Benefits: Practice sites participating in SIM will receive multiple benefits, including: Area

Practice transformation support services

Benefit





Practice facilitation (valued at about $25,000): o Access to support from a certified practice transformation organization o Preparation for new Medicare Quality Payment Program (QPP) and other initiatives that require a transition to value-based payments o Development of high-functioning care teams using efficient workflows Technical support from a clinical health information technology advisor (CHITA) Continuing Medical Education (CME) and Maintenance of Certification (MOC) credits Opportunity to learn from peers and subject matter experts

Financial support

• • •

Achievement-based payments for meeting key activities and milestones. Apply for competitive grants up to $40,000 Value-based payments from one or more payer

Recognition Health information technology

• • •

Certificate of recognition signed in frame In-person technical support provided by a CHITA Support connecting to a health information exchange to share data and coordinate care Subsidies for nonprofit practice sites to install or upgrade broadband, a key step toward developing the infrastructure necessary to provide telehealth services Access to aggregated claims data that allows cost and utilization data to be tracked across providers and payers to improve population health management Access to aggregated clinical quality data to compare practice site level data to the SIM cohort and inform quality improvement efforts Access to a regional health connector (RHC), dedicated to connecting practice sites to resources that can improve patient outcomes Connection to local public health resources and data related to population health Access to data benchmarking to help practice sites assess business processes Training program to develop skills in budgeting and administrative processes to support value-based payments Integrated behavioral healthcare produces significant positive results, including decreased patient depression levels, improved quality of life, decreased stress, and lower rates of hospitalization Having access to behavioral health services for patients is expected to reduce the total cost of care. Some studies indicate that integrated care leads to a reduction of inappropriate use of medical services and cost-savings in big-ticket items, such as emergency department visits and hospitalizations

• •

• Data

• •

Connections to community resources Business Support



Patient outcomes



• • •



Provider satisfaction



Integrated behavioral health services may improve patient and provider satisfaction by reducing access barriers, improving communication and enabling providers to influence comorbidities between physical and behavioral health issues

Resources: • Website: www.colorado.gov/healthinnovation • SIM videos: http://bit.ly/2yAnsMZ • SIM podcasts: http://bit.ly/2pK3FWK • Practice transformation articles: http://bit.ly/2rjTdUB • Cohort-3 webpage: bit.ly/2yNCSxT

The project described was supported by Funding Opportunity Number CMS-1G1-14-001 from the U.S Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS). The Colorado State Innovation Model (SIM), a four-year initiative, is funded by up to $65 million from CMS. The content provided is solely the responsibility of the authors and does not necessarily represent the official views of HHS or any of its agencies.

Benefits of Participating in SIM.pdf

Access to a regional health connector (RHC), dedicated to connecting. practice sites to resources that can improve patient outcomes. • Connection to local public health resources and data related to population health. Business Support • Access to data benchmarking to help practice sites assess business processes.

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