The SIM Initiative provided funding to six states – Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont – to test innovative approaches that move health care from encounter-based service delivery to care coordination, and from volume-based to value-based payment. RTI International, the Urban Institute, National Academy for State Health Policy, Truven Health Analytics, and The Henne Group and are conducting an independent federal evaluation of the Round 1 SIM Initiative through a contract with the Centers for Medicare & Medicaid Services. This report presents results from the evaluation and describes interim implementation progress from April 2015 through March 2016 (or about 2.5 years of the test period) and early findings of the impact of the SIM Initiative on statewide utilization and expenditures through 1 year of the test period.

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