This morning, SIM leadership held a forum to explain their
plan to advocates. Unfortunately few independent consumer advocates were given
an opportunity to ask questions, including this one. Most of the time was taken
by SIM committee members expressing their positions, describing their programs
and experiences. Many of the questions came from providers and others urging
SIM leaders to include their programs in the SIM plan and fund their services. The
committee did not respond to questions raised in the advocates’
letter. There were no assurances that a robust quality monitoring system
will be in place before potentially harmful provider risk incentives are
implemented and plans to lower medical home standards are still in place. Governance
plans for continuing SIM are not settled and it is unclear who will decide, but
the leaders are considering adding consumer advocates to committees. Advocates
have posted Frequently
Asked Questions About SIM and Guiding
Principles for a Successful SIM. No further discussions are planned.