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State Innovation Model Grant (SIM)

The Centers for Medicare and Medicaid Innovation awarded a State Innovation Model (SIM) grant to Oregon in September 2012 for up to $45 million through September 30, 2016. Oregon was one of six states to receive the grant for testing innovative approaches to improving health and lowering costs across the health delivery system, including Medicaid, Medicare, and the private sector.


The grant supported the state's ongoing health system transformation and provided opportunities for Oregon to share what it learned with other states. Oregon's health reform to its Medicaid program started with the creation of coordinated care organizations (CCOs) in 2013. The SIM grant was an opportunity for Oregon to strengthen and support the coordinated care model and to begin to make its key elements, such as best practices to manage and coordinate care, available to others such as PEBB, OEBB, and Medicare beneficiaries.

The SIM grant focused on innovation in three areas:

Innovation and rapid learning, which provided:

  • Resources and technical assistance to Oregon’s CCOs
  • Facilitated learning collaboratives and rapid improvement cycles
  • Promotion of health equity across sectors and payers including private payers, long-term care, community health, and education systems

Delivery models

  • Evaluation of methods for integrating and coordinating between primary, specialty, behavioral and oral health
  • Improvement of community health through promotion and prevention activities
  • Supported CCOs collaborations with long-term care, community health and social services

Payment models, tested at two levels:

  • Global budget for CCOs
  • A “starter set” of promising alternative models for provider payment and models that focued on the value, rather than the volume, of services provided

Learn more about coordinated care

Grant resources and materials

For more information, please contact:

Lisa Krois
SIM Project Director
421 SW Oak Street, Suite 775
Portland, OR 97204
Phone: 503-551-1346
Chris DeMars
Principal Investigator
Transformation Center

421 SW Oak Street, Suite 775
Portland, OR 97204
Phone: 503-673-1279