The Centers for Medicare & Medicaid Services’ State Innovation Initiative Program

NORC provides technical assistance (TA) and implementation support to CMS’ State Innovation Models (SIM) Initiative, which is administered by the Center for Medicare & Medicaid Innovation. The SIM initiative provides state governments with financial and technical support to accelerate health care transformation through multi-payer delivery and payment system reform. In conjunction with the financial and technical support that states receive through the SIM Initiative, states also employ a variety of legislative, regulatory, policy, and payment strategies to drive change.

Since the launch of SIM in 2012, NORC has led a multi-organization, multi-disciplinary team that provides technical assistance to participating states as they design, operationalize, and test models for payment and delivery system reform. Together, the NORC TA team works to identify and disseminate research, resources, and strategies that will help SIM states to achieve their reform goals. Over two rounds of awards, the NORC team has worked with 34 states, three territories, and the District of Columbia individually, and as groups, on topics that include:

  • Delivery system transformation, including the integration of primary care with behavioral, long-term, social, and public health services and supports;
  • Payment reform, including multi-payer engagement and alignment;
  • Provider, community, and consumer engagement;
  • Practice transformation support; and
  • Data analysis and quality measurement.

NORC has also assessed states’ readiness to implement models and identified the risks associated with their plans.

The NORC TA team includes subject matter experts from NORC, the Center for Health Care Strategies (CHCS), the State Health Access Data Assistance Center at the University of Minnesota (SHADAC), Manatt Health Solutions, and the National Governors Association Center for Best Practices (NGA).