The Delivery System Reform Incentive Payment (DSRIP) program’s Project Approval and Oversight Panel (PAOP) recently met to discuss ongoing performing provider system (PPS) performance and overall program sustainability. The PAOP is a multi-stakeholder advisory group comprised of members of the public, including patient and community advocates, policy organizations, public figures, and representatives from various New York State agencies, including the Department of Health (DOH).

Performance payments and fund flows through March 2018, the second quarter of DSRIP Demonstration Year 4, were reviewed. The DSRIP Independent Assessor reported that “at least” 90% of DSRIP project milestones have been successfully completed and process requirements have been met for 94 of the 133 projects implemented across the 25 PPSs. PPSs have earned $3.9 billion, approximately 86% of available funds, and have distributed more than $2 billion to hospitals, federally qualified health centers, community-based organizations, and other partners.

Greg Allen, DOH’s Director of the Division of Financial Planning and Policy, discussed DOH’s interest in requesting an extension of DSRIP funding, noting that the Centers for Medicare & Medicaid Services had recently granted such extensions to other states. The DOH team also is considering funding certain PPS activities from the New York State budget. While PPSs have made strides in transforming the delivery system, value-based payment contracting is not moving quickly enough to support some of the programs and capabilities developed by the PPSs to support population health, analytics, and stakeholder and community engagement. Responding to a DOH survey, all 25 PPSs committed to sustainability, with many planning to transition into contracting entities such as independent practice associations or management services organizations. Most PPSs plan to use remaining DSRIP funds to support performance improvement activities, social determinants of health grants, care management and care coordination training and implementation, and the transition to risk-based arrangements.

GNYHA continues to support PPSs and participating members in meeting DSRIP goals, and is having discussions with stakeholders on options for continued funding for this work.