❌ – As of 2025, DSRIP is legacy. Replacement models (VBP, NY’s Health Equity Reform) are less transparent and less community-focused. Expats now face fragmented care again in many regions.
: ⭐⭐⭐ (3/5) – Helpful as a blueprint, but not a current solution. Expats should prioritize states with post-DSRIR whole-person care waivers (CA, NY, MA) over states that ended DSRIP without replacement (TX, FL). expats dsrip
❌ – DSRIP was not insurance. Expats needing preventive care (vaccines, physicals) were often turned away or billed at non-DSRIP rates unless enrolled in Medicaid. ❌ – As of 2025, DSRIP is legacy