Funder: Center for Medicare and Medicaid Innovation
April 2017 | Compendium
The federal State Innovation Model (SIM) initiative is seeking to achieve statewide multi-payer care delivery and payment reforms for roughly 80 percent of the population within participating states. Multi-payer health reform efforts, such as SIM, offer the opportunity to overcome many of the limitations associated with individual payer initiatives by focusing providers’ attention on a common set of goals and generating a critical mass of patients to make it worthwhile for providers to invest in health care delivery redesign.
The Center for Health Care Strategies (CHCS) is part of a team led by NORC at the University of Chicago that is serving as the State Innovation Model (SIM) Resource Support Contractor for the Center for Medicare and Medicaid Innovation (the Innovation Center). CHCS is supporting states in designing and testing innovative multi-payer health system transformation approaches, along with NORC and other technical assistance partners. In this role, CHCS is developing a variety of resources to help states design and implement their SIM strategies. Following are a sampling of tools:
- Governance Structure – This fact sheet summarizes governance structures developed by states to oversee the SIM initiative. It also reviews common themes from SIM states and highlights SIM governance structures from five states — Connecticut, Maine, Minnesota, Oregon, and Washington.
- Fostering Provider Participation in Payment Reform Efforts – This fact sheet, based on the experiences of SIM Round One Test States, outlines strategies to maximize provider participation in Medicaid payment reform programs and offers insights on how states can encourage participation.
- Practice Transformation Assistance in State Innovation Models – This brief describes practice transformation assistance activities and related efforts that four states are offering to their provider communities — detailing four broad areas of practice transformation assistance being used by the states.
- Advancing State Innovation Model Goals through Accountable Communities for Health – This brief reviews state efforts to develop and test Accountable Communities for Health (ACH) models within the SIM initiative, including a look at how ACHs are connected to broader population health and delivery system reform plans.
- Community Care Teams: An Overview of State Approaches – This paper provides details on Community Care Team programs in several states, including program features, governance, financing, workforce, and informatics.
- Value-Based Payments in Medicaid Managed Care: An Overview of State Approaches – This brief outlines five practical approaches for promoting value-based payment (VBP) goals through managed care contracts and provides guidance for developing request for proposal questions to assess managed care organization interest in and experience with VBP.
- Multi-Payer Investments in Primary Care: Policy and Measurement Strategies – This resource paper explores the levers states can use to advance multi-payer primary care policies and highlights state approaches for encouraging multi-payer investment in primary care. It concludes with a review of potential measures for monitoring the impacts of primary care investment policies and tracking primary care system performance.
These resources were produced by the Center for Health Care Strategies (CHCS) with support from the Center for Medicare and Medicaid Innovation (the Innovation Center). 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 SHADAC, the National Governors Association, and Manatt Health Solutions.