报告
健康家园计划 (HHP) 第二份评估报告
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 实施了 HHP，为符合条件且具有复杂需求的 Medi-Cal MCP 成员提供服务，包括患有慢性疾病和服务利用率高的个人。 HHP 由 16 个 MCP 在加利福尼亚州 12 个县运营，这些 MCP 与社区护理管理实体 (CB-CME) 签约。 HHP 于 12 月31日2021到期，并转为 ECM 福利，但 DHCS 正在履行其对 HHP 进行剩余独立评估的承诺。
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.