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New York’s New DSRIP Waiver & What It Could Mean in California UPDATED

New York state and CMS signed a new DSRIP waiver in April 2014. The goals are transforming the state’s health care system, bending the Medicaid cost curve and assuring quality care for all Medicaid members.

The waiver puts an emphasis on transformation of the safety net, cost reduction and improved outcomes. It is built on collaboration, collaboration, and more collaboration to achieve these goals — a very different model from California’s 2010 DSRIP waiver, which was facility focused. Collaborative partners in New York’s new waiver include: hospitals, health homes, SNF’s, FQHC’s, behavioral health providers and home care agencies.

The state of New York has agreed to reduce the projected federal Medicaid spending by $17 billion over the five years of the waiver and the federal government has agreed to reinvest $8 billion of these projected savings into Medicaid transformation in order to get the actual savings. New York plans to reduce spending on avoidable hospitalizations by 25%.

Read the full brief here.

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