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

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

Medicaid 1115 Demonstrations Issue Brief
Published: Jan 31, 2018
Publisher: Baltimore, MD: Centers for Medicare & Medicaid Services
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Associated Project

New Approaches for Medicaid: The 1115 Demonstration Evaluation

Time frame: 2014-2020

Prepared for:

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

Authors

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.

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