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GETTYSBURG, Pa. (March 1, 2020) – A new report by OPEN MINDS, U.S. Medicaid Health Home Market: The 2020 OPEN MINDS Update, found that health home enrollment declined from 788,246 consumers in 2018 to 595,430 in 2019. Enrollment in health homes has steadily declined since 2016, when enrollment reached its peak at 1.26 million individuals.

This report, which provides an overview of the trends in Medicaid health home enrollment, also examines trends in reimbursement models, health home payment rates, and health home implementation. The report also includes a state-by-state breakdown of enrollment rates, as well as trends in enrollment by condition-specific health homes (e.g., chronic conditions, serious mental illness, serious emotional disturbance, and substance use disorder).

“The decline in overall health home enrollment isn’t surprising – although health homes were created to coordinate care for individuals with complex health conditions, this Medicaid initiative is just one of many others in the works” said Michelle Coughlin, Market Intelligence Analyst, OPEN MINDS. “However, the overarching implication for provider organizations, being one of many care coordination initiatives, remains the same: Health homes will have to prove their return on investment to reap the most benefits – keeping costs low and quality outcomes high.”

A free summary analysis of the report can be found at: The Changing Medicaid Health Home Market. The report, U.S. Medicaid Health Home Market: The 2020 OPEN MINDS Update, is available at no charge to Premium and Elite members of The OPEN MINDS Circle and can be purchased in the OPEN MINDS shop for $495.

For additional questions and inquiries, please contact Michelle Coughlin, Market Intelligence Analyst, OPEN MINDS at 717-334-1329 or openminds@openminds.com.

ABOUT OPEN MINDS

OPEN MINDS is an award-winning information source, executive education provider, and business solutions firm specializing in the domains of health and human services serving consumers with chronic conditions and complex support needs. For thirty years, we’ve been pioneers for change – helping organizations implement the transformational business practices they need to succeed in an evolving market with new reimbursement, competition, policies, and regulations.

OPEN MINDS is powered by a national team of experienced executives and subject matter experts with specific expertise and experience in nine key market areas – mental health, addictions, chronic conditions, autism and intellectual/developmental disabilities, long-term care, children’s services, social services, juvenile justice, and corrections health care. Our mission is to improve the quality of care for consumers with complex support needs by improving the effectiveness of those serving them – provider organizations, payer and insurance organizations, government agencies, pharmaceutical organizations, and technology firms. Learn more at www.openminds.com.

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