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Center for Medicare and Medicaid Innovation (CMMI)


Pennsylvania: On the Path to Health Innovation



Thank you for your interest in Pennsylvania’s State Healthcare Innovation Plan (Innovation Plan).

Under Governor Tom Corbett’s leadership and his newly launched Healthy Pennsylvania initiative, the commonwealth is committed to improving access, ensuring quality and providing affordability for all Pennsylvanians.

This proposed Innovation Plan puts Pennsylvania on a strong path to reform Pennsylvania’s healthcare payment and delivery system in a way that will encourage quality healthcare practice and promote healthy living among Pennsylvanians, while taking quantitative measures to lower healthcare costs.

From June 2013 to September 2013, nearly 300 stakeholders from the healthcare industry in the state, including payers, providers, physicians, nurses, hospital leaders and associations, came together to formulate seven work groups focused on specialties including care delivery models (pediatric subgroup), payment methodologies, performance measurement, information technology infrastructure, workforce development, and public health integration. These stakeholders collaborated in 19 meetings with Governor Corbett’s office and members of his administration from the Departments of Aging, Health, Insurance and Public Welfare, as well as the Pennsylvania eHealth Partnership Authority, to develop the proposed Innovation Plan for the state of Pennsylvania.  The plan’s development was funded by a $1.5 million grant awarded to Pennsylvania from the Center for Medicare and Medicaid Innovation.

On December 9, a draft document of the the Innovation Plan was presented to stakeholders.  The Department of Health received comments and revisions were made to the plan based upon feedback received.  The Innovation Plan was finalized and submitted to the Center for Medicare and Medicaid Services on Dec.30, 2013.  We would like to thank all stakeholders for their participation in this process and helping us to beat the December 31 deadline. To view the final Innovation Plan, CLICK HERE.

UPDATE: Pennsylvania’s State Innovation Model Plan was submitted to the Center for Medicare & Medicaid Innovation on July 21st.  The application provides a comprehensive approach for health care transformation in Pennsylvania. If approved, the grant will provide approximately $20-$100 million to be used to test the Innovation Plan over a three-year time period. To view the Plan, CLICK HERE.