While Congress grabs headlines with legislation that shapes the future of the ACA and Medicaid, quiet innovations are taking place in nine states in which a national Medicaid waiver initiative is retooling healthcare delivery to a vulnerable, costly, and often-overlooked population.

Called the Delivery System Reform Incentive Program, or DSRIP, the initiative is an enormous undertaking by states, providers, health systems, and patients, and could become a model for change in other segments of the industry. This executive briefing breaks down the goals of DSRIP, how states are implementing the program at a market level and what’s next for Medicaid reform in light of ACA repeal-and-replace efforts and planned budget cuts.

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