State Innovation Model (SIM)

Awarded a $43.1 million federal grant over a four year period to support a statewide health system transformation, Iowa is one of only 11 states to receive this State Innovation Model (SIM) testing grant. Iowa will use the SIM grant to implement and evaluate a sustainable health care delivery and payment system that will improve population health, improve patient care, and bend health care cost trends. Through the SIM program, Iowa will align and equip communities to address population needs by collaborating with payers, providers and public health entities. The SIM Test aligns Iowa payers in payment reform that focuses on value; equips Iowa providers with tools to perform in value based, population focused models; and aligns and integrates public health strategies into how health care is delivered. Together, these approaches ensure a robust, statewide transformation to achieve Iowa’s SIM vision, “Transforming Health Care to Improve the Health of Iowans.”


The vision of the Iowa SIM Program is achieved by a direct correlation to three primary aims and four key goals:

  1. Improve Population Health
  2. Transform Health Care
  3. Promote Sustainability

Read more about the Aims and Goals of the Iowa SIM Program.

The State has four primary drivers of the Iowa SIM Program. These four primary drivers are the strategy behind the three aims and four goals of the Iowa SIM Program. The framework of the SIM Goals and Drivers Diagram illustrates this strategy. Access each of the four drivers below to learn more about each of them.

1. Population Health Improvement
2. Care Coordination
3. Community-Based Performance Improvement
4. Value-Based Purchasing

News and Announcements
  • Health Confidence Can Improve Patient Outcomes: Active patient engagement is associated with improved patient outcomes.  Health confidence is an easy-to-measure proxy for patient engagement that can lead to interventions that produce improved outcomes.  At-risk patients can benefit from inter-ventions found by targeting health confidence. Research has found that patients with higher health confidence tend to use fewer hospital services. In a  clinical setting asking patients about their health confidence could improve the visit dynamic and agenda.  For more information, please read, "Using Health Confidence to Improve Patient Outcomes".
  • SWAN Process Change: In an effort to ensure patient information continues to be securely and appropriately shared, DHS has made a policy change on how providers engaged in VBP Contracting, known as Accountable Care Organizations (ACOs) can continue to use SWAN alerts to improve health outcomes in our state.  More information on the process change for receiving SWAN Alerts can be found in Informational Letter 1736-MC-FFS-D.
  • Accountable Care Organization Master Tax ID List: In an effort to ensure that the 2017 Value Index Score (VIS) Baseline Scores and Medicaid Total Cost of Care (TCOC) are calculated using the most accurate information, the IME is requesting that organizations identified as Accountable Care Organizations (ACOs) provide the IME with an current Master Tax ID list confirming each of the Tax IDs that are associated with their ACO. More information on updating you Master Tax ID list can be found in Informational Letter 1744-MC-FFS.
  • Centers for Medicare and Medicaid Innovation (CMMI) visit to Iowa: Leaders from the CMMI visited Iowa on July 11 and 12, 2016 to learn about the great work that is occurring in Iowa through the State Innovation Model (SIM) test grant. Iowa’s innovative work on SIM activities was showcased. On the second day of the two-day national leader’s visit, Dr. Stephen Cha, Director, State Innovation Group with CMMI presented at the "SIM Learning Community" event on July 12, 2016. The following video messages were recorded during our SIM staff’s conversations with Dr. Stephan Cha.
  • Five Iowa Health Systems Launch Statewide Alert Notification System: Iowa Medicaid Enterprise (IME) and the Iowa Department of Public Health (IDPH) are pleased to announce five Iowa health care systems have begun using the Statewide Alert Notification (SWAN) system. This tool provides real-time, secure notifications to care teams regarding emergency room visits, admissions and discharges of their members. Read more.
  • SIM Value-Based Purchasing (VBP) Partner Update: The Partner Update is a monthly communications effort designed to share pertinent and important information that is specific to Iowa efforts to implement value-based purchasing in Iowa and specifically within Medicaid. Read the June 2016 issue. You may also access previous issues of the monthly partner update. Please note that the new document title of the Partner Update is now, "From Volume to Value" or "V2V".
  • Award of Community Care Coalition (C3): The State Innovation Model Community Care Coalition (C3) Initiative Notice of Intent to Award has been posted to the IDPH website. The six awarded C3 applicants include three developmental initiatives and three implementation initiatives, and represent a total of 20 counties across the state of Iowa. The C3 communities will begin work on March 7th, 2016. Read more about the C3 Communities by accessing the Community Care Coalition (C3) Initiative Program Highlight.
Information Resources