Medicaid health homes, made possible through the Affordable Care Act, provide states with a mechanism to support better care management for people with complex health needs with the goal of improving health outcomes and curbing costs. States implementing health homes receive enhanced federal support for a limited time period. As of March 2014, 15 states have 22 approved state plan amendments to implement Medicaid health homes. Six “early adopter” states — Iowa, Missouri, New York, North Carolina, Oregon, and Rhode Island — have collectively enrolled more than 875,000 Medicaid beneficiaries in health homes.

This Center for Health Care Strategies (CHCS) webinar, supported by the New York State Health Foundation and the Missouri Foundation for Health, draws from the brief, Seizing the Opportunity: Lessons from Medicaid Health Home Early Implementers, that outlines elements critical to implementation and sustainability of this new model. Speakers from Missouri and New York shared first-hand perspectives in implementing Medicaid health homes. The webinar can inform other states looking to develop effective health home programs.


I. Introduction

Speakers: Web Brown, Missouri Foundation for Health; David Sandman, New York State Health Foundation; Kathy Moses, CHCS

CHCS welcomed participants to the call; provided an update on Medicaid health home activities and early health home adopter states; and introduced the speakers. David Sandman and Web Brown commented on the opportunity afforded by health homes in their states.

II. Overview of Lessons from Early Adopters

Speaker: Kathy Moses, CHCS

CHCS described the cross-cutting themes emerging from discussions with early health home adopter states, including: (1) using health homes to advance state policy goals; (2) designing program features to support effectiveness; (3) creating payment methodologies to support sustainability; and (4) synchronizing health home activities with broader system reform initiatives.

III. Frontline Perspectives on Health Homes

Speakers: Joe Parks, Missouri Department of Social Services and Deidre Astin, New York State Department of Health

State leaders of two of the earliest Medicaid health home programs discussed their experiences around implementation.

IV. Moderated Q&A / Discussion