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Health IT Enhancement and Quality Metrics Planning


Iowa recognizes the need to create a framework to support the move from volume to value, as well as the need to establish information management protocols. Iowa’s goal during Award Year 3 of SIM is to plan, develop, and implement the necessary technology and infrastructure to promote the exchange of information to improve service delivery.

Social Determinants of Health


Iowa’s SIM project proposes implementation of a core substructure that will expand the capacity for providers, health systems, public health agencies, statewide organizations, and communities to collectively promote interventions being piloted by the Community Care teams and other stakeholders that will minimize the impact of the social determinants on health (SDH).

Iowa Roadmap to Improve Population Health


The Iowa SIM Roadmap to Improve Population Health will focus on decreasing the prevalence and incidence of diabetes in Iowa. Diabetes is a chronic illness that is diagnosed based on a person having elevated levels of blood sugar (blood glucose). Most people with diabetes find its management challenging and a lifelong commitment.

Payment Reform


Payment reform to support delivery system transformation is aligned across the Medicaid MCOs as it is embedded into the state’s managed care contracting design. While ACO payments flow from the MCOs, a driving measure of quality scoring (the VIS) is calculated through the state and is one of the factors upon which performance related payments are made. Engaging in risk based contracts with ACOs allows the MCOs to shift some care coordination responsibilities to ACOs.

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