OPEN MINDS Releases New Report On The State Of The U.S. Medicaid Health Home Market – Five Years After First Health Home Models Implemented In Missouri & Rhode Island
Gettysburg, Pa. (November 6, 2016) — This is the five-year anniversary of the implementation of the health home model in Missouri and Rhode Island – the states that were the earliest adopters – and there are still a number of questions to be answered regarding effectiveness, populations served, and reimbursement rates. OPEN MINDS Market Intelligence Team explores these questions in detail in its latest market intelligence report, “U.S. Medicaid Health Home Market: The 2016 OPEN MINDS Update.”
In the report, the OPEN MINDS team reported preliminary state level health home outcomes, such as Missouri’s community mental health center (CMHC) health homes for consumers with serious mental illness met six of the nine benchmark goals set by the program. Under the program, the average number of hospitalizations has been reduced 14%, average emergency room visits decreased 19%, and the percentage of consumers with diabetes who had controlled blood glucose levels increased from 18% to 61%. The report included details on the population enrolled in health homes, indicating that as of May 2016, there were 20 states with health homes, which enroll about 1.25 million consumers. The report also looked at health home reimbursement rates, noting that with health home reimbursement rates there are no standards. These rates range from $0 per member per month (PMPM) in North Carolina, to a high of $442 PMPM in Rhode Island.
The OPEN MINDS Market Intelligence Report, “U.S. Medicaid Health Home Market: The 2016 OPEN MINDS Update,” is organized into five key sections to provide readers with all the latest information on health home contracting models, reimbursement models, and pay-for-performance initiatives:
- Overview of the Medicaid health home model
- Number of states with health homes and enrollment
- Health home contracting and reimbursement models
- States planning to implement Medicaid health homes
- State-by-state guide to Medicaid health homes
For a detailed summary of the report, check out the article, Health Home Performance & Payments – The High & The Low Remain Miles Apart, which is available at no cost to the public.
The full report is available free to OPEN MINDS Premium and Elite members in The OPEN MINDS Circle Library: U.S. Medicaid Health Home Market: The 2016 OPEN MINDS Update
The full report can also be purchased in The OPEN MINDS e-store at: https://www.openminds.com/downloads/u-s-medicaid-health-home-market-2016-open-minds-update/
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OPEN MINDS is a national strategic advisory firm specializing in the sectors of the health and human service industry serving individuals with complex support needs: mental health; addiction treatment; children & family services; intellectual & developmental disabilities; chronic disease management; long term care; social services; correctional health care, reentry & diversion; and juvenile justice.
Founded in 1987 and based in Gettysburg, Pennsylvania, the 75+ associates believe by providing the latest market intelligence and management best practices to organizations serving the health and social support needs of the most vulnerable consumers, those organizations will be better able to provide efficient and effective services. Learn more at www.openminds.com.
For additional questions and inquiries, please contact Tim Snyder, Executive Vice President, OPEN MINDS at 717-334-1329 or openminds@openminds.com.