Maine State Innovation Model (SIM)
Maine believes that its healthcare system can improve the health of Maine people, advance the quality and experiences of healthcare, and reduce healthcare costs by 2016. During the next three years, an unprecedented partnership among physical and behavioral health providers, public and private insurers, data and system analysts, purchasers, workforce developers, and Maine consumers will put this belief to the test through the Maine State Innovation Model (SIM). Federal partners are confident in its potential and have funded Maine and five other states to each implement their state level healthcare innovation reform plan.
The Maine SIM intends to achieve the Triple Aim goals of improving the health of Maine’s population, improving the experience Maine patients have with their care, and reducing the total costs of care. The model has a foundation in emerging healthcare initiatives, promising community-based demonstration projects, and evidence-based strategies that empower consumers with long-term health conditions. The power of the innovation, however, comes from the concurrent application of existing efforts with enhanced investments, all within a shared commitment to accountability, transparency, and quality.
The SIM grant in some cases accelerates and broadens the current innovations occurring throughout Maine, and in other cases introduces new capabilities to Maine’s healthcare reform efforts. SIM enables these innovative tests to more effectively determine what reform efforts are working, and, just as importantly, to determine what is not working as effectively as expected.
- The Department is pleased to release its "MaineCare Stage A Health Homes Year 1 Report: Implementation Findings and Baseline Analysis." The Department created and launched the first stage of its Health Homes initiative for members with chronic conditions in January 2013. Health Homes are a foundational component of the Department's Value-Based Purchasing Strategy and Maine's State Innovation Model (SIM) grant.
Building off the Maine multi-payer Patient Centered Medical Home model, the Department provides monthly reimbursement to primary care practices to support MaineCare members with chronic conditions through outreach, preventive health, care coordination, patient and family engagement. The Initiative also enables Community Care Teams across the state to partner with these Health Home practices to provide intensive care management and community supports to the highest need patients at the practices.
The Department commissioned the Muskie School of Public Service at the University of Southern Maine to produce this report.
> Download the report