Delivery System Reform Incentive Payment Program

Question: Discuss about the Delivery System Reform Incentive Payment Program. Answer: Delivery System Reform Incentive Payment Program (DSRIP) is an initiative by New York state aimed at providing Medicaid waiver for over five years amounting to $8 billion. The program has many underlying benefits; however, its core objective involved reducing avoidable hospitalization as well as restructuring the healthcare delivery system. According to research, the program was prompted by the need to improve health of the population as well as enhancing positive outcomes among patients. The program represents one of many initiatives that represents the government's efforts to expand and improve quality and cost of care. DSRIP has four main domains that focuses on the clinical and residents health improvement overtime (Schoenberg, M., Heider Rosenthal, Schwartz Kaye, 2015). DSRIP has key objectives of promoting the collaboration of different professionals in addressing healthcare problems as well s reducing the scope and complexity set by the costs of accessing quality healthcare. Domain 3 and 4 provides critical focus area since they touch on projects involving the people. For example, Domain 3 involves clinical improvement projects that incorporates aspects such as primary care and behavioral health services. Domain 3 also includes the provision of evidence-based strategies for disease management primarily in risky areas. Hence domain 3 improves primary care services and reduces the chances of diseases occurrence as it emphasizes on the use of evidence-based strategies for disease management (New York State Department of Health2015). It can also provide the ability to assist others in affected or risk areas. Domain 4 includes the population-wide projects which improves the individual mental health and drug abuse across systems or populations affected. It also promotes a reduction in tobacco use among minority populations and individuals with mental health problems. Domain 4 has been effective in promoting mental health and preventive substances abuse through enhancing the mental, emotional and well being. Its application is also critical to be used in reducing or preventing preventive chronic disease. References New York State Department of Health (2015). DSRIP Domain 4 and the Prevention Agenda. A reference guide for DSRIP Domain 4 projects implementation planning. New York State Department of Health. Retrieved from https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/docs/d4guidance_2015- 06-08_final.pdf Schoenberg, M., Heider, F., Rosenthal, J., Schwartz, C., Kaye, N. (2015). State experiences designing and implementing medicaid delivery system reform incentive payment (DSRIP) pools. Retrieved from https://www.macpac.gov/wp-content/uploads/2015/06/State-Experiences-Designing- DSRIp Pools.pdf