The goals of the Minnesota Accountable Health Model are 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.
Multi-payer alignment also 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.
This project also will 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 will receive care through this model. This model is projected to save $111 million over three years and lay the foundation for additional savings in years to come.