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Member Research & Reports

Member Research & Reports

Rutgers Faculty Examines Medicaid Delivery System Reform Incentive Payments

Rutgers School of Public Health faculty and Director of the Health Systems and Policy Concentration, Dr. Michael K. Gusmano,  examines the status of Medicaid delivery system reform incentive payments in a recent article on Health Affairs.

The Affordable Care Act of 2010 (ACA) and subsequent executive actions by the Obama administration accelerated efforts to bring payment for performance (P4P) to health care. Under the banner of value-based purchasing, federal officials have touted the “triple aim” – improving the quality of care and health outcomes while bending the cost curve. In the case of Medicaid and P4P, Delivery System Reform Incentive Payment (DSRIP) waivers have loomed large.

Dr. Gusmano, along with Mr. Frank J. Thompson, of the Rutgers School of Public Affairs and Administration, examine the effectiveness of Medicaid of P4P efforts, including DSRIP waivers, which are now implemented in 13 states. The researchers examined the type of networks currently operating under the DSRIP rubric; the initiatives accomplished by DSRIP waivers; and the challenges and developments the DSRIP waiver initiative will pose over the next few years.

“Medicaid DSRIP waivers reflect an ambitious effort to encourage value-based purchasing and highlight the central role of state governments in health reform,” comments Dr. Gusmano, who is also a research Scholar at the Hastings Center.

Medicaid Delivery System Reform Incentive Payments: Where Do We Stand?” was recently published in Health Affairs.