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Policy & Advocacy

Health Home Care Management Achieve Savings & Improve Quality

Over 180,000 high-risk, high-need adults and children are enrolled in Health Homes, being served by 4,500 care managers through care management agencies in their local communities. As a result:

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Multiple evaluations show HHCM generates substantial system-wide savings and better outcomes compared to the broader Medicaid population:
Utilization & Costs

  • Inpatient admissions: –32.5% for Health Home members vs –4.8% statewide

  • Emergency Department visits: –18.5% vs –4% statewide

  • Skilled nursing facility use: -44.7% vs +10.8% statewide

  • A joint analysis by Northwell Health and Healthfirst found a $288 PMPM reduction, 33% fewer ED visits, and 56% fewer inpatient admissions within 12 months of HHCM engagement

2026-27 Advocacy
Materials 
& Talking Points

Health Home Care Management Advances Health Related Social Care Needs

Individuals receiving Health Home Care Management reported the following:

  • 36% of individuals indicate food insecurity

  • 26% of individuals were concerned about losing their current housing or did not have a steady place to live

  • 24% of individuals lacked reliable transportation that kept them from medical appointments, meetings, work, or from getting things needed for daily living

  • 7% of individuals either had their utility services shut off or threatened within the past 12 months.

  • 36% of individuals had 2 or more health related social needs as indicated above.

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