Strategies to use government-funded programme models to achieve the triple aim: A look at New York State’s DSRIP programme

New York State has become a leader in Medicaid reform and the Delivery System Reform Incentive Payments (DSRIP) programme has provided new opportunities for both providers and new healthcare market players to play a stronger role in transitioning to value-based payments (VBP). The lessons learned in New York will be adapted to help with widespread success across the country, particularly in shifting Medicaid to risk-based reimbursement. The DSRIP programme in New York promoted the development of new healthcare organisations to lead and manage the government funding in an effort to achieve cost and quality improvements across the state. These new healthcare organisations are creating long-term sustainable models to advance the programme goals. Sustainability of Medicaid and Medicare continues to be at the forefront of federal and state government health reform. With health reform now poised to be a major 2020 presidential election issue, VBP remains a leading strategy for reducing the total cost of care and meeting the Quadruple Aim of enhancing patient experience, improving population health, reducing costs and improving the work life of healthcare providers.