Manatt and The Kaiser Commission on Medicaid and the Uninsured prepared an issue brief focused on Delivery System Reform Incentive Payment (DSRIP) programs, which are increasingly being used across the country to promote sweeping payment and delivery system reforms. DSRIP initiatives are part of broader Section 1115 Waiver programs and provide states with significant funding that can be used to support hospitals and other providers in changing how they provide care to Medicaid beneficiaries. The issue brief examines the similarities and differences across key elements of DSRIP waivers: the goals and objectives of DSRIP initiatives; eligible providers; projects and organization; allocation of funds; data collection and evaluation/reporting; and financing of DSRIP waivers. The states included in this analysis are California, Texas, Kansas, New Jersey, Massachusetts, and New York.

Additional Authors:
Alexandra Gates (Kaiser)
Robin Rudowitz (Kaiser)