DSRIP - Value Based Payment Reform (VBP)

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To ensure the long term sustainability of the DSRIP investments in the waiver, the Terms and Conditions (§ 39) state that NYS must submit a multi–year roadmap for comprehensive Payment Reform. The 2015 version of the VBP Roadmap was submitted to CMS, and the State received approval on July 22, 2015. This webpage provides an overview of relevant information related to NYS´s VBP efforts. Questions related to VBP should be directed to dsrip@health.ny.gov.

The following videos provide an overview of what value based payments are, their important role in the NYS Medicaid program, how they will help to improve patient outcomes, and how VBP will reshape our healthcare system.

  • The VBP Bootcamp regional learning series has concluded at this time. To access session presentations and full session recordings, please visit the VBP Resource Library

As outlined in the original approved VBP Roadmap, the State undertakes an annual update process. The first annual update was available for public comment for a period of 30 days, ending on April 18, 2016. The Roadmap was revised based on public comments and was submitted to CMS for review and approval. The revised Roadmap provided to CMS as well as a consolidated list of all public comments received is below.

Both the Centers for Medicare & Medicaid Services (CMS) and New York State (NYS) have embarked on an ambitious journey to improve outcomes for patients and populations, reward the delivery of high value care by providers, and increase long-term financial sustainability. The Draft Medicare Alignment Paper presents an approach to maximally align CMS payment reform efforts for Medicare to the NYS Medicaid Payment Reform Roadmap. The proposal will continue to be developed with the input of the Value Based Payment Workgroup and other stakeholders including, but not limited to, NYS health plans, managed care organizations, provider associations, legal firms specializing in health care contracting, other state agencies, community-based providers, patient advocates, Performing Provider Systems and other industry experts.

A draft version of the NYS Medicaid Medicare VBP Alignment Paper was made available for public comment from August 4, 2015 until August 31, 2015. The consolidated list of public comments and the Draft Medicare Alignment Paper are below:

The alignment paper has been revised to include public comments and stakeholder feedback. The Final Draft NYS Medicaid Medicare VBP Alignment Paper has been submitted to CMS for their consideration. The letter to CMS and the revised Alignment Paper are below:


See more at: VBP Resource Library