![]() ![]() Q: What is considered avoidable hospital use?Ī: Avoidable hospital use encompasses not only avoidable hospital readmissions, but also inpatient admissions that could have been avoided if the patient had received proper preventive care services. Up to $6.42 billion from the MRT Waiver Amendment has been allocated to this program with payouts based upon achieving predefined results in system transformation, clinical management and population health. Q: What is DSRIP?Ī: The Delivery System Reform Incentive Payment (DSRIP) program is the main mechanism by which New York State will implement the Medicaid Redesign Team (MRT) Waiver Amendment.ĭSRIP´s purpose is to fundamentally restructure the health care delivery system by reinvesting in the Medicaid program, with the primary goal of reducing avoidable hospital use by 25% over 5 years. |back to table of contents| |top of section| |top of page| B. The MRT waiver amendment will enable New York to fully implement the groundbreaking MRT action plan to permanently restructure our health care system and continue to make New York a national model. This reinvestment will lead to system transformation that will preserve essential safety net providers across the state and increase access for all New Yorkers to high-quality health care. The MRT waiver amendment is an agreement that allows the state to reinvest over a five-year period $8 billion of the $17.1 billion in federal savings generated by MRT reforms. The MRT was charged with addressing underlying health care cost and quality issues in New York´s Medicaid program to create a first year Medicaid budget proposal, as well as develop a multiyear reform plan. Q: How does the Waiver Amendment relate to the Medicaid Redesign Team?Ī: Established by Governor Cuomo in January 2011, the MRT brought together stakeholders and experts from throughout the state to work cooperatively to both reform New York State´s health care system and reduce costs. $1.08 Billion for other Medicaid Redesign purposes - this funding will support Health Home Development through a State Plan Amendment, and investments in long term care workforce and enhanced behavioral health services through managed care contract paymentsĪ2. ![]() $6.42 Billion for Delivery System Reform Incentive Payments (DSRIP) - including DSRIP Planning Grants, DSRIP Provider Incentive Payments, and DSRIP Administrative costs.$500 Million for the Interim Access Assurance Fund - temporary, time limited funding to ensure current trusted and viable Medicaid safety net providers can fully participate in the DSRIP transformation without unproductive disruption.The $8 billion reinvestment will be allocated in the following ways: Q: What is the MRT Waiver Amendment?Ī: The MRT Waiver Amendment will allow the state over five years to reinvest $8 billion in federal savings generated by Medicaid Redesign Team (MRT) reforms to implement an action plan to save and transform the state´s health care system, bend the Medicaid cost curve, and assure access to quality care. Medicaid Redesign Team (MRT) Background A1. All Health Care Professionals & Patient SafetyĭSRIP Frequently Asked Questions (FAQs) A.Clinical Guidelines, Standards & Quality of Care.Health & Safety in the Home, Workplace & Outdoors.Birth, Death, Marriage & Divorce Records.
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