Delaware’s State Innovation Model (SIM) Update

January 8, 2015

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Today’s agenda

SIM status update

Next steps and upcoming meetings

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SIM status updateRecent highlights

▪ Delaware awarded State Innovation Model grant

▪ $35 million Cooperative Agreement Award for Model Testing Assistance

▪ Project Period 2/01/2015 – 1/31/2019

▪ RFIs for Practice Transformation and Care Coordination

CMMI grant application

▪ Delaware Center for Health Innovation (DCHI) Board met December 10

▪ Committees have begun meetings

DCHI

▪ DHIN continues to work toward the Common Provider Scorecard

Technical Advisory Group

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Reminder: SIM grant

Principles of funding

• Focus grants on start-up / one-time costs; find alternative sustainable funding for ongoing operational costs

• Build capability of local staff to operate program and eventually take over full responsibility

• Preserve SIM grant funds for uses with limited alternative options

• Use grants to seed matching investments from stakeholders, whether explicit or implicit

• Leverage grants from foundations wherever possible

• Leverage Medicaid to obtain a favorable federal match

• Establish that direct investments in delivery system should be funded

by payers

• Leverage support (monetary and in-kind) from stakeholders

SIM grant

•Delaware submitted a SIM Model Test grant application on July 17, 2014

•~$40M was requested and is part of a total investment of an estimated$139M over 4 years for the SIM program

•The remaining ~$100M will be a combination of in-kind donations of time, other state and federal resources, foundations grants, and stakeholders contributions, of which ~$60M will go towards care coordination fees

•Delaware Health Care Commission is the applicant for the grant and will follow applicable state and federal rules for uses of funds

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Summary of December DCHI Board meeting

Reviewed priority needs for practice transformation and care coordination.

Updates on initial committee meetings.

Discussed Board Operations.

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DCHI Standing Committee Meetings

Clinical▪ Third Tuesday of each month, 5pm

▪ First Thursday of each month, 2:00pm

▪ Meeting 2nd Thursday in Jan. due to holiday

▪ First Thursday of each month, 11:30am

▪ Jan. meeting TBD

▪ Regular Meeting Schedule TBD

▪ Next meeting: January 14 – 8:30am

Healthy Neighbor-hoods

Patient and Consumer Advisory

Payment Model Monitoring

Workforce and Education

▪ Second Wednesday of each month, 4:30pm

Meeting times are tentative for 2015

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Agenda DCHI Board Meeting – Jan 14, 2 pm 2))MeetingMeetingmeetingNext Board meeting: Wednesday, February 11, 2pm

January Meeting - DHSS Main Campus, Room 301

Call to Order

Committee Status Updates

CMMI Grant Update

Timeline for 2015

DCHI Operations

Public Comment