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Findings from the federally-funded evaluation of the Centers for Medicare & Medicaid Services’ State Innovation Models (SIM) Initiative are presented in this report which focuses on the experiences of the 11 states awarded Model Test funding during Round 2 of the SIM effort: Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Using $622 million in federal funds over 4 years (2015-2018), these states are engaging a broad range of stakeholders and using various policy levers to encourage the spread of innovative health care models -- often building on prior efforts to improve health outcomes. This report is the second in a series, and describes states’ experiences implementing their efforts from July 2016 to April 2017.