Reform Incentive Payment (DSRIP) program, states have a new opportunity to advance delivery system and payment reform projects in Medicaid. This hospital-based reform effort, authorized through Medicaid Section 1115 waivers, allows states to reward providers for meeting predetermined performance milestones. Seven states have established DSRIP programs since 2010, with many more expressing interest in the opportunity.

New York is the latest state to receive approval to launch a DSRIP program: its comprehensive initiative was approved in 2014 for over $6 billion and will be implemented in 2015. New York’s DSRIP model is unique in its inclusion of a broad set of health and social service providers and in the way it is being leveraged to drive transformational delivery system integration.

During this webinar, made possible by the New York State Health Foundation, New York State Medicaid Director Jason Helgerson provided an overview of the state’s DSRIP model. Greg Allen, Director of New York’s Division of Program Development and Management, and Peggy Chan, DSRIP Director, discussed details on the plan’s financing structure, project domains, measurement approach, and evaluation criteria.

Insights from this webinar provided timely information to states pursuing their own DSRIP programs to enhance health care delivery processes and improve patient care.

For more information, please visit the NY Department of Health’s DSRIP website.



I. Introduction

Speaker: David Sandman, Senior Vice President, New York State Health Foundation

II. DSRIP Context and National Overview

CHCS provided an overview of the DSRIP programs’ core goals and highlight states’ progress in developing and implementing DSRIP models across the country.

III. New York State DSRIP Program

Speakers: Jason Helgerson, Medicaid Director, State of New York; Greg Allen, Director of the Division of Program Development and Management; and Peggy Chan, DSRIP Director.

Jason Helgerson provided an overview of New York’s evolving DSRIP program. Greg Allen and Peggy Chan shared experiences designing and preparing to implement the program and offer perspectives about the program’s potential impact. This presentation included information about:

  • Eligible providers/performing provider systems (PPS);
  • The types of quality improvement projects PPSs will pursue;
  • How financing and payment models are structured;
  • How performance will be measured; and
  • Lessons from interacting with CMS during the waiver negotiation process.

IV. Questions and Discussion

The presentation was followed by a moderated question & answer session.

V. Closing Remarks