In January 2013, Maine established Health Homes under federal authority pursuant to Section 2703 of the Affordable Care Act to improve care coordination for MaineCare members with chronic conditions. Stage A of the Health Homes initiative focuses on members with complex medical chronic conditions. Stage B, planned for early 2014, will focus on persons with severe and persistent mental health conditions and children with serious emotional disturbances. The Stage A demonstration builds off the State’s existing Maine multi-payer Patient Centered Medical Home (PCMH) Pilot project and Maine’s Medicare Advanced Primary Care Practice (MAPCP) Demonstration by providing add-on payments to primary care practices and strengthening the community care team (CCT) model to provide care management and social support services to high-need MaineCare patients. As part of the initiative, MaineCare commissioned the Muskie School of Public Service to evaluate this new model of care. This report presents evaluation findings after the first year of Stage A implementation and provides preliminary baseline data on quality, use and cost of care for eligible MaineCare members in Health Homes (HH) relative to a comparison group that will form the basis for assessing overall impact at the close of the two years of enhanced federal match under the initiative.
This report is supported through the MaineCare Informatics and Evaluation Cooperative Agreement between the Maine Department of Health and Human Services and the University of Southern Maine (CA-MC-13-227). The views and opinions expressed in this report are the authors’ and should not be attributed to collaborating organizations, funders, or the University of Southern Maine.
Suggested Citation: Fox K, Gray C, Rosingana K, Thayer D. MaineCare Stage A Health Homes Year 1 Report: Implementation Findings and Baseline Analysis. Portland, ME: University of Southern Maine, Muskie School of Public Service; March 18, 2014.