1. Iowa SIM Design Grant June 19, 2013

2. SIM Design Grant State Innovation Model Initiative: –IME submitted an application on 9/24/2012 on behalf of the Governor’s office –Award Date Feb 2013 – Effective 4/1/2013 –Potential round two for design awardees in Fall of 2013 04/26/20132

3. State Health Care Innovation Plan “Plan & Funding” Six month CMS grant to design, including request for second grant Submitted by DHS on behalf of Governor Stakeholder participation important CMS seeking multi-payor, broad-based delivery system reform Requested $1.4 million Contractor support: Data Analytics Technical Assistance Actuarial Services Project Management 2/7/20123

4. State Health Care Innovation Plan “Goal & Strategies” GOAL: Reduce the rate of growth in health care costs for the state as a whole to the Consumer Price Index within 3 years. The goals of the ACO organization are more aggressive, to reduce costs by 5-8% within 3 years. Value-based reimbursement-ACO Expand on ACO methodology to integrate long-term care and community based services that are high cost for Medicaid Engage members in their own health 2/7/20124

5. SIM Activities April – September 2013 Stakeholder Workgroups and Listening Sessions Develop a State Health Care Innovation Plan (SHIP) Develop a Model Testing Proposal –Potential for a SIM Testing Grant award 04/16/20125

6. Stakeholder Process Appointees within each workgroup will help to inform the three SIM Strategies for the SHIP Appointments will be finalized by end of April, working with DHS and Governor’s office 4/16/20136 SIM Advisory Committee Metrics and Contracting Design Workgrouip Long Term Care Integration Design Workgroup Mental Health / Substance Abuse Design Workgroup Member Health Engagement Workgroup Consumer Focus Workgroup

7. Stakeholder Process Listening Sessions: Conducted by DHS for key stakeholder groups including, but not limited to: 04/16/20137 Learning Sessions in person and via Webinar Local listening Sessions across Iowa Meet with Consumer Groups Meet with other Advisory Councils, including MAAC Presentations or meetings as requested

8. Medicaid ACO Website http://www.ime.state.ia.us/state-innovation-models.html April 18 th Kick-off Learning Session April 25 th NASHP Event June 17 th LTC Learning Session 04/16/20138

9. Questions? Marni Bussell SIM Project Director Iowa Department of Human Services mbussel@dhs.state.ia.us 515-256-4659 2/7/20129