Getting Providers A Share Of DSRIP Cash
Crain’s Health Pulse August 18, 2015
New York’s Performing Provider Systems have already submitted their project implementation plans, but the DSRIP planning stages are far from over.
Each network of hundreds or thousands of providers must still decide how it will allocate the $7.4 billion in DSRIP funding and retrain, redeploy, hire and fire workers to meet the needs of patients.
Those topics—funds flow, workforce strategy and governance—were at the heart of a presentation delivered yesterday as part of KPMG’s Healthcare and Life Sciences Institute. The slides from the presentation are online here at http://www.kpmgevents.com/HCLS/2015/doc/HCLS_Slides_081715_Color.pdf.
KPMG had a Department of Health contract worth $12.4 million, serving as the DSRIP support team, answering questions and leading workshops for PPSs. That contract ended April 1, but the firm’s advisory unit hopes to translate that expertise into new DSRIP business.
The consulting firm recommended the creation of detailed matrices to determine how funds should be split up among providers. Two diagrams—a project participation matrix and a provider responsibility matrix—are key to understanding the costs of DSRIP projects and the responsibilities of numerous partners, Joe Kuehn, a KPMG partner, said in an interview.
“When you put those two things together as tools to manage the process, it really gives you visibility into which of your partners are helping you to achieve and meet the needs of the communities you serve,” he said.
As smaller providers wait for a portion of DSRIP funding to trickle down from lead organizations, they should be active in committee meetings, sign up for projects and demonstrate how they will bring value to the organization.
“Sitting back and waiting is not going to be a formula for success here,” Mr. Kuehn said.
That participation will be crucial. PPS committees, with input from many types of providers, will have a fair dose of discretion in determining how funds are distributed after complying with regulatory parameters.
“CMS and DOH are looking at DSRIP as a way of redesigning the care-delivery system,” Mr. Kuehn said. “They leave it to the PPSs to decide for themselves which providers are needed to meet the needs of the communities, with an implication that the financially weak will perhaps make it and perhaps not.”