Minnesota's Accountable Communities for Health, or ACHs, are community-led models of delivering medical and non-medical care and services to improve the health of a target population with substantial health and social needs. This brief provides the context surrounding the development and implementation of Minnesota's ACHs and describes key components of ACH models implemented across the state.

Download a PDF of the brief.

Project overview
In 2013, Minnesota was awarded a cooperative agreement by the Center for Medicare and Medicaid Innovation (CMMI) to implement and test a State Innovation Model (SIM) of state care delivery transformation and payment reform. Minnesota's SIM initiative, called the Minnesota Accountable Health Model, is a joint effort between the Minnesota Department of Health (MDH) and the Minnesota Department of Human Services (DHS). SHADAC is conducting the state-level evaluation of SIM in Minnesota.

Evaluation Approach
SHADAC collects and analyzes new and existing data to report on the implementation and outcomes of five primary “drivers” designed to achieve State reform aims. Qualitative data sources include ongoing document and literature review and semi-structured interviews with state leadership and staff and SIM program participants across the state. Quantitative data sources include two initiative monitoring databases, organization and provider surveys, and All-Payer Claims Database (APCD) data.  SHADAC delivers both interim and annual reports to the state.

Other Publications

Final Evaluation Report on the SIM Initiative in Minnesota (January 2018)
Evaluation of the Minnesota Accountable Health Model: Final Report - Executive Summary (September 2017)
Evaluation of the Minnesota Accountable Health Model: First Annual Report (May 2016)
Implementing Multiple SIM Initiatives through One Local Agency: The Effect of "Stack" in Otter Tail County, Minnesota (December 2016)
State Evaluation of the Minnesota Accountable Health Model: Results from the First Year - Presentation (June 2016)
Minnesota Accountable Health Model Continuum of Accountability Assessment: Evaluation Data Source and More - Presentation (March 2016)