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

9/13/16 Governor's Council Meeting

Comprehensive Primary Care Plus presentation and discussion of American Indian health.

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.

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.

3/8/16 Governor's Council Meeting Discuss Montana health care data, health care delivery system models, potential payment options, and health information technology.
1/19/16 Governor's Meeting Discuss health needs of the state, successful physical and behavioral health care integration efforts, and health information technology.
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.