Evaluation of the Minnesota accountable health model: executive summary
- Collection:
- Health Policy and Services Research
- Contributor(s):
- State Health Access Data Assistance Center, University of Minnesota, issuing body.
- Publication:
- [Minneapolis, Minnesota] : State Health Access Data Assistance Center, University of Minnesota, September 2017
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Accountable Care Organizations -- organization & administration Delivery of Health Care, Integrated -- organization & administration Health Information Exchange Medical Informatics Models, Organizational Reimbursement Mechanisms Community Health Services Decision Support Techniques Diffusion of Innovation Insurance, Health, Reimbursement Population Health State Government Humans Minnesota United States Centers for Medicare & Medicaid Services (U.S.)
- Genre(s):
- Technical Report
- Abstract:
- This document summarizes the final results of the state evaluation of Minnesota's State Innovation Model (SIM) initiative. SIM, sponsored by the Centers for Medicare and Medicaid Services (CMS) and administered by CMS's Center for Medicare and Medicaid Innovation (CMMI), provided funding and support to 38 states/territories to transform their public and private health care payment and service delivery systems with the aims of lowering health system costs, maintaining or improving health care quality, and improving population health. Minnesota was one of the first states to be awarded a SIM cooperative agreement, and between January 2013 and September 2017, the Minnesota Department of Human Services (DHS) and the Minnesota Department of Health (MDH) implemented and tested the Minnesota Accountable Health Model (the Model)1. Between 2015 and 2017, the University of Minnesota's State Health Access Data Assistance Center (SHADAC) conducted the evaluation of SIM in Minnesota under a contract with DHS and in collaboration with both DHS and MDH. This evaluation report draws on SHADAC's First Annual Evaluation Report delivered in 20162 and provides final results for the last two years of Minnesota's initiative. Key accomplishments and outcomes across the Model are below. (1) The state expanded and advanced its Medicaid Accountable Care Organization (ACO) program--called Integrated Health Partnerships, or IHPs--and was viewed by IHP provider systems as a leader among payers in data analytics and reporting. (2) The number of SIM-collaborating organizations participating in alternative payment models (APMs) increased over the period of the cooperative agreement, although this increase occurred primarily in the Medicaid market. (3) SIM e-health investments increased provider connections to the state's Health Information Exchange (HIE) infrastructure and expanded statewide HIE vendor capacity. (4) State practice transformation programs and activities under SIM situated emerging professions practitioners in select front-line work settings, led to improvements in the capacity of participating providers and organizations to deliver coordinated care across settings, supported new and existing Health Care Homes (HCHs), and facilitated the successful launch of Behavioral Health Homes (BHHs). (5) Accountable Communities for Health (ACH) community-based care coordination led to improvements in care quality and patient outcomes, and individual ACH evaluations provided some evidence of cost savings. (6) The state developed knowledge of the ACO market, engaged stakeholders, and built relationships that may help to support future discussions about ACO multi-payer alignment. (7) Through joint-agency leadership, intentional stakeholder engagement, and the distribution of grants across the state with the flexibility to support innovative local reform models, DHS and MDH fostered new and strengthened relationships across sectors within the state, and broadened the conversation about health to one that goes beyond the medical care system to consider community characteristics and social determinants of health.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (2 unnumbered pages, ES32)
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101738639 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101738639