In April 2014, the federal Centers for Medicare and Medicaid Services (CMS) approved New York State’s Medicaid waiver request in the amount of $8 billion over five years.  These waiver dollars will allow for comprehensive reform through DSRIP – the Delivery System Reform Incentive Payment Program.  The DSRIP program promotes collaborative partnerships among health care providers and focuses on system reform, specifically a goal to achieve a 25 percent reduction in avoidable hospital use over five years.  The majority of this funding ($6.42 billion) will go towards projects focusing on system transformation, clinical improvement and population health improvement.

Partnerships of entities that agree to work together are called Performing Provider Systems (PPS).  PPSs are comprised of hospitals, skilled nursing facilities, physicians, health homes, home care agencies, diagnostic treatment centers, federally qualified health centers, behavioral health providers, and other key stakeholders.

There are 25 PPSs located within New York State, with 10 PPSs located in Upstate New York.  Iroquois member hospitals are included in 7 Upstate PPSs:

Adirondack Health Institute (AHI)

Alliance for Better Health (AFBH) 

Better Health for Northeast New York (BHNNY)

Care Compass Network (CCN)

Central New York Care Collaborative (CNYCC)

Leatherstocking Collaborative Health Partners (LCHP)

North Country Initiative (NCI)

For a complete listing and information on each of the 25 PPSs in New York, please visit the Department of Health website here.