[Guide] 5 Data Challenges for Payers in the Health Home Program -
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[Guide] 5 Data Challenges for Payers in the Health Home Program

The Health Home Program (HHP) is creating new data challenges for managed care organizations in the form of an increased need for timely data, collecting new data elements, accessing mental health data, and gathering data around social determinants.

What is the Health Home Program?

The HHP is designed to offer coordinated services within and beyond Medicaid medical coverage. The program was introduced by The Affordable Care Act of 2010, Section 2703, for Medicaid recipients with chronic conditions. It covers conditions such as, but not limited to, hypertension, diabetes, obesity, serious mental illness, and substance use disorder.

Specifically, HHP is designed for people with Medicaid who:

  • Have two or more chronic conditions
  • Have one chronic condition and are at risk for a second
  • Have one serious and persistent mental health condition

The goal of this expanded program is to connect participants to a wider range of family, community, and social services that will contribute to each participant’s well-being and improved health through increased access and education.

This guide provides an overview of the Health Home Program and presents five common challenges payers will face when creating a successful program. To learn more, you can click here or submit the form below.

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