Document Type

Policy Brief

Publication Date

9-30-2014

Keywords

MaineCare Health Homes Initiative, Health Homes, Behavioral health Homes, Patient Centered Medical Home

Abstract

The MaineCare Health Homes Initiative is designed to improve care coordination for MaineCare members with complex chronic medical conditions. The program is being implemented in two stages: Health Homes (HH), which began in January 2013, focuses on members with chronic health conditions. Behavioral Health Homes (BHH), which began in April 2014, is designed to meet the needs of people with Severe Mental Illness (SMI) or Serious Emotional Disturbances (SED).

The HH first stage builds off the State’s existing multi-payer Patient Centered Medical Home (PCMH) Pilot project and Medicare Advanced Primary Care Practice (MAPCP) Demonstration by providing addon payments to qualifying primary care practices to provide “whole person” integrated care coordination for MaineCare members with specific chronic conditions. For the highest need patients, practices work with Community Care Teams (CCT) that provide short-term care management and social support services.

The Muskie School of Public Service is conducting an evaluation of this new model of care. The evaluation is designed to assess how the program has been implemented as well as how the enhanced care coordination provided by HH has affected MaineCare members’ quality, use and cost of care. This brief highlights HH enrollment trends and characteristics of members enrolled in the first year of implementation. A separate brief highlighting lessons learned in implementing this new care model can be found at http://digitalcommons.usm.maine.edu/healthpolicy/101/

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