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State Innovation Model Grant

The Centers for Medicare and Medicaid Innovation awarded a State Innovation Model (SIM) grant to Oregon for up to $45 million for three and a half years. Oregon was one of six states to receive the grant for testing innovative approaches to improving health and lowering costs across the health care system, including Medicaid, Medicare, and the private sector.

The grant will support the state's ongoing health system transformation and provide opportunities for Oregon to share what it learns with other states. Oregon's health reform to its Medicaid program started with the creation of coordinated care organizations (CCOs) last year. The SIM grant is an opportunity for Oregon to strengthen and support the coordinated care model and to begin to make some of its key elements, such as patient-centered primary care homes, available to others such as PEBB, OEBB, and Medicare beneficiaries.


The SIM grant focuses on innovation in three areas:


Innovation and Rapid Learning

The Transformation Center will:

  • Provide resources and technical assistance to Oregon’s CCOs
  • Facilitate learning collaborative, rapid improvement cycles
  • Promote health equity across sectors and payers including private payers, long-term care, community health, and education systems.

Delivery Models

  • Evaluate methods of integrating and coordinating between primary, specialty, mental and behavioral health, and oral health
  • Improve community health through promotion and prevention activities
  • Support CCOs collaborations with long term care, community health and social services

Payment Models

Tests new payment models at two levels:

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

Learn more about Coordinated Care Organizations here


Resources and Materials

Community Prevention Grants Awarded, Jan. 2014
Oregon SIM Implementation Period Final Report, Dec. 2013
Oregon SIM Project Progress Report, Oct. to Dec. 2013
Governor's Press Release
Oregon SIM Background
Grant Abstract
Grant Document
Grant Narrative
Oregon SIM Operational Plan, revised Oct. 2013
CMMI State Innovation Models (SIM) Grant: PowerPoint
OHA Health Reform Resources and Materials
Federal CIMMI Tranformation Center 


For more information, please contact:


SIM Project Director:

Beth Crane
Transformation Center

421 SW Oak Street, Suite 850
Portland, OR 97204
Phone: 971-246-2087

Principal Investigator:

Jeanene Smith, MD, MPH
OHA Chief Medical Officer
OHPR Administrator

1225 Ferry Street SE, 1st Floor
Salem, OR 97301
Phone: 503-373-1625