1. Delaware’s State Innovation Model (SIM) Update January 8, 2015

2. 1 Today’s agenda SIM status update Next steps and upcoming meetings

3. 2 SIM status update Recent highlights ▪ Delaware awarded State Innovation Model grant ▪ $35 million Cooperative Agreement Award for Model Testing Assistance ▪ Project Period 2/01/2015 – 1/31/2019 ▪ RFIs for Practice Transformation and Care Coordination CMMI grant application ▪ Delaware Center for Health Innovation (DCHI) Board met December 10 ▪ Committees have begun meetings DCHI ▪ DHIN continues to work toward the Common Provider Scorecard Technical Advisory Group

4. 3 Reminder: SIM grant Principles of funding Focus grants on start-up / one-time costs; find alternative sustainable funding for ongoing operational costs Build capability of local staff to operate program and eventually take over full responsibility Preserve SIM grant funds for uses with limited alternative options Use grants to seed matching investments from stakeholders, whether explicit or implicit Leverage grants from foundations wherever possible Leverage Medicaid to obtain a favorable federal match Establish that direct investments in delivery system should be funded by payers Leverage support (monetary and in-kind) from stakeholders SIM grant Delaware submitted a SIM Model Test grant application on July 17, 2014 ~$40M was requested and is part of a total investment of an estimated $139M over 4 years for the SIM program The remaining ~$100M will be a combination of in-kind donations of time, other state and federal resources, foundations grants, and stakeholders contributions, of which ~$60M will go towards care coordination fees Delaware Health Care Commission is the applicant for the grant and will follow applicable state and federal rules for uses of funds

5. 4 Summary of December DCHI Board meeting Reviewed priority needs for practice transformation and care coordination. Updates on initial committee meetings. Discussed Board Operations.

6. 5 DCHI Standing Committee Meetings Clinical ▪ Third Tuesday of each month, 5pm ▪ First Thursday of each month, 2:00pm ▪ Meeting 2 nd Thursday in Jan. due to holiday ▪ First Thursday of each month, 11:30am ▪ Jan. meeting TBD ▪ Regular Meeting Schedule TBD ▪ Next meeting: January 14 – 8:30am Healthy Neighbor- hoods Patient and Consumer Advisory Payment Model Monitoring Workforce and Education ▪ Second Wednesday of each month, 4:30pm Meeting times are tentative for 2015

7. 6 Agenda DCHI Board Meeting – Jan 14, 2 pm 2))MeetingMeetingmeeting Next Board meeting: Wednesday, February 11, 2pm January Meeting - DHSS Main Campus, Room 301 Call to Order Committee Status Updates CMMI Grant Update Timeline for 2015 DCHI Operations Public Comment