The State Innovation Models (SIM) initiative within the Center for Medicare and Medicaid Innovation is partnering with states to advance multi-payer health care payment and delivery system reform models. States participating in the SIM initiative have focused mainly on testing large-scale, statewide health care delivery and payment reform. Yet many states are also designing and testing smaller, more focused initiatives for high-need population subsets. This brief, coauthored by CHCS and the State Health Access Data Assistance Center, describes three promising, smaller-scale SIM initiatives: (1) Massachusetts Child Psychiatry Access Program; (2) Tennessee’s Quality Improvement in Long-Term Services and Supports initiative; and (3) Ohio’s Opioid Performance Measures approach. These pockets of state innovation can serve as valuable models for states looking to improve a particular aspect of their health systems.

CHCS is part of a team led by NORC at the University of Chicago that is serving as the State Innovation Model Resource Support Contractor. CHCS is supporting the states and the Innovation Center in designing and testing multi-payer health system transformation approaches, along with NORC and other technical assistance partners, including the State Health Access Data Assistance Center.