The Texas Health & Human Services Commission
is implementing the Texas Healthcare Transformation and Quality
Improvement Program: a five year Section 1115 Medicaid
Waiver. The Waiver is designed to improve access to health
care, the quality of care provided and contain costs.
The waiver is designed to meet several goals:
- Expand risk-based managed care statewide.
- Support the development and maintenance of
a coordinated care delivery system.
- Improve outcomes while containing cost growth.
- Protect and leverage financing to improve
and prepare the health care infrastructure to increase access
- Transition to quality based payment systems
in managed care and in hospital payments.
- Provide a mechanism for investments in delivery
system reform including improved coordination in the current
indigent care system in advance of health care reform.
Regional Healthcare Partnerships
There are 20 Regional Healthcare Partnerships
(RHPs) located throughout the state. Parkland has been designated
as the anchor facility for Region IX Regional Health Partnership
(RHP). The region includes Dallas, Kaufmann and Denton counties.
The RHPs fund the state share of all waiver payments.
All members of the RHP determine the menu of DSRIP projects and
how funds will be distributed. Each IGT provider (ie public hospital
or county) controls its own fund use and commitments. With few
exceptions, providers and hospitals are a member of only 1 RHP.
Some specialized providers (such as children’s hospitals)
may participate in multiple regions, but must also have different
DSRIP projects for those regions.
In Region IX, the Dallas / Ft. Worth Hospital
Council has worked closely with Parkland and other participating
entities to do a broad community assessment and create a menu
of DSRIP options that meet the needs of the region.
Delivery System Reform Incentive Payments
Hospitals may participate in the DSRIP program
which rewards hospitals for achieving specific goals and improvements
identified in their specific RGO. Each region’s plan identifies
specific actions and timelines for achieving results in 4 categories.
Each project that is undertaken must improve the Medicaid system,
increase quality and contain cost.
Listed below are the 4 categories and the projects
that Parkland will be focused:
- Category 1 – Infrastructure Development Improvement
- Category 2 – Innovation and Redesign
- Category 3 – Improvement in Quality
- Category 4 – Population Focused Improvements
For more information, please visit one of the following:
Health & Human Services Transformation Waiver website
Overview of Texas Health Care Transformation and Quality Improvement Program: 1115 Waiver
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