Iowa

In June of 2013, Governor Terry Branstad signed Senate File 446 into law, which authorized health care delivery and payment system reforms including expanded use of medical homes and ACOs.

Iowa is implementing a comprehensive PCMH-based health care payment and delivery system that will reduce health care costs, improve population health and improve patient care. Iowa is transforming health care across the state through the integration of several legislative initiatives including Health Homes, Integrated Health Homes (IHH), the Balancing Incentives Payment Program (BIPP), the Iowa Health and Wellness Plan, and the Mental Health and Disability Services (MHDS) Redesign. Wellmark, the predominant private payer across the state of Iowa, is partnering with the state in its effort to implement multi-payer ACO methodology statewide. Iowa plans to implement regional ACOs for Medicaid enrollees statewide in January of 2016.

 

CHIPRA: 
No
MAPCP: 
No
Dual Eligible: 
No
2703 Health Home: 
Yes
CPCi: 
No
SIM Awards: 
Yes
PCMH in QHP: 
No
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
3,070,800
Uninsured Population:
9%
Total Medicaid Spending FY 2013: 
$3.7 Billion 
Overweight/Obese Adults:
67%
Poor Mental Health among Adults: 
29.6%
Medicaid Expansion: 
Yes 

CMS State Innovation Model (SIM) Testing Award - Iowa

The State of Iowa developed a State Healthcare Innovation Plan (SHIP) to serve as the guiding structure to develop and implement a new health care payment and delivery system that will reduce health care costs, improve population health and improve patient care.

Transitional care teams for rural patients with complex illness

The University of Iowa, in partnership with the 11 hospitals comprising its Critical Access Hospital Network, is receiving a Health Care Innovation Award to improve care coordination and communication with practitioners in ten rural Iowa counties. The program will serve Medicare, Medicaid, and Medicare/Medicaid dual eligible beneficiaries and privately insured and uninsured patients who have complex illness, including psychiatric disorders, heart disease, kidney disease, cancer, endocrine and gastrointestinal disorders, and geriatric issues.

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