CMS State Innovation Model (SIM)

Description: 

In Round One of the SIM Initiative, nearly $300 million was awarded to 25 states to design or test innovative health care payment and service delivery models in the form of Model Design, Model Pre-Test, and Model Test awards. In Round Two, the SIM initiative is providing over $660 million to 32 awardees (including 28 states, three territories, and the District of Columbia). This includes both model “design” awardees (states/entities that are designing plans and strategies for statewide innovation) and model “test” awardees (states that are taking the next step from “designing” to “testing” and implementing comprehensive statewide health transformation plans). Including the Round Two awardees and six Round One Model Test states, now over half of states representing 61 percent of the U.S. population (38 total SIM awardees, including 34 states, three territories and the District of Columbia) will be working in efforts to support comprehensive state-based innovation in health system transformation.

Model Design Awards

The 21 Round Two Model Design award recipients will design or further refine State Health Care Innovation Plans. The Model Design award recipients will engage a diverse group of stakeholders, including public and commercial payers, providers and consumers, to develop a State Health Care Innovation Plan. States receiving Model Design awards under the State Innovation Models initiative will have twelve months to submit their State Health Care Innovation Plans to CMS.

Model Test Awards: 

The State Innovation Models Initiative Model Test Awards will provide financial and technical support over a four-year period for states to test and evaluate multi-payer health system transformation models. States must produce and implement a detailed and fully developed proposal capable of creating state-wide health transformation for the majority of care within the state.

Click here for an overview of Round One grantees

Click here for an overview of Round Two grantees

Related News & Resources

Payment Model: 

In Round 1, nearly $300 million was awarded to 25 states to design or test improvements to their public and private health payment and delivery systems. The projects will be broad based and focus on people enrolled in Medicare, Medicaid and the Children’s Health Insurance Program (CHIP).

In Round 2, the SIM initiative is providing over $660 million to 32 awardees (including 28 states, three territories, and the District of Columbia)

Last updated November 2015
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