State Innovation Models Initiative
A model design award was granted to HHSC on April 1, 2013, as part of the State Innovation Models initiative to design innovative payment and delivery system models. The initiative will conclude November 30, 2013.
Under this project, Texas will design innovative multi-payer delivery and payment models that base payment on quality outcomes. Potential models include:
- Accountable care organizations or shared savings arrangements.
- Bundled or episodic payments.
- Medical or health homes.
To design innovative models, HHSC is:
- Convening public and private payers, providers and other stakeholders through webinars and meetings to develop a common understanding and consensus around the design of an innovative model and determining the elements needed to successfully implement that model, including health information technology infrastructure, billing and claims data, and quality measures.
- Researching actuarial and financial models and determining policy options.
- Designing innovative and meaningful payment and delivery models specific to the needs of Texans.
Texas State Profile: This report was prepared to help identify issues and opportunities under the State Innovation Models program. It provides a state-level overview of key health care indicators, with comparisons to national averages. Read the Texas State Profile report (PDF)
HHSC hosted a two day conference in Austin, August 20-21, 2013, to discuss potential models under SIM. Documents and presentations from the conference include:
- SIM Model Design Process Overview (PDF)
- Draft Texas SIM Discussion Document (PDF)
- August 20 Panel Presentations (Hood, Albosta, Dunaway) (PDF)
- August 21 Panel Presentations (Chassay, Carter, Perialas) (PDF)
- August 21 Lunch Presentation (Jones) (PDF)
July 9, 2013, Stakeholder Feedback Webinar
July 10, 2013, Health Information Exchange Webinar
July 23, 2013 Medical Home Webinar
To submit questions or comments about this initiative, email: MedicaidProgramInnovation@hhsc.state.tx.us