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The SIM team appreciates support from six payers that recognize the value of delivering whole-person, patient-centered care and are willing to help SIM practices transform their processes to deliver and sustain the type of change required to provide it.
This page contains resources for the seven payers that signed a Memorandum of Understanding (MOU) and committed to work collaboratively with SIM to transform the way physical and behavioral healthcare are delivered in primary care settings. You will find communication templates that health plans can customize and send to practices that outline and explain the type of support that is offered. Our hope is that you will send regular communications to practices to improve your partnerships with them.
In addition to these communication templates, we included links to the MOU, payer framework, an explanation of the complementary nature of CPC+ and SIM, SIM practice requirements and a SIM overview as well as some of the videos, podcasts and articles that illustrate the value of SIM to healthcare providers, health plans and patients. The team welcomes your feedback on these resources. Please let us know what we can create to help you communicate effectively with your provider partners. Email us today with feedback and suggestions: email@example.com and firstname.lastname@example.org.
The overarching goal of SIM is to improve the health of Coloradans by providing access to integrated physical and behavioral health services in coordinated community systems with value-based payment structures for 80% of state residents by 2019. There is strong evidence that treating physical health, mental health and substance use disorders together helps address the ever-increasing burden of chronic disease. Our plan, which is called The Colorado Framework, spurs integration efforts at primary care sites that are supported through community and public health efforts. Colorado will receive $65 million dollars through a cooperative agreement from the Center for Medicare and Medicaid Innovation (CMMI) to invest in practice transformation efforts from Feb. 1, 2015 through July 31, 2019. Learn more.
SIM practice sites will receive support to do the following:
Yes. The SIM office aligned SIM and CPC+ operationally so practices can benefit from participation in both programs without duplication of efforts or funds. SIM and the Centers for Medicare & Medicaid Services (CMS) agree that the goals and objectives of the two initiatives create natural synergies and provide practices with an opportunity to redesign processes and offer comprehensive primary care that integrates behavioral health. We aligned practice requirements in the areas of practice transformation support, learning collaborative offerings, and quality measure reporting to reduce provider burden while preserving SIM’s focus on the integration of physical and behavioral health.
The SIM office worked with CMS to map out participation in both initiatives at an operational level and we anticipate that practices participating in both initiatives will receive the following supports that they would not gain access to by participating in CPC+ alone:
The SIM office encouraged Colorado practices to apply for SIM cohort 2 and CPC+ to capitalize on transformation funds in the state and maximize the level of support offered.
The first cohort of SIM practices began their work in February 2016. Follow us on Twitter and LinkedIn to learn more about the first group of SIM practices and the resources developed for all medical practices in the state.
Every SIM practice is engaged in an alternative payment model. That was one of the selection criteria for acceptance. The SIM office published an overview of the SIM payment framework, which outlines different payment models offered by the payers that support SIM practices, which align with the Health Care Payment Learning & Action Network. Each SIM practice negotiates its payment with each payer.
Please direct all questions to Krysten Joyce at: email@example.com.