Maimonides Medical Center
Advancing Primary Care
October 2013–November 2017DOWNLOAD FULL REPORT
New York State’s adoption of Health and Recovery Plans (HARPs) in 2014 aimed to manage physical health, mental health, and substance use services in an integrated way for adults with significant behavioral health needs.
Under a 2013 grant, NYSHealth awarded Maimonides Medical Center a grant to assess the costs and benefits of social services and to incorporate them into a comprehensive total-cost-of-care model. However, New York State’s adoption of HARPs vacated the need for the project’s initial premise. Recognizing the need to make smart investments in social services for patients, Maimonides redesigned the project. The project team studied a sample of 600 patients engaged in at least nine months of consistent care management through the Brooklyn Health Home program. They collected first-hand patient data to assess the extent to which social services with a demonstrated impact on health influenced health care outcomes, as well as to identify the best opportunities for future investments in social services.