Welcome to the ASTHO Wiki on State Innovation Models Initiative
This ASTHO wiki on the SIM initiative is designed to offer our members a body of knowledge and to share best practices and materials from Round One of the program, and as we learn more, we will also include more information on Round Two of the SIM Initiative. This wiki is built for the benefit of our members, so please share your suggestions and comments so we can improve this reference tool.

What is the State Innovation Model Initiative?


The State Innovation Models Initiative (SIM), offered through the Centers for Medicare and Medicaid, is designed to support states in the development and testing of state-based models for multi-payer payment and health care delivery system transformation. The goal of the initiative is improving health system performance for residents of states taking part in the program. Nearly $300 million has been awarded to 25 states to design or test improvements to their public and private health payment and delivery systems. The projects focus on people enrolled in Medicare, Medicaid and the Children’s Health Insurance Program (CHIP).

As part of the SIM Initiative, states selected for design and pre-testing grants were required to develop a State Healthcare Innovation Plan. The State Healthcare Innovation Plan describes a state’s proposed strategy to use regulatory and policy levers to transform its healthcare delivery system through payment and delivery reform.

On December 16, 2014, CMMI announced the recipients of the Round Two SIM Initiative Model Test and Design Awards. Over $622 million in Model Test awards will support 11 states that are ready to implement their State Health Care Innovation Plans and over $42 million in Model Design awards will support 21 awardees (including 17 states, three territories, and the District of Columbia) in designing or further refining State Health Care Innovation Plans. Including Round Two awardees and six Round One Model Test states (Minnesota, Vermont, Massachusetts, Maine, Oregon, and Arkansas), now over half of states representing 61 percent of the U.S. population will be working in efforts to support comprehensive state-based innovations in health system transformation.


How this Wiki is Organized:


Round One

  • Testing States: Allows you to review the Round One testing states, funding amount received, overview of plans, links to plans, and links to the state’s SIM websites.
  • Design States - Health Care Innovation Plans: Allows you to focus in on an overview summary of each state's Health Care Innovation Plan, with a link to the full plan. Access by clicking state name under "State Plans" heading in the left column.
  • Health Care Innovation Plan Focus Area Pages: Allows you to compare, at-a-glance, each state's Health Care Innovation Plans by Focus Area. Access by clicking on the Focus Area Pages in the left column of the page. These eight focus areas are: prevention & population health; financing population health; transforming clinical care; health disparities; behavioral health; data & IT; workforce; and, other.

Round Two
  • Testing States: Allows you to focus in on an overview summary of each state's SIM Round Two Testing proposal, with a link to the full proposal. Access by clicking state name under "Round Two" heading in the left column.
  • Design States: Allows you to focus in on an overview summary of each state's SIM Round Two Design proposal, with a link to the full proposal. Access by clicking state name under "Round Two" heading in the left column.

SIM in the News



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