Case Management

News: Initiative will help states improve healthcare systems

Case Management Weekly, September 19, 2012

The U.S. Department of Health and Human Services (HHS) recently announced a State Innovation Models Initiative to help states design and test improvements to their healthcare systems that would improve quality of care and decrease costs. 

States will work with broad coalitions to design or test multiple payer payment and delivery system improvements to healthcare systems for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) beneficiaries and eliminate unnecessary spending, HHS said in a press release. These coalitions will include employers, insurers, community leaders and service organizations, healthcare providers, consumers, tribal governments, and others. 

Many states are already engaged in these efforts, according to the press release. Examples include statewide primary care networks supported by advanced health information technology systems and models that coordinate care across primary care providers, specialists and hospitals. States can apply for one of two awards:

  • Model Testing to assist in implementing already developed models
  • Model Design that will provide funding and technical assistance as they determine which system improvements will work best for them

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