NY Medicaid Program Pushes Value-Based Purchasing Trend

Law360, New York (July 7, 2015, 1:07 PM EDT) -- New York has adopted an ambitious plan for value-based purchasing ("VBP") in its Medicaid program, placing the state at the forefront of the national movement to find new reimbursement models. As set forth in its plan currently under review by the Centers for Medicare & Medicaid Services, over the next five years New York aims to have 80 to 90 percent of Medicaid payments made through alternative payment models that entail shared risk tied to cost savings and quality measures.[1] New York's VBP plan is part of the roll out of the Delivery System Reform Incentive Payment program ("DSRIP") that will distribute $7.3 billion in Medicaid funds to 25 new organizations in the state, called performing provider systems ("PPS").[2] ...

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