State Innovation Models Initiative: Model Pre-Testing Project Profiles

State of Washington

Geographic Reach: Washington
Funding Amount: $999,975

Summary

Over the next 6 months, the State of Washington is receiving a Pre-Testing Assistance Award of $999,975 to further develop and refine its comprehensive State Health Care Innovation Plan. Funding will be subject to successful completion of the terms and conditions for the State Innovation Model initiative. 

The state of Washington is receiving a receiving a Pre-Testing Award from the Centers for Medicare & Medicaid Services to further develop and refine its comprehensive State Health Care Innovation Plan, building on its proposal to implement and test a model for improving maternal/infant care and managing chronic conditions through a multi-payer-supported approach to integrated care.   

Washington’s model test would create virtual Accountable Care Organizations (ACOs) that would integrate and coordinate the efforts of primary care providers, specialists, and health care facilities, redesigning care delivery and payment by shifting from fee-for-service to alternative methods that provide incentives for care integration, quality improvement, and higher value. The model would work through the state’s quality collaboratives—the Bree Collaborative and the Puget Sound Health Alliance—to convene multiple payers, providers, and others to develop and promote the adoption of a common set of transparent, evidence-based quality and utilization metrics and evaluation criteria.

Washington also proposes to use its Pre-Testing Assistance Award to support the development of an aligned, transformative design model to include the following specific activities: leveraging and integrating Regional Collaborative community health and community prevention activities in multi-payer models; transforming public financing and payment systems to support integrated medical and behavioral health service delivery; providing change management and leadership and design support to engage multiple payers and providers; and expanding and sustaining efforts to apply evidence-based strategies for improvement in health care quality. The proposal meets the requirements set forth in the Funding Opportunity Announcement and the Centers for Medicare & Medicaid Services recommends this applicant for a Pre-Testing Assistance Award.

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