The Medicaid Health Home

What is it and How Could it Impact Your Organization?

For high-risk, chronically-ill populations, active care management is crucial for preventing costly and unnecessary ED visits and hospitalizations. Such patients require seamless coordination across providers and comprehensive care plans that address both physical and social needs. While it is important for organizations to invest in care management strategies now, these changes will only become more urgent as reimbursement models shift to risk-based payment care.

With the introduction of the Affordable Care Act’s (ACA) Health Home option, providers may have additional incentives to address the care management needs of their Medicaid populations. States are currently eligible for increased federal reimbursement for the provision of health home services to the Medicaid population.

This executive briefing explores next steps for organizations interested in pursuing health home status, resources for organizations building Medicaid health home and the anticipated impact of health home on downstream hospital utilization.

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