2022年4月に戻る ステークホルダーコミュニケーションの最新情報​​ 

ヘルスホームプログラム(HHP)第2次評価報告書​​ 

On March 29, DHCS released the second HHP Interim Evaluation Report, which was independently developed by UCLA’s Center for Health Policy Research supported by The California Endowment. HHP was authorized under AB 361 (Chapter 642, Statutes of 2013) and approved by CMS under Section 2703 of the 2010 Patient Protection and Affordable Care Act.​​ 

2018年、DHCSは、慢性疾患や高レベルのサービス利用を持つ個人など、複雑なニーズを持つ適格なMedi-Cal MCPメンバーにサービスを提供するためにHHPを実装しました。 HHPは、カリフォルニア州の12の郡で、Community-Based Care Management Entities(CB-CME)と契約している16のMCPによって運営されていました。 HHPは2021年12月31日に廃止され、ECM給付に移行しましたが、DHCSはHHPの残りの独立した評価を作成するというコミットメントを果たしています。​​ 

DHCS released the first Interim HHP Evaluation Report in fall 2021. This second HHP interim evaluation report builds upon the findings of the first report and provides updates to enrollment patterns, demographics, and services HHP enrollees received originally reported in the first interim evaluation report. The second report also categorizes HHP enrollees based on their utilization of acute care services prior to HHP enrollment. The five distinct categories include enrollees considered super utilizers (6 percent of all enrollees), high utilizers (15 percent), moderate utilizers (35 percent), low utilizers (32 percent), and enrollees at risk for being a high utilizer (13 percent). UCLA found that enrollees considered super utilizers had 14.9 emergency department (ED) visits and 4.1 hospitalizations on average per year. Additionally, the second report also includes analyses of changes in HHP core metrics and estimated Medi-Cal payment measures compared to a control group. Findings indicated some improvements in metrics compared to the control. In particular, UCLA found greater declines for HHP participants in core metrics, such as ED visits and hospitalization rates, that were significantly greater compared to the control group. The final evaluation report will assess longer-term health outcomes and utilization trends of HHP enrollees and will be completed in spring 2023.​​