Medicaid Section 1115 demonstrations: A Cross-State Review of Delivery System Reform Incentive Payments
Thursday, September 20, 12:00 pm - 1:00 pm
Friedgen Family Student Lounge (SPH 2236)
The Department of Health Services Administration is kicking off its Research Seminar Series for the 2018 / 2019 school year. The Please, Join us!
Robert Nelb, MPH, is a principal analyst at the Medicaid and CHIP Payment and Access Commission (MACPAC), focusing on issues related to Medicaid payment and delivery system reform. Prior to joining MACPAC, he served as a health insurance specialist at the Centers for Medicare & Medicaid Services (CMS), leading projects related to CHIP and Medicaid Section 1115 demonstrations. Mr. Nelb has a master of public health and a bachelor's degree in Ethics, Politics, and Economics from Yale University.
Robert Melb will review federal requirements for Section 1115 demonstration evaluations and summarize findings from a recent cross-state review of DSRIP programs, which are authorized under Section 1115 authority and direct Medicaid payments toward provider-led efforts designed to lower costs and improve quality of care and health outcomes. Early evaluations so far show that DSRIP providers are meeting their milestones and are demonstrating some improvement in health outcomes, but it is difficult to evaluate whether these changes would have occurred without the demonstration.