AHI PPS

Transforming The Approach To Health Care

PPS Financing

Financial Stability The continuing success of the PPS’ DSRIP Project Plan will require not only successful service delivery integration, but the establishment of an organizational structure that supports the PPS’ DSRIP goals. One of the key components of that organizational structure is the ability to implement financial practices that will ensure the financial sustainability of the PPS as a whole. Each PPS will have the ability to establish the financial practices that best meet the needs, structure, and composition of their respective PPS. In this section of the DSRIP Project Plan the PPS must illustrate its plan for implementing a financial structure that will support the financial sustainability of the PPS throughout the five year DSRIP demonstration period and beyond.

Budget – The PPS will be responsible for accepting a single payment from Medicaid tied to the organization’s ability to achieve the goals of the DSRIP Project Plan. In accepting the performance payments, the PPS must establish a plan to allocate the performance payments among the participating providers in the PPS.

Valuation Award

We received a valuation award from the New York State Department of Health in the spring of 2015 for $186,715,496 to be distributed over a five-year period. The award is not a grant – it is performance-based, meaning the award amount is the maximum amount we can receive for distribution based on our partnership’s ability to meet each project milestone and quality improvement goal. The AHI PPS is one of 25 awardees statewide.

  • The valuation award is based on 143,640 attributed patients in our region.
  • Award Management:
    • The AHI PPS Governance is a collaborative, shared governance model and will oversee award management.

Finance Committee

The AHI PPS Finance Committee Charter details the Finance Committee’s responsibilities, committee composition, meeting structure, decision making and reporting.

Funds Flow

Award management

DOH funds flow to the PPS lead entity. The AHI PPS has the responsibility to manage the award for partners in our nine upstate New York/Adirondack counties – Clinton, Essex, Franklin, Fulton, Hamilton, Saratoga, St. Lawrence, Warren and Washington. Any determination on distributions will be made by the PPS Governance.

The AHI PPS has the responsibility of ensuring DSRIP dollars benefit Medicaid beneficiaries and support the success of the health care delivery system under health care reform.

Resources

Visit our Resources page to view the Value Based Payment video produced by the NYS Department of Health.