by Comprehensive Staff

10/11/2017 10:29 pm

Health Homes Program: Coordinating Client Care

Comprehensive Healthcare is proud to offer Health Homes Care Coordination, a program that provides highly coordinated care, including patient care management, health promotion, follow-up, individual and family support, and referral to community and social support services as needed. The program began in 2013 as part of the federal Affordable Care Act, and it’s one of the programs helping states find innovative ways to improve patient care while cutting costs.

In Washington State, Health Home is available for certain clients who are eligible for Medicaid or both Medicare and Medicaid. Selected by HCA, these patients must have at least one chronic illness  and be at risk for another. By focusing care on high-risk (and high-cost) patients, the program actually saves money. Health Homes resulted in a preliminary gross Medicare savings of $67 million over two years, according to a new report.

The program encourages patients to interact more often with their primary care provider, thereby reducing avoidable trips to the emergency room and inpatient facilities. It also strives to coordinate care among various providers who all strive to work in the patient’s best interest and promote patient independence.

According to Alice Lind, manager for Medicaid grants and program development, “We require very detailed assessment, including a person-centered care plan, which means the clients set goals that are meaningful for them. We provide the care coordinators access to DSHS’ data, which shows historical use of services, where there are gaps in services and which conditions contribute to the clients’ risk level.”

According to one satisfied client, all her providers stay in touch with each other. “Everybody knows what meds I’m taking,” she said in a recent article on the Governor’s Blog. Everybody knows what I’m working on. Everybody’s informed.

Comprehensive Care Coordinators offer these services throughout Central Washington. To find out if you or someone you care about is eligible, contact us at the location nearest you.