Connecticut’s commercial and Medicare payers are currently implementing value-based payment models that fall into Category 3A. Connecticut Medicaid administers a PCMH program that falls into Category 2C.
CT SIM is promoting multi-payer alignment around value-based payment, and specifically, payment models similar to the Medicare shared savings program (SSP). Commercial and Medicare payers are focused on moving toward Category 3B. Medicaid is currently focused on moving a greater proportion of payments into Category 3A and considering other models.
A substantial portion of SIM funding is being used to support the development and implementation of the Medicaid PCMH+ program, which is a SSP model. CT aims to have 64% of the population participating in a SSP by 2018 and 88% by 2020. In addition, CT SIM is promoting greater alignment among public and private payers in their choice of quality measures for their SSP arrangements.