Challengers Dsrip [updated] -
To address these challenges and solidify the gains made under DSRIP, policymakers must consider the following adjustments:
Accurately attributing patients to a specific provider or "patient-centered medical home" remains a contentious issue. Under DSRIP, providers are often held accountable for the outcomes of a attributed population. However, Medicaid populations are transient, often seeking care from multiple emergency departments or specialists. Inaccurate attribution can lead to providers being penalized for patients they did not treat or failing to receive credit for improvements they did facilitate. Furthermore, risk stratification models often fail to account for the Social Determinants of Health (SDOH)—such as housing instability and food insecurity—that disproportionately affect Medicaid populations and heavily influence health outcomes. challengers dsrip
