Integrated Health Partnerships (IHP) Overview
In 2008, Minnesota passed health care legislation to improve affordability, expand coverage and improve the overall health of Minnesotans. In addition, the 2010 Legislature mandated that the Minnesota Department of Human Services (DHS) develop and implement a demonstration testing alternative health care delivery systems, which includes accountable care organizations (ACOs).
This led to the development of the Integrated Health Partnerships (IHP) demonstration, formerly called the Health Care Delivery Systems (HCDS) demonstration, which strives to deliver higher quality and lower cost health care through innovative approaches to care and payment.
With this demonstration, Minnesota is one of a growing number of states to implement an ACO model in its Medical Assistance (Medicaid) program, with the goal of improving the health of the population and of individual members. In their first year of participation, delivery systems can share in savings. After the first year, they also share the risk for losses. Delivery systems’ total costs for caring for Medical Assistance members are measured against targets for cost and quality.
Participation in IHP
Over the past five years, DHS has contracted with innovative health care delivery systems to provide high-quality, efficient care to Minnesota’s Medicaid population. Participating providers enter into an arrangement with DHS, by which they are held accountable for the costs and quality of care their Medicaid patients receive. Providers showing an overall savings across their population, while maintaining or improving the quality of care, receive a portion of the savings. Providers who cost more over time may be required to pay back a portion of the losses.
Delivery systems that began participating on January 1, 2013
Delivery systems that began participating in 2014
Delivery systems that began participating in 2015
Delivery systems that began participating in 2016
Delivery systems that began participating in 2017
Combined, these 21 providers deliver better health care at a lower cost to more than 465,000 Minnesotans enrolled in Medical Assistance.
IHP 2017 Request for Proposals (RFP)
Beginning in 2018, DHS will be expanding and enhancing this model in several important ways. We will introduce multiple tracks to accommodate a diverse set of provider systems, add a quarterly population-based payment to support care coordination and infrastructure needs and modify the quality measurements methodology. We encourage current IHP participants, health care homes, and other innovative provider systems to apply.
IHP Request for Information
In April 2016, DHS published a Request for Information (RFI) to request comments on enhancements to the IHP program. DHS received 27 responses from the organizations listed below. See IHP RFI Summary and Highlights (DHS-3780) (PDF) for a summary of responses. Individual responses are available upon request to Mat Spaan at firstname.lastname@example.org.
Altair ACO - Disability Services
Blue Cross Blue Shield Minnesota
Bluestone Physician Services
FUHN (FQHC Urban Health Network)
Gillette Children's Specialty Healthcare
Hennepin County Medical Center & Hennepin County
Lakewood Health System
Minnesota Community Healthcare Network
Minnesota Council of Health Plans
Minnesota Hospital Association
MN Health Care Safety Net Coalition
MNACHC (Minnesota Association of Community Health Centers)
Northwest Metro Alliance
Planned Parenthood (MN, ND, SD)
South Lake Pediatrics
Southern Prairie Community Care
Zumbro Valley Health Center
Paying for Value in Medicaid, SHADAC Report, February 2014 (PDF)
Model Summary, January 2013 (PDF)
Quality Measures and Methodology Overview, 2014 (PDF)
Quality and Patient Experience Measures Preliminary Threshold Distributions (DHS-7426) (PDF)
Minnesota Statutes, section 256B.0755, Health Care Delivery Systems Demonstration Project
Minnesota Statutes, section 62U.02, Payment Restructuring; Quality Incentive Payments
Minnesota Statutes, section 62U.04, Payment Reform; Health Care Costs; Quality Outcomes
Minnesota Statutes, section 62U.06, Coordination; Legislative Oversight