State Innovation Model (SIM) Project
Over a four year period, February 2015 through January 2019, the State of Colorado will receive up to $65 million from the U.S. Department of Health and Human Services Center for Medicare/Medicaid Innovation, to implement and test its State Health Care Innovation Plan (SIM).
The state would like to improve the health of Coloradans by working with medical homes to: “(1) provide access to integrated primary care and behavioral health care; (2) apply value-based payment structures; (3) expand information technology efforts, including telehealth; and (4) finalize a statewide plan to improve population health.” Six commercial and public health insurance plans have said that as part of SIM, they are willing to change how they pay medical homes.
SIM has selected the first 100 practices statewide for the first year. There will be 400 total selected over 3 years.
CCHAP has been intimately engaged in the planning process for this ambitious initiative, and is also involved with helping to write the implementation of the plan for practices like yours who take care of Colorado’s children. The SIM program enlists “practice transformation organizations”(PTOs) to help practices develop the capabilities that will be needed to meet the expectations of health care reform and payment reform and to integrate behavioral health providers into their practice. There will be an opportunity at some point following the application process where you will be required to select a PTO partner.
CCHAP is the practice transformation organization that has focused on the needs of children for the past 8 years. Please consider us when you are asked to choose a PTO.
CCHAP works with medical homes to assess quality improvement methodologies currently employed by the practice. Assessments of patient population, clinical results, effective use of health information and related technology for clinical and operational improvement, team-based care delivery models (including roles and services provided by all team members), current business models, and related financial and administrative practices and community resources will also be addressed.