Developing West Virginia's State Innovation Model (SIM) Plan
What can be done to improve public health and the quality of health care in a poor rural state plagued by the worst epidemic of opioid use disorder in the Nation?
The State of West Virginia received a Centers for Medicare & Medicaid Services (CMS) grant to develop a plan, the State Innovation Model (SIM) Plan, for restructuring the state’s health care delivery and payment system. The goal of the plan was to better achieve the “triple aim”: improve population health and the care experience while controlling costs.
West Virginia tapped Westat to work with community members, health and behavioral health providers, and managed care organizations to develop strategies to integrate behavioral health and primary care that can succeed in poorly resourced rural settings, including innovative, state-of-the-art approaches to telehealth and expanded use of medication-assisted treatment for opioid use disorders.