The Impact of Payment Reforms on the Safety Net: Examining Effects of the New Jersey Delivery System Reform Incentive Payment Program on Quality of Care Among Medicaid Beneficiaries

The Medicaid Delivery System Reform Incentive Payment (DSRIP) program has been among the most widely adopted value-based payment strategies to drive improved population health management among safety net populations. Using comprehensive claims data from New Jersey and difference-in-differences model...

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Bibliographic Details
Published inPopulation health management Vol. 25; no. 6; p. 703
Main Authors Chakravarty, Sujoy, Lloyd, Kristen, Cantor, Joel C
Format Journal Article
LanguageEnglish
Published United States 01.12.2022
Subjects
Health Care Reform
Humans
Medicaid
Motivation
New Jersey
Quality of Health Care
Reimbursement, Incentive
United States
United States
New Jersey
health care financing
population health
safety net hospital
Medicaid
health insurance
managed care
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Summary:The Medicaid Delivery System Reform Incentive Payment (DSRIP) program has been among the most widely adopted value-based payment strategies to drive improved population health management among safety net populations. Using comprehensive claims data from New Jersey and difference-in-differences modeling, the authors examine the impact of DSRIP pay-for-performance disease management programs on outcomes related to targeted chronic conditions. The authors find DSRIP reduced asthma hospitalizations and emergency department visits, pneumonia readmissions, and improved alcohol and drug treatment. Positive program-specific findings are encouraging for future DSRIP-like initiatives and demonstrate provider ability to successfully adapt to payment reforms.
ISSN:1942-7905
DOI:10.1089/pop.2022.0086