The "Angels" were the measurable outcomes: lowering asthma readmissions, reducing A1C levels in diabetics, cutting ER visits for mental health crises. Clean, noble goals.
The "Dirty Angels" of DSRIP were never about fraud. They were about the gap between a spreadsheet and a human being. The program measured clean rooms, but the real work—keeping a homeless man out of the morgue—happened in the dirt. dirty angels dsrip
Carmen’s screen glowed with the case of a man she’d code-named "Mr. Vega." Mr. Vega had congestive heart failure. According to the DSRIP "Angel" metric, if he went 90 days without being hospitalized, his primary care clinic earned a $5,000 performance bonus. The "Angels" were the measurable outcomes: lowering asthma
One day, a state auditor arrived. He wasn't looking for fraud. He was looking for —clinics whose Angels looked too clean. He flagged Mr. Vega’s file. They were about the gap between a spreadsheet