The State Innovation Models (SIM) Initiative is providing financial and technical support to states for the development and testing of state-led, multi-payer health care payment and service delivery models that will improve health system performance, increase quality of care, and decrease costs for Medicare, Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries—and for all residents of participating states.
In Round One of the SIM Initiative, nearly $300 million was awarded to 25 states to design or test innovative health care payment and service delivery models in the form of Model Design, Model Pre-Test, and Model Test awards. In Round Two, the SIM initiative is providing over $660 million to 32 awardees (including 28 states, three territories, and the District of Columbia). This includes both model “design” awardees (states/entities that are designing plans and strategies for statewide innovation) and model “test” awardees (states that are taking the next step from “designing” to “testing” and implementing comprehensive statewide health transformation plans). Including the Round Two awardees and six Round One Model Test states, now over half of states representing 61 percent of the U.S. population (38 total SIM awardees, including 34 states, three territories and the District of Columbia) will be working in efforts to support comprehensive state-based innovation in health system transformation.
Round One Awards
Over $250 million in Round One Model Test awards support six states (Oregon, Vermont, Massachusetts, Arkansas, Minnesota and Maine) that are implementing their State Health Care Innovation Plans. A State Health Care Innovation Plan is a proposal that describes a state’s strategy to use all of the levers available to it to transform its health care delivery system through multi-payer payment reform and other state-led initiatives.
The 16 states that received Round One Model Design funding produced a State Health Care Innovation Plan.
Round Two Awards
Over $620 million in Model Test awards will support 11 states that are ready to implement their State Health Care Innovation Plan.
The 21 Round Two Model Design award recipients will design or further refine State Health Care Innovation Plans. The Model Design award recipients will engage a diverse group of stakeholders, including public and commercial payers, providers and consumers, to develop a State Health Care Innovation Plan. States receiving Model Design awards under the State Innovation Models initiative will have twelve months to submit their State Health Care Innovation Plans to CMS.
The CMS Innovation Center created the State Innovation Models initiative for states/entities that are prepared for or committed to planning, designing, testing, and supporting evaluation of new payment and service delivery models in the context of larger health system transformation. The Innovation Center is interested in testing innovative payment and service delivery models that have the potential to lower costs for Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP), while maintaining or improving quality of care for program beneficiaries. The goal is to create multi-payer models with a broad mission to improve health, improve care, and decrease costs for beneficiaries of Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).
- State Innovation Models Initiative Round Two landing page
- State Innovation Models Initiative Round Two Frequently Asked Questions
- State Innovation Models Initiative: Archive Information
- State Innovation Models Initiative: Model Design and Pre-Test Round One final evaluation report (PDF)
- State Innovation Models Initiative: Model Test Awards Round One first annual report (PDF)
For additional information, contact the State Innovation Models team at firstname.lastname@example.org.