Evaluation of the Medicaid Health Home Option for Beneficiaries with Chronic Conditions: Annual Report - Year Three

Brenda C. Spillman
Eva H. Allen
Anna Spencer
July 2015

This resource examines the experience of providers with the Medicaid health home option, a provision of the Affordable Care Act.

  • The health home model focuses on providing whole-person care to high-need, high-cost populations. It integrates physical and behavioral health care services, and includes non-clinical supports, such as transportation and housing.
  • Other than primary care providers, a variety of providers may serve as health homes, including hospitals, care management networks, home health agencies, and community mental health centers.
  • The Urban Institute conducted this evaluation, which includes the first 13 programs in 11 states.
  • Findings include:
    • Many providers reported insufficient financial resources to fund practice transformation and HIT infrastructure improvements. 
    • Establishing relationships and communication between the health home providers, hospitals, and other clinical and nonclinical providers takes a significant amount of time. 
    • Despite challenging implementation, health home providers believe the model presents a better approach to care for high-need, high-cost patients. 




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