Achieving Triple Aim Outcomes: An Evaluation of the Texas Medicaid Waiver
The Texas Medicaid Waiver, via the Delivery System Reform Incentive Payment (DSRIP) program, has provided a path for Texas to achieve the Triple Aim through its focus on a defined population at the project and system levels, and financial payment policy based on outcomes. Both iterations of the DSRI...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2020-06-01
|
| Series: | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| Online Access: | https://doi.org/10.1177/0046958020923547 |
| _version_ | 1818059487316017152 |
|---|---|
| author | Lee Revere PhD, MS Nina Kavarthapu MHA Jessica Hall MUP Charles Begley PhD |
| author_facet | Lee Revere PhD, MS Nina Kavarthapu MHA Jessica Hall MUP Charles Begley PhD |
| author_sort | Lee Revere PhD, MS |
| collection | DOAJ |
| description | The Texas Medicaid Waiver, via the Delivery System Reform Incentive Payment (DSRIP) program, has provided a path for Texas to achieve the Triple Aim through its focus on a defined population at the project and system levels, and financial payment policy based on outcomes. Both iterations of the DSRIP program (Waiver 1.0 and 2.0) have helped define populations, created regional collaboration that sets the stage for a true integrator, and provided financial incentives for improving population health, enhancing patient experience, and controlling costs. The flexible design of project menus and measure bundles in DSRIP encouraged a variety of projects, numerous measures of success and (often) overlapping populations of individual served to achieve the ultimate goal of the Triple Aim. This research outlines the major features of Texas DSRIP and demonstrates the Medicaid Waiver effectively contributed to measurable improvements in health, suggesting Texas safety net providers are moving closer to Triple Aim achievement. |
| first_indexed | 2024-12-10T13:17:18Z |
| format | Article |
| id | doaj.art-42e18cd599334783a64cb0960e8d6937 |
| institution | Directory Open Access Journal |
| issn | 0046-9580 1945-7243 |
| language | English |
| last_indexed | 2024-12-10T13:17:18Z |
| publishDate | 2020-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| spelling | doaj.art-42e18cd599334783a64cb0960e8d69372022-12-22T01:47:29ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432020-06-015710.1177/0046958020923547Achieving Triple Aim Outcomes: An Evaluation of the Texas Medicaid WaiverLee Revere PhD, MS0Nina Kavarthapu MHA1Jessica Hall MUP2Charles Begley PhD3University of Texas School of Public Health, Houston, USAHarris Health System, Houston, TX, USAHarris Health System, Houston, TX, USAUniversity of Texas School of Public Health, Houston, USAThe Texas Medicaid Waiver, via the Delivery System Reform Incentive Payment (DSRIP) program, has provided a path for Texas to achieve the Triple Aim through its focus on a defined population at the project and system levels, and financial payment policy based on outcomes. Both iterations of the DSRIP program (Waiver 1.0 and 2.0) have helped define populations, created regional collaboration that sets the stage for a true integrator, and provided financial incentives for improving population health, enhancing patient experience, and controlling costs. The flexible design of project menus and measure bundles in DSRIP encouraged a variety of projects, numerous measures of success and (often) overlapping populations of individual served to achieve the ultimate goal of the Triple Aim. This research outlines the major features of Texas DSRIP and demonstrates the Medicaid Waiver effectively contributed to measurable improvements in health, suggesting Texas safety net providers are moving closer to Triple Aim achievement.https://doi.org/10.1177/0046958020923547 |
| spellingShingle | Lee Revere PhD, MS Nina Kavarthapu MHA Jessica Hall MUP Charles Begley PhD Achieving Triple Aim Outcomes: An Evaluation of the Texas Medicaid Waiver Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| title | Achieving Triple Aim Outcomes: An Evaluation of the Texas Medicaid Waiver |
| title_full | Achieving Triple Aim Outcomes: An Evaluation of the Texas Medicaid Waiver |
| title_fullStr | Achieving Triple Aim Outcomes: An Evaluation of the Texas Medicaid Waiver |
| title_full_unstemmed | Achieving Triple Aim Outcomes: An Evaluation of the Texas Medicaid Waiver |
| title_short | Achieving Triple Aim Outcomes: An Evaluation of the Texas Medicaid Waiver |
| title_sort | achieving triple aim outcomes an evaluation of the texas medicaid waiver |
| url | https://doi.org/10.1177/0046958020923547 |
| work_keys_str_mv | AT leereverephdms achievingtripleaimoutcomesanevaluationofthetexasmedicaidwaiver AT ninakavarthapumha achievingtripleaimoutcomesanevaluationofthetexasmedicaidwaiver AT jessicahallmup achievingtripleaimoutcomesanevaluationofthetexasmedicaidwaiver AT charlesbegleyphd achievingtripleaimoutcomesanevaluationofthetexasmedicaidwaiver |