Health Home Outcomes

Health Homes are designed to help achieve the triple aim for Medicaid members with complex needs: Better care, lower cost of care, and better health outcomes.

  • There was a 27% decrease in PMPM inpatient costs from 2016 to 2017 (most recent period for which the State has issued this data) which translates to approximately $309M in estimated savings from inpatient utilization.
  • There was an 11.1% reduction in all-cause readmissions – the number of acute inpatient stays followed by a readmission from 2014 to 2017 for Health Home enrollees.
  • According to the Department of Health, primary care costs are up 23 percent, and pharmacy costs are up 12 percent – both of which indicate that individuals are going to their PCP and taking their medications which are major goals of the program.
  • Based on a representative sample of Health Homes, they were a 29% reduction in homelessness and a 37.5% reduction in incarceration.
  • From 2013 to 2017, there was an 8.4% improvement in adherence to antipsychotics for individuals with schizophrenia (State established measure) enrolled in health homes.
  • 86% of Health Homes improved comprehensive diabetes care rates between 2013 and 2017 with a corresponding statewide 4.5% improvement rate during that time period.
  • There was an 11.4% improvement in follow-up after hospitalization for mental illness within 30 days statewide for health home enrollees.
  • Individuals enrolled in Health Homes also saw improvements in rates of chlamydia screenings, colorectal cancer screenings, follow-up after emergency department visits, engagement in comprehensive HIV/AIDS care including viral load monitoring, medication management for people with asthma and overall prevention quality of care (HEDIS measure).