Michigan’s State Innovation Model

Michigan is part of a State Innovation Model (SIM) initiative launched by the Centers for Medicare & Medicaid Services (CMS).  The objective of the SIM is to help states advance multi-payer health care payment and delivery system reform models with the aim of achieving better quality of care, lower costs, and improved health for each participating state’s population. The SIM initiative is testing the capacity for states to employ regulatory and policy strategies to expedite health system transformation to accomplish these aims.

Awarded $70 million over 4 years to test and implement an innovation model for delivering and paying for health care in the state, the Michigan Department of Health and Human Services (MDHHS) has organized its SIM initiative under three main umbrellas:

  • POPULATION HEALTH
    Community Health Innovation Regions (CHIRs) make up the foundation of this component, and are intended to build community capacity to drive improvements in population health.

  • CARE DELIVERY
    The Patient-Centered Medical Home (PCMH) initiative and the promotion of alternative payment models make up this component.

  • TECHNOLOGY
    This component is where Michigan leverages its statewide infrastructure and related health information exchange (HIE) initiatives to enable and support advances in population health and payment and care delivery strategies.

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CHIRs fall under the POPULATION HEALTH component of the State Innovation Model

The State has selected five Michigan regions to test the CHIR model:

  1. Genesee County
  2. Jackson County
  3. Livingston and Washtenaw Counties
  4. Muskegon County
  5. Northern Michigan (including Antrim, Benzie, Charlevoix, Emmet, Grand Traverse, Kalkaska, Leelanau, Manistee, Missaukee, and Wexford counties)

Each of the five SIM CHIRs are supported by a backbone organization that serves as a fiduciary and acts as a neutral convener for the CHIR’s governing body.

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