State Innovation Model (SIM) Grants: A Scorecard for Consumer Advocate Engagement
The State Innovation Model (SIM) grant program has given funding and technical assistance to states to design and test new ways to provide and pay for health care. To ensure that these changes make the health care system work better for patients and do not adversely affect consumers, consumer advocates should be meaningfully involved in designing and implementing SIM programs.
Evaluation of advocate engagement in six states
This brief (PDF) presents the results of our evaluation of how consumer advocates are engaged in decision making about SIM activities in the six states that received Round 1 Testing grants: Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont. We’ve included a scorecard that evaluates and compares these states on 39 basic components of public and transparent engagement. The brief looks at the qualitative factors that are equally important to effective advocate engagement, such as the number and diversity of consumer advocates and the strength of advocates’ relationships with decision makers.
Best practices for meaningful engagement of advocates
The brief also identifies best practices for consumer advocate engagement. These best practices can equip advocates to push their states to design SIM governing processes that include meaningful consumer representation:
- Consumer advocate involvement in SIM processes
- Support for consumer advocates
- Transparent SIM planning and implementation
- Opportunities for public engagement
Consumer advocates and other stakeholders in states with SIM grants, particularly new grantees, can use this brief as a resource for developing or improving their processes for engaging stakeholders. The brief can also serve as a guide for other decision-making bodies on how to design and manage processes to engage stakeholders.