Guyer, J., Shine, N., Ruowitz, R., & Gates, A. (2015). Key themes from delivery system reform incentive payment (DSRIP) waivers in 4 states. Menlo Park, CA: Kaiser Commission on Medicaid and the Uninsured.

Year: 2015


This report provides an early look at the impact of Delivery System Reform Incentive Payment (DSRIP) waivers on Medicaid payment and delivery systems. The relies on interviews with stakeholders to identify emerging trends and themes. It is based on interviews conducted with state officials, providers and advocates in three states that have adopted the Medicaid expansion (California, Massachusetts, and New York) and one state that has not adopted the expansion (Texas). While each of the four programs is different, a number of major themes emerged across the four states that highlight the opportunities and challenges with DSRIP.

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