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首页> 外文期刊>Journal of health politics, policy and law >Supporting Transformation through Delivery System Reform Incentive Payment Programs: Lessons from New York State
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Supporting Transformation through Delivery System Reform Incentive Payment Programs: Lessons from New York State

机译：通过交付系统改革激励支付计划支持转型：纽约州的课程

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摘要

The New York Delivery System Reform Incentive Payment (DSRIP) waiver was viewed as a prototype for Medicaid and safety net redesign waivers in the Affordable Care Act (ACA) era. After the insurance expansions of the ACA were implemented, it was apparent that accountability, value, and quality improvement would be priorities in future waivers in many states. Despite New York's distinct provider relationships, previous coverage expansions, and local and state politics, it is important to understand the key characteristics of the waiver so that other states can learn how to better incorporate value-based arrangements into future waivers or attempts to limit spending under proposed Medicaid per-capita caps or block grants. In this article, we examine the New York DSRIP waiver by drawing on its design, early experiences, and evolution to inform recommendations for the future renewal, implementation, and expansion of redesigned or transformational Medicaid waivers.
机译：纽约送货制度改革激励支付（DSRIP）豁免被视为医疗补助和安全网重新设计的原型，可负担的护理法案（ACA）时代。 在实施ACA的保险扩建后，明显的是，问责制，价值和质量改善将是未来在许多州的未来豁免的优先事项。 尽管纽约不同的提供商关系，以前的覆盖范围和地方和国家政治，但重要的是要了解豁免的关键特征，因此其他国家可以学习如何更好地将基于价值的安排纳入未来的豁免或试图限制支出的企图 根据拟议的Medicaid PERIBITA帽或块补助金。 在本文中，我们通过借鉴其设计，早期经验和进化来审视纽约的DSRIP豁免，以便为未来的续展，实施和扩大重新设计或转型医疗补助豁免提供建议。

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