State Innovation Models (SIM) Initiative Evaluation: Model Design and Model Pre-Test Evaluation Report


The State Innovation Model (SIM) Initiative provides federal support to states to develop and test innovative health care delivery and payment system models designed to achieve better health care, lower health care costs, and improved population health. The team of RTI International, The Urban Institute, and the National Academy for State Health Policy researchers evaluated the planning process and resulting Plans of the 16 Model Design and 3 Pre-Test states, assessing the states’ ability to engage a broad array of stakeholders and design a Plan that meets the goals of the Initiative. This report includes a case study for each of the 19 states, as well as a cross-state analysis of the planning and stakeholder engagement processes. Lessons learned from the states’ perspective and a summary of recommendations to CMS for future health care reform efforts are also presented.

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