In December 2014 Tennessee was awarded a two-year, $65 million State Innovation Model (SIM) testing grant to transform the state’s health care system. The grant builds on existing patient-centered medical home (PCMH) initiatives to encourage alignment across payers. Additionally, the SIM grant is working to leverage state purchasing power through a joint effort between public programs (TennCare, CoverKids, and Benefits Administration) and a coalition of commercial insurance carriers.

One goal of the SIM project is to engage over 65% of primary care providers in a multi-payer PCMH program by 2020. Through TennCare contracts, Tennessee will require the state’s three Medicaid managed care organizations to participate in the SIM-funded statewide PCMH program.

Two key strategies of the Tennessee SIM testing grant include providing additional support for the PCMH model and the continued implementation of retrospective episodes of care.

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American Academy of Pediatrics