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State Innovation Model Grant

Minnesota Accountable Health Model

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 three-year period ending October 2016. The goal is to help its providers and communities work together to create healthier futures for Minnesotans

  • • Minnesota’s SIM initiative is a joint effort between the Department of Human Services (DHS) and the Department of Health (MDH) with support from Governor Mark Dayton’s office.
  • • Minnesota will use the grant money to test new ways of delivering and paying for health care using the Minnesota Accountable Health Model (MAHM) framework.
  • • The goal of this model is to improve health in communities, provide better care, and lower health care costs.
  • • This model expands 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.
  • • MAHM activities build on Minnesota's current Medicaid Health Care Delivery System (HCDS) demonstration. The HCDS demonstration adopted Accountable Care Organization (ACO) style contracts with providers to better coordinate care.
  • • MAHM activities also build 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.
  • • MAHM will include up the establishment of up to 15 Accountable Communities for Health. These communities will develop and test strategies for creating healthy futures for patients and community members.
  • • By expanding ACOs using a multi-payer approach, Minnesota will test how to provide and pay for value-based care.
  • • Along with the expansion of ACOs, multi-payer alignment will occur through initiatives such as
  • • common measurement tools across payers,
  • • improved clinical data exchange at the provider level and
  • • aligned payment and risk adjustment methods for complex populations.
  • • The project will also provide support to providers for health information technology and data analytics, as well as for transformation of their practices to more effectively deliver high-quality, coordinated care.
  • • Five other states also received SIM testing grants from CMMI: Massachusetts., Maine, Vermont, Oregon and Arkansas.
  • • By 2016, nearly three million Minnesotans are expected to receive care through the model. The model is projected to save $111 million over three years and lay the foundation for additional savings in years to come.