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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 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.
  • • Minnesota Accountable Health Model activities build on Minnesota's current Integrated Health Partnership (IHP) demonstration. The IHP demonstration adopted Accountable Care Organization (ACO) style contracts with providers to better coordinate care.
  • • Minnesota Accountable Health Model 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.
  • • Minnesota Accountable Health Model will include 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.