Value Based Payments Update

By Christine Blidy, Chief Network Officer, DSRIP

The Delivery System Reform Incentive Payment Program (DSRIP) is rapidly maturing and turning its primary focus from Pay-for-Reporting to Pay-for-Performance.

While 2015 and 2016 rewarded organizational development and transformational program implementation; we are now transitioning to a model where the award of future program dollars and the assessment of our success as a Performing Provider System (PPS) will be directly tied to our ability to improve multiple quality metrics and outcomes. Examples include metrics that measure our ability to reduce avoidable admissions, preventable Emergency Department (ED) visits and 30 day readmissions. We are also required to demonstrate improvement in many Healthcare Effectiveness Data and Information Set (HEDIS) measures across a broad array of services.

To meet these upcoming challenges, Millennium – further supported by data from a New York State-wide analysis (Dec. 2016) of all 25 PPS organizations — has evolved our strategy to focus on evidence-based programs that will result in measurable improvements in the NYS pay-for-performance metrics.

Through ongoing collaboration with our partners, we are confident that we will continue to successfully manage the evolution of DSRIP and the transition to a pay-for-performance organization.


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