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.

Demonstration Participants

Delivery systems that began participating on January 1, 2013

  • 1. Children’s Hospitals and Clinics of Minnesota
  • 2. CentraCare Health System
  • 3. Essentia Health
  • 4. Federally Qualified Health Center Urban Health Network (FUHN)
  • 5. North Memorial Health Care
  • 6. Northwest Metro Alliance (a partnership between Allina Health and HealthPartners)

  • Delivery systems that began participating in 2014

  • 1. Hennepin Healthcare System (Hennepin County Medical Center Hospital and Clinics)
  • 2. Mayo Clinic
  • 3. Southern Prairie Community Care

  • Delivery systems that began participating in 2015

  • 1. Bluestone Physician Services
  • 2. Lake Region Healthcare
  • 3. Lakewood Health Systems
  • 4. Mankato Clinic
  • 5. Wilderness Health
  • 6. Winona Health
  • 7. Courage Kenny Rehabilitation Institute, part of Allina Health

  • Delivery systems that began participating in 2016

  • 1. Allina Health System
  • 2. Gillette Children’s Specialty Healthcare
  • 3. Integrity Health Network

  • Combined, these 19 providers deliver better health care at a lower cost to more than 342,000 Minnesotans enrolled in Medical Assistance.

    Request for Information (RFI) – Integrated Health Partnerships
    2017 IHP RFP

    2017 IHP RFP Appendices

    Q&A to be posted by August 1

    Additional Resources

    Paying for Value in Medicaid, SHADAC Report, February 2014 (PDF)
    Model Summary, January 2013 (PDF)

    Quality Measures and Methodology Overview, 2014 (PDF)

    Quality Measures Preliminary Thresholds for Performance Year 2016 (PDF)

    Legal References

    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

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