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State Innovation Plan

State Innovation Plan. Purpose. To test whether new payment and service delivery models will produce superior results when implemented in thee context of a state-sponsored State Health Care Innovation Plan. Plans must

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State Innovation Plan

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  1. State Innovation Plan

  2. Purpose • To test whether new payment and service delivery models will produce superior results when implemented in thee context of a state-sponsored State Health Care Innovation Plan. • Plans must • Improve health, improve health care and lower costs through a sustainable model of multi-payer payment and delivery reform • Be dedicated to delivering the right care at the right time in the right place

  3. Funding • Center for Medicare and Medicaid Innovation (CMMI) • 25 States to be awarded design funds • Average award $1 to $3 million • Delaware’s application: $4 million

  4. Project Timeline • Project period: December 2012-May 2013 • Notification of award: first week December • All activities to be completed by May 2013

  5. Proposed Approach • Six work streams • Delivery System Transformation • Payment Model Transformation • Data/Analytic Infrastructure Analysis/Enhancement • Workforce • Policy and Purchasing Alignment • Population-based Approaches to Health Promotion

  6. Project Goals • Develop a State Innovation Plan that, when implemented, results in • Improved health • Integrated/efficient health care system • Lower costs • Measures and incentivizes performance and outcomes at all levels • Incorporates existing activities that work across the health care system including • Existing CMMI projects • CCHS • AI DuPont Hospital for Children • Innovative delivery system pilots (e.g., PCMH) • HCC workforce • CHPDP

  7. Delaware’s Advantages • Population, provider and payer landscapes that enable the proposed models to impact the majority of the market; • Advanced health information infrastructure to support care coordination and performance measurement; • Sophisticated capabilities to integrate and analyze data; • State health policy leadership, innovation and experience; • Strong educational alliances supporting workforce transformation; • Extensive stakeholder networks and tested engagement strategy; • Strong working relationships between state and private payers.

  8. Proposed Roles • Public/stakeholders • Participate in work stream activities • Monitor progress and provide feedback • Health Care Commission • Process and plan oversight/review • Public/stakeholder engagement • Individual work stream participation • Project Leadership Team • Schedule and structure work stream activity • Monitor progress • Assure coordination across work streams • Includes: • Chair, HCC • ED, HCC • Deputy Director, DMMA • Director, Statewide Benefits • Director, Division of Public Health • State HIT Coordinator

  9. Proposed Roles (cont.) • Work Stream Members • Review current activity/research in each area • Develop Delaware-specific plan • Incorporate stakeholder input • Finalize plan • Contractor • Conduct research • Facilitate work stream activities • Draft plan components (with work stream guidance) • Develop new models • Develop funding applications (testing)

  10. Preparation Underway • Request for Information to be posted November 1 • Work stream membership • 59 organizations already committed to participation • Stakeholder engagement

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