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An Overview of Delivery System Reform Incentive Payment (DSRIP) Waivers

This brief will examine similarities and difference across key elements of DSRIP waivers. The states included in this analysis are: California, Texas, Kansas, New Jersey, Massachusetts, and New York. The key elements of DSRIP initiatives that will be explored in this analysis include: the goals and objectives of the DSRIP initiative; eligible providers; projects and organization; allocation of funds; data collection and evaluation/reporting; and financing of DSRIP waivers.

Views and Experiences Related to Women’s Health in Texas

Using data from the Kaiser Family Foundation/Episcopal Health Foundation 2018 Texas Health Policy Survey, this brief explores how Texas women and men rank legislative priorities in the state, including health care issues of importance to women such as reducing maternal mortality and increasing access to reproductive services. It also compares gender differences in the share of Texas residents who report problems paying medical bills and postponing health care because of the cost.

California and Texas: Section 1115 Medicaid Demonstration Waivers Compared

This fact sheet compares and contrasts key provisions of the California and Texas Section 1115 Medicaid demonstration waivers. The Texas waiver, approved in December 2011, is modeled, in part, on the California waiver, which has been underway in that state since November 2010. Both waivers affect hundreds of thousands of…

Hurricane Harvey: The Experiences of Immigrants Living in the Texas Gulf Coast

In order to better understand the particular needs of immigrants both in recovering from and preparing for future storms, this analysis from the Kaiser Family Foundation and the Episcopal Health Foundation highlights the views and experiences of foreign-born residents who were living in 24 coastal Texas counties hard-hit by Hurricane Harvey. Specifically, the brief explores the financial circumstances of immigrants following the storm, as well as their health care access, social support, and top priorities for rebuilding and recovery efforts in their area.

One Year After the Storm: Texas Gulf Coast Residents’ Views and Experiences with Hurricane Harvey Recovery

The Kaiser Family Foundation/Episcopal Health Foundation Harvey Anniversary Survey examines the views, experiences, and long-term recovery needs of vulnerable Gulf Coast Texans who were affected by Hurricane Harvey. This survey – a follow-up to a survey conducted by the partners 3 months after the storm – measures residents’ challenges with housing, financial assistance, health care, and mental health, as well as views on priorities and preparedness moving forward. It finds many challenges are especially salient for affected residents who are Black, Hispanic, or have lower incomes, as well as those who experienced major home damage or remain displaced from their homes.

KFF/EHF Poll: Texans’ Top State Health Priorities Include Lowering Out-of-Pocket Costs and Reducing Maternal Mortality

Most Texans Don’t Know their State has the Nation’s Highest Uninsured Rate Texans’ top health care priorities for the state revolve around making health care and prescription drugs more affordable, reducing maternal mortality and increasing access to health insurance coverage, finds a new statewide Kaiser Family Foundation/Episcopal Health Foundation survey…

Key Themes From Delivery System Reform Incentive Payment (DSRIP) Waivers in 4 States

Building on an earlier brief that provided an overview of the components of DSRIP waivers, this analysis relied upon interviews with stakeholders to identify emerging trends and themes from DSRIP waivers in four states – California, Massachusetts, New York and Texas. It highlights that DSRIP waivers are spurring major change in relationships among providers; allowing providers to launch new initiatives aimed at improving care and reducing costs; and fostering a stronger focus on the social service needs of Medicaid beneficiaries. At the same time, the rapid pace of implementation is straining the ability of stakeholders to keep pace, including consumer advocates who are hard-pressed to track and respond to the DSRIP-driven changes that are fundamentally re-shaping the way that care is delivered to Medicaid beneficiaries.

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.