報告
健康院舍計劃（HHP）第二次評估報告
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 實施了 HHP，為具有複雜需求的合資格 Medi-Cal MCP 會員提供服務，包括患有慢性疾病和高服務使用水平的人士。 HHP 在 12 個加利福尼亞州縣運營，由 16 個 MCP 與社區基礎護理管理實體（CB-CME）簽約。 HHP 於 31 2021 年 12 月落日，並轉向 ECM 保障，但 DHCS 正在履行其承諾，對於其餘的 HHP 獨立評估作出的承諾。
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.