Washington’s State Innovation Models (SIM) Project: Effects of Primary Care and Behavioral Health Integration on Participating Organizations

摘要

The Triple Aim is a framework designed by the Institute for Healthcare Improvement (IHI), aimed at enhancing health system performance. The IHI Triple Aim is defined by three components: improving population health, improving quality of care, and reducing per capita health care costs. Section 3021 of the Affordable Care Act (ACA) altered section 1115A of the Social Security Act, establishing the Center for Medicare and Medicaid Innovation (CMMI). Through CMMI, Medicaid and Medicare programs can test models to improve care, lower cost, and support patient‐centered practice. The State Innovation Models (SIM) initiative is one of these major reform models and is designed to test new payment approaches that address the Triple Aim.