Designing Medicaid Delivery System Reform Incentive Payment Demonstrations to Reward Better Performance

Medicaid 1115 Demonstrations Issue Brief
Publisher: Baltimore, MD: Centers for Medicare & Medicaid Services
Jan 31, 2018
Jessica Heeringa, Debra Lipson, Rachel Machta, Keanan Lane, and Rachel Vogt

This brief describes differences in incentive design features of six DSRIP demonstrations and assesses their strengths and limitations in promoting provider participation in delivery system reform and value-based payment (VBP) arrangements. While the effects of DSRIP incentive designs on outcomes are not yet known, this study finds that differences in key design features influence the strength of the incentives for providers to participate in delivery reform projects and their motivation to prepare for or engage in VBP arrangements.


New Approaches for Medicaid: The 1115 Demonstration Evaluation


U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Center for Medicaid and CHIP Services

Time Frame


Senior Staff

Rachel Machta
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Jessica Heeringa
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Debra Lipson
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