- What is the Medicaid health home option, and how does it work?
- What have been the major implementation challenges so far?
This resource examines the experience of providers with the Medicaid health home option, a provision of the Affordable Care Act.
- The health home model focuses on providing whole-person care to high-need, high-cost populations. It integrates physical and behavioral health care services, and includes non-clinical supports, such as transportation and housing.
- Other than primary care providers, a variety of providers may serve as health homes, including hospitals, care management networks, home health agencies, and community mental health centers.
- The Urban Institute conducted this evaluation, which includes the first 13 programs in 11 states.
- Findings include:
- Many providers reported insufficient financial resources to fund practice transformation and HIT infrastructure improvements.
- Establishing relationships and communication between the health home providers, hospitals, and other clinical and nonclinical providers takes a significant amount of time.
- Despite challenging implementation, health home providers believe the model presents a better approach to care for high-need, high-cost patients.