​In December 2014 Ohio was awarded a two-year, $75 million State Innovation Model (SIM) testing grant to transform the state’s healthcare system. As part of this grant, Ohio is launching two statewide health care transformation models that will work in partnership with an existing multi-payer coalition and Medicaid managed care plans. One goal of the SIM grant is to enroll 80-90 percent of Ohio’s total population in value-based payment programs.

Two key components of the SIM grant include a patient-centered medical home (PCMH) program and an episode-based payment initiative. Implementing these two components in tandem will encourage care coordination, integration across multiple care settings, and encourage joint accountability for care coordination.

To date, the state has no required certification or recognition for practices to serve as PCMHs. In order to successfully implement the PCMH program, the project is implementing strategies to addressing workforce shortages in health care for adult and pediatric populations.

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American Academy of Pediatrics