Payment and Delivery System Reform
In an effort to improve quality and contain the growing cost of health care, states are increasingly undertaking a shift away from fee-for-service reimbursement models that reward quantity and moving toward alternative payment models that reward value.
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The Minnesota State Employee Group Insurance Program (SEGIP) has covered Minnesota state employees and their dependents using a tiered provider model since 2002. A recent SHARE-funded analysis led by Dr. Bryan Dowd (University of Minnesota) examined the SEGIP tiering model as well as patient… Read more
SHADAC presentation materials from the 2018 AcademyHealth Annual Research Meeting (ARM) are now available. Click on the presentation titles below to view and download the materials.
“The Intersection of Structural Risk Factors and Insurance-Based Discrimination on Healthcare Access Inequities”… Read more
Results from the Minnesota Health Care Home Care Coordination Cost Study are now available. This study was conducted by SHADAC researchers under a contract with the Minnesota Departments of Health and Human Services.
About the Study
This analysis examined the costs of care coordination for adults… Read more
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… Read more
SHADAC researchers released a new brief that provides the context surrounding the development and implementation of Minnesota’s Accountable Communities for Health, or ACHs, and describes key components of ACH models implemented across the state. The following are highlights from the brief.
ACHs:… Read more
A new brief from SHADAC deputy director Elizabeth Lukanen considers Minnesota’s health insurance market before and after passage of the Affordable Care Act (ACA) as well as the outlook for the state’s market given the current policy environment.
Minnesota’s Market before and after the ACA… Read more
SHADAC’s final evaluation report on the SIM Initiative in Minnesota is now publicly available.
This report presents the final results of the state-level evaluation of Minnesota’s SIM initiative. SHADAC conducted this evaluation between January 2015 and September 2017 under a contract with the… Read more
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Rogers, EA, Manser, ST, Cleary J, Joseph AM, Harwood EM, & Call KT. (2018). "Integrating Community Health Workers Into Medical Homes." Annals of Family Medicine 16(1): 13-20. doi: 10.1370/afm.2171
This article details a qualitative… Read more
The executive summary of SHADAC’s final evaluation report on the SIM Initiative in Minnesota is now available.
Background: SIM in Minnesota
In 2013, the state of Minnesota was awarded a cooperative agreement by the Center for Medicare and Medicaid Innovation (… Read more