In late October, the CMS Innovation Center revealed its thinking on the path ahead for value-based payment, articulating a vision for “a health care system that achieves equitable outcomes through high quality, affordable, person-centered care,” and committing to having nearly all Medicare and Medicaid beneficiaries in value-based care by 2030…

In August of 2021, the New York State Department of Health submitted a concept paper to the Centers for Medicare and Medicaid Services (CMS) outlining a Medicaid 1115 waiver demonstration request for $17 billion over 5 years. To learn more about the concept paper, check out this previous post that…

Promoting Health Equity, Value-Based Payment and Building on DSRIP Success Yesterday, the New York State Department of Health submitted a concept paper to the Centers for Medicare and Medicaid Services (CMS) outlining a Medicaid 1115 waiver demonstration request for $17 billion over 5 years. If approved, this would be the…

State is Saving Big-Ticket Policy Discussions for a New Administration On November 18, New York Medicaid officials provided more detail on their current approach to renewing the state’s 1115 Medicaid Redesign Team (MRT) Waiver. The waiver will expire on March 31, 2021, and is subject to approval by the Centers for Medicare and Medicaid Services (CMS.) The major takeaway from…

Earlier this week, the Centers for Medicare and Medicaid Services issued a new roadmap for state Medicaid programs to ‘accelerate’ the adoption of value-based payment (VBP) strategies for their Medicaid populations. …

New York State’s Medicaid program submitted a $2.75 billion request to the federal Centers for Medicare and Medicaid Services (CMS) today, to respond to the COVID-19 pandemic, proposing to repurpose the infrastructure built under the state’s Delivery System Reform Incentive Payment (DSRIP) program and support rapidly “pivoting and reconfiguring aspects…

Update: This overview was posted in December 2019 and is no longer up to date — in February 2020, CMS issued a formal letter which denied the state’s request. In May 2020, an emergency 1115(a) request was submitted in response to the COVID-19 pandemic. An overview of that request is…

Update: This article was posted in September. In November, New York released an updated waiver amendment request — the proposal has been significantly updated, making this summary out-of-date. Find my summary of the current proposal here: https://medium.com/@kalinscott/beyond-dsrip-success-whats-new-in-new-york-s-dsrip-2-0-proposal-ce7a23da7156?source=friends_link&sk=113e68faacafabb4621f1907e482ee41