Evaluation of the Medicaid Value Program: Health Supports for Consumers With Chronic Conditions Johns Hopkins Healthcare Case Study

August 14, 2007 The Johns Hopkins Healthcare (JHHC) project sought to integrate physical health, mental health, and substance abuse care for Medicaid beneficiaries with a history of substance abuse and a likelihood of high cost health care utilization. While the intervention did not remove all the adverse financial and structural incentives that serve as barriers to integration, it did strive to surmount them. While JHHC concluded the intervention in January 2007, after 15 months, there are certain aspects of the intervention that appear sustainable for a few reasons. First, the nurse case managers in the Eastern Shore have become aware . . .