Demystifying Federal Healthcare Policy

JPS took up the challenge of educating providers and industry executives on the complexities of the Texas Medicaid 1115 Waiver, hosting a two-day Waiver Symposium in September that drew 350 healthcare executives from across Texas. Speakers included some of the nation’s key players in national healthcare financing.

The 1115 Waiver will serve to transform healthcare delivery in Texas in unique ways that will impact everyone involved in the business of healthcare. The 1115 Waiver is changing the landscape for accountants, bond underwriters, rating agencies, investment bankers, lawyers, insurers and politicians — everyone involved in healthcare financing or promoting business with healthcare organizations, including private hospitals, public hospital districts and large practitioner groups.

Medicaid Waivers are a federal government mechanism for engineering change in healthcare delivery, aiming for greater efficiency. No two waivers are alike. Each represents a different approach to bringing healthcare inflation under control and improving population health. The 1115 Waiver granted Texas last year is large in its scope and potential impact, and will fund dozens of delivery system innovations known as DSRIP projects, with the acronym reflecting their funding source, Delivery System Reform Incentive Payments.

Tarrant County Hospital District, as the anchor entity for Region 10 of the Texas Medicaid 1115 Waiver, will oversee $1.1 billion in federal spending over five years for authorized system delivery improvement projects at JPS and healthcare providers throughout Region 10, which includes Tarrant, Ellis, Erath, Hood, Johnson, Navarro, Parker, Somervell and Wise counties.

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