The DSRIP (Delivery System Reform Incentive Payment) program is performance driven. Alliance for Better Health and the other Performing Provider Systems (PPSs) across the state will be paid based on their performance, which will be evaluated on a semi-annual basis by the New York State Department of Health (DOH).
The DOH has determined that the Alliance will have the potential to earn up to $237 million over the five year DSRIP period, and an additional $13 million might be made available as part of certain state high performance pools. The valuations, announced by Governor Andrew Cuomo in a June 29, 2015 press release, total $7.3B for the state’s 25 PPSs.
This funding, made possible through a waiver between the federal government and New York State, incentivizes each PPS to work collaboratively to reduce hospitalizations and emergency department visits that are considered avoidable, increase quality of care and slow the cost curve.
The Alliance and the other PPSs must meet DOH dictated requirements, milestones, benchmarks and metrics that are project specific in order to receive the full funding amount in each semi-annual performance period.