In June of 2013, Governor Terry Branstad signed Senate File 446 into law, which authorized health care delivery and payment system reforms including expanded use of medical homes and ACOs.

Iowa is implementing a comprehensive PCMH-based health care payment and delivery system that will reduce health care costs, improve population health and improve patient care. Iowa is transforming health care across the state through the integration of several legislative initiatives including Health Homes, Integrated Health Homes (IHH), the Balancing Incentives Payment Program (BIPP), the Iowa Health and Wellness Plan, and the Mental Health and Disability Services (MHDS) Redesign. Wellmark, the predominant private payer across the state of Iowa, is partnering with the state in its effort to implement multi-payer ACO methodology statewide. Iowa plans to implement regional ACOs for Medicaid enrollees statewide in January of 2016.


Primary Care Innovations and PCMH Activity

Dual Eligible 2703 SPA CPC CPC+ PCMH QHP PCMH Legislation Private Payer

Private Payer Programs

Program Name Payer Type Coverage Area Parent Program Outcomes
Wellmark Accountable Care Organizations Commercial Sioux City, Davenport, Ames, Cedar Rapids, Des Moines, Waterloo, Fort Dodge, Quad Cities, Iowa City, Mason City, Pella Blue Cross Blue Shield Value-Based Care Program

State Legislation

Legislation Status Year
Iowa Senate File 446

This legislation authorized health care delivery and payment system reforms including the expanded use of medical homes and ACOs. The law stipulates "Any integrated care model implemented on or after July 1, 2013, that delivers health care to medical assistance program recipients shall incorporate medical homes as its foundation."

Expired 2013

State Facts:

Uninsured Population:
Total Medicaid Spending FY 2013: 
$3.7 Billion 
Overweight/Obese Adults:
Poor Mental Health among Adults: 
Medicaid Expansion: 

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