Funds Flow

DSRIP Funding

Finger Lakes Performing Provider System (FLPPS) is eligible to receive up to $565 million over 5 years (April 1, 2015 – March 31, 2020). The purpose of this award is to transform the way healthcare is delivered to more than 300,000 Medicaid beneficiaries and 100,000 uninsured individuals in the Finger Lakes region. This amount is comprised of a $533 million base award and $32 million of potential “bonus dollars” for exceeding metrics.

The $565 million, allocated by the Centers for Medicare and Medicaid Services (CMS) and dispersed by New York State Department of Health, is a maximum possible award which can be earned primarily by achieving performance metrics within DSRIP.

Eighty-five percent of these funds will be distributed to FLPPS participating partners across our 13 county region. Of those funds, 65% will be distributed for achievement of specific project metrics and clinical outcome as defined in contracts between FLPPS and each participating partner. Ten percent is allocated to support the financial stability of the PPS and its partners, during the final transformation to Value Based Payment. An additional 10% is reserved for unanticipated costs during the five DSRIP period. Funding for general DSRIP administration is capped at 15% of the total award. 

Funds Flow to Partners 

The FLPPS Finance Team and Board worked to create a funds flow model that is Transparent, Clear, Simple, Objective, Equitable and Rewards Engagement. Using these guiding principles, achievement and metrics are grouped into three categories for contracted Partners: Engagement, Reporting and Performance.

  • “Engagement” activities refer to participation in PPS activities such as PPS-wide webinars, meetings, summits, surveys and other opportunities as defined by FLPPS.
  • “Reporting” activities include reporting on key deliverables, and progress toward meeting key milestones, by the associated deadline and using the FLPPS-provided templates.
  • “Performance” indicates activities that lead to project outcomes or a level of achievement against a set goal or benchmark.

Achievement of Reporting, Engagement and Performance criteria will become more complex with each Demonstration Year. Once a Partner contract is executed, the exact amount of funds paid to that organization depends on successful reporting and performance against stated metrics outlined in their contract.