Primary Care

Grantee Name

New York University McSilver Institute for Poverty, Policy, and Research

Funding Area

Primary Care

Publication Date

August 2015

Grant Amount

$24,500

Grant Date:

October 2013 – August 2014

With the passage of the Affordable Care Act and mental health parity laws, more individuals are now eligible for primary and behavioral health care.

However, costs for those with the most complex needs were expected to rise exponentially without policy- and provider-level interventions. New York State Medicaid health homes can improve care for patients struggling with complex physical and behavioral health challenges while simultaneously reducing health care costs. Previous attempts at care coordination in other fields—particularly from the design efforts of HIV case management systems—can provide insight for the successful implementation of health homes. NYHealth awarded New York University McSilver Institute for Poverty Policy and Research (McSilver) a grant to produce a report summarizing lessons learned from HIV case management models and offering recommendations for the development of health homes with a specific focus on patients with serious mental illness.

Outcomes and Lessons Learned

With the passage of the Affordable Care Act and mental health parity laws, more individuals are now eligible for primary and behavioral health

  • Identified six lessons from the HIV care system that are relevant to Medicaid health homes: (1) approaches to integrating care; (2) importance of providing ancillary support services; (3) consumer engagement within an optimal timeframe; (4) methods of building strong client-provider relationships; (5) workforce development and training; and (6) client and agency quality and outcomes;
  • Developed recommendations for the health home model based on each lesson;
  • Produced a final report, “Lessons Learned from HIV Prevention and Care: Implications for the Development of Health Homes,” and
  • Produced a policy memo for policymaker and shared key lesson directly with New York State Department of Health.