The New York State Health Innovation Plan

In April 2013, the New York State Department of Health was awarded a State Innovation Models (SIM) grant by the Centers for Medicare and Medicaid Innovation (CMMI) to develop a State Healthcare Innovation Plan (hereafter "the Plan"). The Plan is the overarching roadmap for health system reform in New York State. The Plan was submitted to CMMI in December 2013.

Goals of the Plan

The intent and goal of the Plan is to identify and stimulate the spread of promising innovations in health care delivery and finance that result in optimal health outcomes for all New Yorkers. Multi-payer support of these initiatives is key to long-term success as is the input and recommendations of key stakeholders throughout the State.

The Plan will pave the way for the state to support innovations in health care delivery, to implement strategies to spread those innovations more broadly throughout New York and will serve as the basis for an application for funding from CMMI that is expected to provide as much $60M in support of proposed initiatives.

New York submitted an application for Round 2 Model Test funding under SIM to implement the Plan. More information on the SIM application is available at State Innovation Models (SIM).

Background of New York's Participation in the CMMI State Innovation Model Initiative

In September 2012, New York State applied for a Model Testing Grant through the Center for Medicare and Medicaid Innovation (CMMI). The application included the creation of a State Healthcare Innovation Plan that included six models of care that would be tested in New York State. New York did not receive the Model Testing Award, but instead was awarded a Model Pre-Testing Assistance Award.

This award resulted in an eight-month process of refining and further developing New York's SHIP. New York has conducted outreach over the past several months, and continues to convene stakeholders to further refine its approach to transforming health care in the state in preparation for implementing the goals of the SHIP.

Additional Information about the Innovation Center and State Innovation Models Initiative

The Innovation Center created the State Innovation Models (SIM) initiative for states that are prepared for or committed to planning, designing, testing, and supporting evaluation of new payment and service delivery models in the context of larger health system transformation. The Innovation Center is interested in testing innovative payment and service delivery models that have the potential to lower costs for Medicare, Medicaid, and the Children's Health Insurance Program (CHIP), while maintaining or improving quality of care for program beneficiaries. The goal is to create multi-payer models with a broad mission to raise community health status and reduce long term health risks for beneficiaries of Medicare, Medicaid, and the Children's Health Insurance Program (CHIP).

More information about the Innovation Center and the State Innovation Models Initiative can be found at http://innovation.cms.gov.