Together We Can Strengthen our Communities
and Build Healthier Lives


A Performing Provider System (PPS) is a network of providers working together to achieve common goals, including reducing avoidable hospital visits by 25 percent over the course of five years.


The AHI PPS (Performing Provider System) is a partnership of more than 120 organizations formed to plan for and manage Delivery System Reform Incentive Payment (DSRIP) Program health care restructuring in the northern New York/Adirondack region.

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Partners include hospitals, primary care providers, mental health and substance abuse treatment providers, skilled nursing facilities, home and community providers, and others. The DSRIP project addresses social factors that impact health, requiring engagement and collaboration with many stakeholders, including community-based organizations, from diverse sectors. DSRIP’s purpose is to fundamentally restructure the health care delivery system by reinvesting in the Medicaid program.

The program’s primary goal is to stabilize the safety net system and reduce avoidable hospital use by 25 percent over five years and meet the needs of Medicaid beneficiaries and low-income, uninsured individuals in local communities by aligning with the Triple Aim of improving access to care, improving quality of care, and reducing costs. New York’s Performing Provider Systems (PPS) were formed to lead regional partnerships.

Our PPS spans nearly 11,000 square miles and nine counties: all of Clinton, Essex, Franklin, Hamilton, Warren, and Washington counties, and portions of Fulton, Saratoga and St. Lawrence counties. While a Medicaid program that impacts 143,000 attributed lives, the region’s 700,000 residents benefit from the increased support of population health.

Organizational Transformation

AHI Organizational Transformation programs and projects are necessary to help partner organizations continually improve through effective fundamental change to an organization’s structure and culture.

An investment of federal resources to assist primary care practices in transforming to a highly-integrated, team-based model relevant to advanced primary care. Through a vetted set of milestones and transformation support, practices can achieve an ideal blend of consistency, flexibility, goal-setting, leadership, optimized workflow, and improved outcomes consistent with Value-based Payment (VBP) arrangements.
Cultural competency and health literacy initiatives promote health equity and reduce health disparities by increasing access to health care services and improving the quality of care provided. AHI has launched numerous CCHL training workshops to help partners work with individuals they serve to ensure they receive information in a clear and concise manner.
Rural regions can face many challenges in delivering health care, including barriers to patient travel and provider access. Telehealth and telemedicine are the delivery of clinical health care services through real-time video transmission to provide greater access to specialty and primary care, or remote patient monitoring in the home.

Community Support Services

Our Community Support Services programs support community members as we work toward the goal of improving population health, transforming health care delivery, and eliminating health disparities.

Enrollment Assistance Services and Education (EASE)

Our EASE program manages health insurance enrollment and community awareness services for the Federal Affordable Care Act implementation.

Health Home Care Management

AHI Health Home Care Management provides enhanced coordination of medical and behavioral health care by linking community and social supports with health care for high-risk Medicaid members.

Community Health Access To Addiction and Mental Healthcare Project (CHAMP)

The CHAMP program is designed to help individuals and their families get access to needed substance use disorder and mental health treatment services and get the most from their health insurance benefits.

Community Assessment and Prevention

Provides resources and infrastructure to promote the state’s Triple Aim of improving regional health care, population health and lowering health care costs.


AHI provides health care workforce recruitment, training and support for prospective and current workforce. This is made possible through our AHI Performing Provider System (PPS) Workforce Committee.

The AHI PPS Workforce Committee includes representatives from each of our nine counties – Clinton, Essex, Franklin, Fulton, Hamilton, Saratoga, St. Lawrence, Warren and Washington – with representation from hospitals, primary care, long-term care, behavioral health, training and education, and other key stakeholders.

The Workforce Committee is the governing body for all workforce activities. Committee members are appointed by the Steering Committee and are responsible for development, implementation and oversight to ensure the AHI PPS retains, hires and trains staff to support successful implementation of the 11 DSRIP projects.


Social Determinants of Health

Population Health Tools and Resources




Workforce Funds

Health Home




The AHI Informer

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