Governor's Council on Health Care Innovation and Reform

The Governor’s Council on Health Care Innovation will consider innovative multi-payer delivery and payment transformation models that look at ways to improve health care quality, cost, and outcomes. This includes exploring opportunities to coordinate between public and private sectors to control cost and improve health system performance, as well as moving the state from a fee-for-service model of healthcare toward a model that pays for value.

Governor's Council on Health Care Innovation Plan

The Governor's Council on Health Care Innovation report is posted here.

Comprehensive Primary Care Plus (CPC+)

Montana was selected to be one of only 14 locations across the country to join the Comprehensive Primary Care Plus (CPC+) model. CPC+, the largest-ever initiative of its kind, is a five-year, multi-payer initiative to improve primary care, which is critical to promoting health and reducing overall health care costs. Please see the Montana Comprehensive Primary Care Plus page for more information and resources.

Upcoming Meetings and Materials

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Governor's Council

Resources

Stakeholder Events and Materials

Events		Topics
11/16/16	Governor's Council Meeting	MACRA, CPC+, Collaborative Care, and other updates Agenda for November 16 meeting November 16 presentation slides Collaborative Care Codes handout from AIMS Center Financing Strategies for Collaborative Care Building the Business Case: Cost-Effectiveness Studies of Collaborative Care Registration for Health Information Exchange (HIE) Meeting, December 6-7
9/13/16	Governor's Council Meeting	Comprehensive Primary Care Plus presentation and discussion of American Indian health. Agenda for September 13 meeting September 13 presentation slides CPC+ Care Delivery Brief handout CPC+ Payment Brief handout
7/12/16	Governor's Council Meeting	Updates on SIM plan and pilots, Insurance Commissioner report on the state of the uninsured, and American Indian health. Agenda for July 12 meeting July 12 presentation slides CSI's 2016 Report on Health Coverage and Montana's Uninsured National Rural Accountable Care Consortium: Get Ready for Value-Based Payments
5/10/16	Governor's Council Meeting	Updates on SIM plan and MACRA, followed by working sessions for Community Resource Team and Collaborative Care-Project ECHO pilot. Agenda for May 10 meeting May 10 presentation slides MACRA presentation slides Montana Healthcare Foundation Report: Integrated Behavioral Health in Montana The Hot Spotters: Atul Gawande's article in The New Yorker about the hotspotting model on which Community Resource Teams are based National Council for Behavioral Health webinars PCMH vs Health Home comparison
3/8/16	Governor's Council Meeting	Discuss Montana health care data, health care delivery system models, potential payment options, and health information technology. Agenda for March 8 meeting Presentation slides
1/19/16	Governor's Meeting	Discuss health needs of the state, successful physical and behavioral health care integration efforts, and health information technology. Agenda for January 19 meeting State of the State’s Health report State Health Improvement Plan: State Health Improvement Plan: State Health Improvement Plan: Big Sky. New Horizons. A Healthier Montana Montana Health Indicators (CDC) Shorter Lives, Poorer Health Executive Summary (Institute of Medicine) Presentation slides
11/18/15	Healthier Montana Task Force In-person Meeting	Identify current efforts to advance the health of Montanans, including efforts to integrate public health and healthcare delivery. Task Force Meeting materials.
11/3/15	Governor’s Council First Meeting Meeting	Overview of SIM and progress to date. Present health care reform options/straw model as developed and refined by background research. Download the presentation (PDF).
10/23/15	Stakeholder Webinar - Payer and Provider Feedback	Discuss potential payment and delivery system options for consideration by Governor’s Council on Healthcare Innovation Download the presentation (PDF)
10/6/15	Stakeholder Webinar #1	Focused on SIM overview, landscape, levers/authorities Download the presentation (PDF). \| Listen to the presentation.
9/17/15	Healthier Montana Task Force Webinar	Webinar for SIM General Overview Slides
9/11/15	MT Medical Association Executive Board Meeting	Focused on SIM General Overview and HIT/HIE stakeholder input. Slides
9/9/15	HRSA Partners Call with Region IIIV	SIM General Overview

State Innovation Model Design Planning Process

Montana will consider innovative multi-payer delivery and payment transformation models that look at ways to move the state from fee for service toward payment for value. Potential focal points include but are not limited to:

Population health needs identified in Montana’s State Health Improvement Plan
Patient Centered Medical or health homes
Health information exchange/technology
Improving care and efficiency and controlling cost
Transparency

To design innovative models, Montana will be:

Convening public and private payers, providers and other stakeholders through webinars and meetings.
Conducting research to identify existing innovations and determine policy options.
Identifying opportunities to better coordinate care and build efficiencies into Montana’s healthcare system
Exploring opportunities to coordinate between public and private sector to control cost and improve health system performance
Gathering input from stakeholders, including consumers, advocates, employers, community organizations, providers, local and state officials, Medicaid, and private health plans.