The CMS State Innovation Model (SIM) Initiative as an Accelerator of Delivery System Transformation: The SIM-Diabetes Study
The State Innovation Model (SIM) Initiative has invested more than 1 billion federal dollars in state efforts to transform the health care payment and delivery system since 2013. Using diverse data from multiple sources this study will assess the impact of the SIM Initiative natural experiment on diabetes-related health behaviors and hospitalizations, and the related economic impact. Phased roll-out of SIM Initiative funding allows for examination of 18 purposively sampled states using a stepped wedge research design. The results will inform state and local health officials, and public health and health care delivery stakeholders on the effectiveness of these reforms.