![]() Now these doctors are in the vanguard of an experiment to transform New York State’s health care services for the poor from a disorganized hodgepodge into coordinated networks of doctors, hospitals and other practitioners. Many are foreign born and foreign trained, serve mostly minority and immigrant patients, and often run high-volume practices to compensate for Medicaid’s low rate of payment. ![]() ![]() Pay for Performance Extends to Health Care in New York State Experimentįor a generation, doctors in New York City’s economically depressed neighborhoods have been the ugly ducklings of the medical hierarchy. Meanwhile, small community provider are wondering if their efforts to achieve measurable value will be met with any financial rewards at all. But as many indicate that the $8 billion afforded this project is too much money to waste on propping up a fee for service hospital system, hospitals continue to reiterate that that’s not actually a lot of money to incent change. This may be an example of how DSRIP could drive culturally competent, innovative solutions to care among providers who are committed to doing whatever works to help their members achieve wellness. But much like ACOs, DSRIP is meant to ease business practices for large health institutions like the IPA mentioned herein. Advocates have faulted the lack of attention to outreach and awareness building, as only a small number of people in the state know about and understand this project when it impacts the lives and healthcare of six million people. NYAPRS Note: This New York Times article is an important signal, as news about NY’s accountable care experiment called “DSRIP” has been largely outside the mainstream media.
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