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 plan for health system reform in New York State.
On May 22, 2014, CMMI released a Funding Opportunity Announcement (FOA) to supportthe Plan, which was submitted to CMMI in December 2013.The State is now preparing to respond to the FOA, titled, "State Innovation Models: Round Two Funding for Design and Test Assistance." New York intends to apply for a Model Testing Award.
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The purpose of the SIM initiative is to test the ability of state governments to use regulatory and policy levers to accelerate transformation; state government led innovation with broad stakeholder input and engagement, including multi-payer models, will accelerate delivery system transformation to provide better care at lower cost.
Under this round of Model Testing awards, CMMI has indicated that up to 12 model test states may receive awards, with $20 - $100 Million per state, over 48 months. Award amounts will be based on state population size and proposal scope, model complexity, size of target population, spectrum of state policy activity, level of multi-payer and other stakeholder involvement, return on investment and strength of the evidence base.
The proposal requirements and materials associated with this FOA can be accessed on CMMI's SIM webpage, found here. Responses to the Round Two Funding opportunity are due to CMMI on July 21, 2014.
Stakeholder Engagement – Summer 2014
As the State prepares to respond to this FOA, it will continue to seek stakeholder support and input. In addition to targeted stakeholder meetings, the Department of Health hosted a webinar on the current FOA and its requirements on June 6, 2014. This webinar was open to the public and slides are available below.
- Webinar Presentation (PDF, 40KB, 1pg.)
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.
The March 2014 Newsletter is now available.
New York State's Submitted Plan
New York State's Health Innovation Plan was submitted to CMS on Monday December 30, 2013 and the following materials are now available online:
- Cover Letter (PDF, 40KB, 1pg.)
- New York State Health Innovation Plan (PDF, 4.4MB, 218pg.)
- Executive Summary only (PDF, 1.5MB, 23pg.)
- Strategic Pillars Diagram (PDF, 340KB, 1pg.)
- Driver Diagram (PDF, 330KB, 3pg.)
The revised and enhanced Plan is the result of external stakeholder input including comments and suggestions from a variety of individuals and organizations representing consumers, providers and payers, as well as multiple presentations, meetings, and calls over the past six months. A summary of the written comments received may be found here.
Phase II of the Plan will rely on workgroups to generate recommendations and offer policy design decisions that make up the Plan. Workgroups will be convened in the coming weeks. Information on these workgroups, meetings minutes, documents, and opportunities for input will be posted on this website.
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 is convening regional stakeholders to further refine its approach to transforming health care in the state.
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.