Minnesota Accountable Health Model

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Minnesota Accountable Health Model - State Innovation Model Grant

In February 2013 the Center for Medicare and Medicaid Innovation (CMMI) awarded Minnesota a State Innovation Model (SIM) testing grant of over $45 million to use across a four and a half year period ending December 2017. As a joint effort between the Department of Health (MDH) and the Department of Human Services (DHS) with support from Governor Mark Dayton’s office, Minnesota used the grant money to test new ways of delivering and paying for health care through the Minnesota Accountable Health Model framework. The overall goal of the model was to improve health in communities, provide better care, and lower health care costs.

The Minnesota Accountable Health Model sought to expand patient-centered, team-based care through service delivery and payment models that support integration of medical care, behavioral health, long-term care and community prevention services. Accomplished by building on Minnesota's current Integrated Health Partnership (IHP) demonstration, the model used IHPs to adopt Accountable Care Organization (ACO) style contracts with providers to better coordinate care. Minnesota Accountable Health Model activities also built on a strong foundation of service delivery and payment reform models in Minnesota that support secure exchange of clinical data across settings, a system of statewide quality reporting and measurement for healthcare providers, and strong systems for coordinated care through the multi-payer Health Care Home and evolving Behavioral Health Home initiatives.

Goals accomplished by July 2017

  • • 465,000 Minnesotans receive care through a Medicaid accountable care organization.
  • • 88 percent of organizations can engage in health information exchange.
  • • Integrated Health Partnerships surpassed the cost savings goal of $100 million, and as of 2016, have reached a cost savings of $212.8 million.
  • • 15 Accountable Communities for Health were established by 2015.
  • • 57 percent of providers are health care home or behavioral health home certified.