Connecticut State Innovation Model Operational Plan: Award Year 3 Update

Abstract

Over a five year period (2015-2020) Connecticut’s SIM is working to improve Connecticut’s healthcare system for the majority of residents. We have been investing in a transition away from paying for a volume of healthcare services towards paying based on whether people receive high quality care with lower growth in costs. This includes funding the design and launch of the state’s first Medicaid Shared Savings Program (“PCMH+”), which rewards healthcare providers who build on Person Centered Medical Home standards by implementing enhanced care coordination activities, and connect with community-based organizations to address social determinant needs, for improved quality outcomes and better cost trends. This Operational Plan outlines the strategy that we will execute over the duration of the SIM test grant, with a focus on the next award year (February 1, 2018 – January 31, 2019). This document is consistent with the approach set forth in our Test Grant Application and is supplemented with plans developed since the application was submitted. It outlines model goals, supporting strategies, milestones, and allocation of funding among project components. This Operational Plan will govern the business relationship between Connecticut and CMMI, and establish accountability for proposed strategies.