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New York State’s $100 million Innovation Model testing grant (SIM), funded by DHHS’ Centers for Medicare and Medicaid Services and managed by Health Research, Inc., seeks to transform primary care delivery and payment models across the State, eventually reaching 80 percent of New York’s primary care providers, payers, and patients. The SIM is a part of New York’s larger State Health Innovation Plan (SHIP), which is driving evolution of health delivery and payment systems through numerous initiatives in support of the Triple Aim – improving the patient experience of care (including quality and satisfaction), improving the health of populations, and promoting more efficient use of health care resources.