Commonwealth of Massachusetts Executive Office of Health and Human Services

State Innovation Model
Stakeholder Update

September 29, 2014

Welcome

State Innovation Model (SIM) Grant Administrative Update

Center for Health Information and Analysis (CHIA) All-Payer Claims Database (APCD) Provider Portal

Executive Office of Elder Affairs (EOEA)
Community Links Portal

The Commonwealth has a long and proud history of health care innovation:

Chapter 58 of the Acts of 2006 – First in the nation to secure nearly
universal health coverage for all citizens

Chapter 224 of the Acts of 2012 – First in the nation to lay out a plan for cost containment

Chapter 224 defines a clear vision for health reform in the state and provides
tools to achieve that vision.  SIM supports and accelerates progress:

Chapter 224

Payment Reform	Delivery system transformation

Cost and quality accountability

MA SIM grant

What is our goal?

How do we do it?

How does SIM help us get there?

Payment Reform

MassHealth Primary Care
Payment Reform

GIC Value-Based Purchasing Initiative

The Triple Aim: Better population health, better experience of care, lower costs

Delivery system transformation

All Payer Claims Database Provider Portal

Adoption of Health Information Exchange

Data Infrastructure for LTSS Providers

Electronic Referrals to
Community Resources

Access to Pediatric BH Consultation

Linkages between Primary Care and LTSS

Technical Assistance to Primary Care Providers

HIE Functionality for
Quality Reporting

Cost and quality
accountability

Statewide Quality	Rigorous Evaluation Measurement / Reporting

Provider and Payer Learning Collaboratives

Grant Administration
Currently in Year 1 of grant
Day to day grant implementation by EOHHS (SIM grant director), in close
partnership with Centers for Medicare and Medicaid Innovation
Grant funds support several initiatives, across a number of agencies

Recent Milestones
MassHealth launched Primary Care Payment Reform
Department of Public Health sent first e-Referral
Executive Office of Elder Affairs launched Community Links Portal
Massachusetts hosted site visits for federal grant team and evaluation team

Upcoming Administrative Milestones
Submit continuation application and/or no-cost extension (November 1)
Update operational plan (November 1)
Incorporating lessons learned on program timelines
Adding detail to the original SIM operating plan
Align investments to support current payment reform initiatives
Exploring reorganization and expansion of learning collaborative and technical assistance initiatives under a consolidated project structure
Seeking feedback from stakeholders and inspiration from other
models

As we explore reorganization and expansion of learning collaborative and technical assistance initiatives, what are the types of services and features that are most useful for you?

Learning collaboratives, peer-to-peer networks

Technical assistance and infrastructure support

Conferences and workshops, communications, outreach and
networking

Practice coaching and targeted consulting hours

Library of transformation resources

Connections with data & analytics

Public web forums to enable broad discussion

Other ideas?

Welcome

State Innovation Model (SIM) Grant Administrative Update

Center for Health Information and Analysis (CHIA) All-Payer Claims Database (APCD) Provider Portal

Executive Office of Elder Affairs (EOEA)
Community Links Portal