Achieving Triple Aim Outcomes: An Evaluation of the Texas Medicaid Waiver.

Inquiry : a Journal of Medical Care Organization, Provision and Financing
Lee RevereCharles Begley

Abstract

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.

References

May 14, 2008·Health Affairs·Donald M BerwickJohn Whittington
Nov 26, 2014·Journal of Public Health Management and Practice : JPHMP·Thomas Schlenker, Carol A Huber
Jun 6, 2015·The Milbank Quarterly·John W WhittingtonTrissa Torres
Jul 28, 2016·Population Health Management·Charles BegleyNicole Lievsay
Sep 16, 2016·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Lee RevereCharles Begley
Apr 20, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Elina FarmanovaStephen Samis
Dec 14, 2017·Healthcare : the Journal of Delivery Science and Innovation·Amrita G ShenoyStephen P Daiger

❮ Previous
Next ❯

Citations

Feb 6, 2021·Population Health Management·Omolola E Adepoju, Chinedum O Ojinnaka
Mar 24, 2021·Patient Safety in Surgery·Amrita Shenoy

❮ Previous
Next ❯

Software Mentioned

Waiver
DRSIP
DSRIP

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Population Health Management
Charles BegleyNicole Lievsay
Healthcare : the Journal of Delivery Science and Innovation
Amrita G ShenoyStephen P Daiger
Healthcare Financial Management : Journal of the Healthcare Financial Management Association
Matt DrakeCharles Hetterich
© 2022 Meta ULC. All rights reserved