Our Work

Connecticut's State Innovation Model (SIM)


In 2014 Connecticut received $45 million from the federal Medicare and Medicaid agency to reform the State’s adult and pediatric health care system to:

  • Improve patient experience accessing and using services
  • Rein in escalating health care costs
  • Address health inequalities

Although plans for the new system were built on the foundation of medical home, a CHDI priority for pediatric primary care, they only addressed adult and child health concerns linked to high costs. CHDI has worked to extend the SIM work to include a broader view for children’s health as well as state initiatives that are already supporting medical home and children’s utilization of health and community services.

As a result:

  • The Care Coordination Collaborative model is included in SIM shared savings and community integration initiatives
  • Development and behavioral health screening are SIM quality measures
  • United Way Child Development Infoline and Help Me Grow are SIM medical home supports
  • CHDI is working with the SIM Population Health Council to ensure that the Community Health Enhancement hubs partner with key children’s services, such as early care and education and school health and mental health

Read CHDI's Issue Brief "Designing a System That Promotes Children's Health".