Medicaid Health Homes Move To Value-Based Care In 2017 — OPEN MINDS Releases 2017 Update On Medicaid Health Home Market

Gettysburg, Pa. (February 4, 2018) —  A new market intelligence report from OPEN MINDS has reported that 2017 was the first year that states have implemented value-based reimbursement for Medicaid health homes. While health home payments have always used alternative payment models—such as case rates and capitation—for the first time, payment is taking into account quality. Three states—Washington, D.C.; Rhode Island; and Tennessee—are all using different quality measures, including all-cause readmission rates, antidepressant medication management, and follow-up after hospitalization for mental illness. OPEN MINDS has released these findings as part of their recent report, U.S. Medicaid Health Home Market: The 2017 OPEN MINDS Update.

The report found that in 2017, 1.3 million consumers were served by 33 health homes in 22 states. Of those consumers, 15% have a serious mental illness, serious emotional disturbance or addiction disorder. This is a slight increase over 2016, when there were 20 states with 28 health home programs serving 1.2 million consumers. Since 2016, two new states added health home programs—Connecticut and Tennessee—and three states with existing programs added new health home programs, including the District of Columbia, Maine, and West Virginia.

“For provider organizations interested in care coordination as a service line, Medicaid is the ‘learning laboratory’ for the use of specialty medical homes and health homes for Medicare and commercial populations. Over the past few years, we have seen Medicaid health homes help spur a shift to a new model of case management that address the needs of the ‘whole person,’ use technology, and lay the groundwork for value-based reimbursement,” said OPEN MINDS Market Intelligence Director Athena Mandros. “Our 2018 health home update gives executive teams of provider organizations a guide to the Medicaid health home models in every state, as well as a big picture look at how the specialty health home model is influencing the care delivery market.”

The report, U.S. Medicaid Health Home Market: The 2017 OPEN MINDS Update, is available now to all Premium and Elite members of the OPEN MINDS Circle. The report includes:

• Detailed analysis of the Medicaid health home contracting models in every state
• Comprehensive listing of the Medicaid health home rates in every state
• Trends in health home enrollment and adoption of health home programs since their inception in 2011
• Review of the performance-based reimbursement parameters in Washington, D.C., Rhode Island, and Tennessee
• Examination of state plans to implement new health home programs in the future

The OPEN MINDS Circle is the largest and most-trusted information platform in the behavioral health and human service space. Members access content from our market intelligence team and partner organizations via daily email content and a 24/7 curated and searchable website library platform. Learn more about becoming an OPEN MINDS Circle member online at www.openminds.com/membership.

For additional questions and inquiries, please contact Sarah Threnhauser, Executive Vice President, OPEN MINDS at 717-334-1329 or sthrenhauser@openminds.com.

ABOUT OPEN MINDS

OPEN MINDS is an award-winning information source, executive education provider, and business solutions firm specializing in the behavioral health and human service field. For thirty years, we’ve been pioneers for change – helping organizations implement the transformational business practices they need to succeed in an evolving market with new policies and regulations.

OPEN MINDS is powered by a national team of experienced executives and subject matter experts with specific expertise and experience in markets of the health and human service field serving complex consumers. Our mission is to improve the quality of care for individuals with complex support needs by improving the effectiveness of those serving them – provider organizations, payer and insurance organizations, government agencies, pharmaceutical organizations, and technology firms. Learn more at www.openminds.com.