Home State Health Provides Telehealth Access to Primary Care

124

Home State Health serves MO HealthNet Managed Care General Plan and Specialty Plan members in Chesterfield, Missouri. The company was established in 1983.

Under Section 2703 of the Affordable Care Act, states can create Health Homes coordinating physical and behavioral healthcare for Medicaid beneficiaries with multiple chronic conditions. States receive a 90% enhanced federal matching rate for Health Home services provided during their first eight quarters after implementation.

Services

Home State Health has joined forces with Babylon, a technology and healthcare company, to offer members in Southeast Missouri increased access to primary care through telehealth services. Patients can connect with their PCP through mobile app communication with the Babylon team 24/7 for remote consultations or check-in calls, manage chronic conditions remotely, gain access to their health history, and utilize community resources such as transportation assistance when necessary.

Home State Health is a care management organization offering Medicare and Medicaid insurance solutions, including Ambetter (an Ambetter federal marketplace product underwritten by Celtic Insurance, an affiliated company) and Allwell Medicare Advantage plans.

Centene Corporation owns this subsidiary, with its headquarters in Chesterfield, Missouri, and over 2,000 employees employed there.

Home State Health was one of three companies chosen by Missouri to provide managed Medicaid services, along with CoxHealth and two other firms, which will continue offering MO HealthNet Managed Care products from UnitedHealthcare Community Plan and Healthy Blue (Anthem). Home State Health is part of Centene Corporation and offers health insurance solutions tailored to Medicare populations.

MU Health Care is delighted to have Home State Health members as part of our network and work tirelessly to provide them access to only the highest-quality healthcare available in our region.

The Affordable Care Act Section 2703 (1945 of the Social Security Act) established an optional Medicaid State Plan benefit allowing states to show Health Homes that coordinate medical, behavioral, and long-term services and support for people with complex needs. According to the Centers for Medicare and Medicaid Services standards, Health Home providers are expected to practice with a “whole person” philosophy encompassing care delivery’s physical, social, and emotional aspects. States receive an increased federal matching rate of 90% on service expenditures from Health Home expenditures during its first eight quarters after approval through State Plan Amendment.

Enrollment

Home State Health is a provider of healthcare services. The Company operates Medicare Advantage Plans, Medicaid Managed Care Plans, and healthcare insurance for seniors and those with disabilities across the U.S. Home State Health is headquartered in Chesterfield, Missouri, and serves clients nationwide.

Home State Health was awarded two Missouri HealthNet Managed Care General Plan and Specialty Plan contracts during fiscal years 2021-2022 to support multiple programs throughout the state. Home State Health will provide services to children’s health insurance and the newly implemented Medicaid expansion population under Managed Care General Plan and Specialty Plans.

The Affordable Care Act established an optional Medicaid State Plan benefit enabling states to design health homes as an integrated delivery of primary, acute, behavioral health, and long-term supports for people with chronic conditions. CMS expects health home providers to adhere to a “whole person” philosophy when operating health homes, providing medical, social, and housing services simultaneously while helping their clients live safely at home independently.

States are developing their health home models at different rates and can access federal Health Home Information Resource Center (HHIRC) assistance. The HHIRC was designed as an inclusive resource, offering one-on-one technical assistance and continually updated resources to aid state efforts to develop health home initiatives.

The Department of Health and Senior Services has launched a pilot Health Home program to improve outcomes while decreasing costs by combining complex chronic illness management with long-term services and support. The Health Home pilot will target high-need individuals and offer them one point of contact to guide them through the system of care. Funding will come from dedicated funding streams and existing 1915(c) waiver resources; the expected launch is October 1, 2020. Those curious can visit DHSS’s website for more details.

Health Assessments

Health Assessments provide vital data that allows communities to identify and prioritize needs. They should be performed every five years by collecting data from various sources – public health systems and private companies – on how various factors impact populations, as well as an analysis of how those factors affect individuals within each population group. With this information, a Community Health Improvement Plan (SHIP) may be developed in response to identified needs.

The Healthy CT 2025 State Health Assessment (View) comprises Community Health Status, Themes and Assets, and Forces of Change. This analysis offers both quantitative and qualitative perspectives of community health conditions such as smoking, drinking alcohol excessively, not using birth control not and adequately following family planning recommendations; risk behaviors (such as smoking and not taking birth control properly), morbidities such as obesity, cancer, diabetes heart disease respiratory illness mental health problems chronic diseases – and mortality statistics in terms of both morbidity rates as well as fatality rates in terms of morbidity rates vs mortality figures; with both quantitative data available on both aspects.

Arkansas’ Big Health Problems Report (View) is an update to the 2013 publication Arkansas’s Big Health Problems: A Research-Based Overview of Leading Healthcare Concerns. The report contains scientific evidence explaining poor health outcomes while outlining available public health, medical, and other resources to the citizens of Arkansas.

Vermont’s State Health Assessment, required by federal government law, offers an in-depth look at Vermonters’ physical, social, and emotional well-being, including any health inequities experienced by various groups related to race/ethnicity/gender/age/sexual orientation/disability status/socioeconomic status & geography.

The 2020 State Health Assessment (View) and associated SHIP collaborative prioritization process used an innovative approach to engage stakeholders from a range of fields in an attempt to enhance population health via shared prioritization processes. Known as Mobilizing for Action through Planning and Partnerships (MAPP), this technique mirrors methods widely employed by CCOs and other community health organizations in identifying strategies and actions for improving health outcomes and decreasing inequities.

Care Coordination

Health Home Care Coordination program is a person-centered service created to meet the complex and diverse health and social needs of individuals with challenging conditions and multiple needs. The main objective is to connect them with available community, state, and private health services in their area that may reduce duplication and improve outcomes for these individuals. To be eligible for this service, individuals must meet specific criteria.

The Health Home Program was introduced as part of the Affordable Care Act in 2010 as an optional Medicaid State Plan benefit to provide coordinated care to people with multiple and complex chronic conditions – including mental health issues – including mental illness. States must use funding provided through Health Home to offer services that focus on treating the entire person, including the family. These will incorporate primary, acute, behavioral, and term care support and direct services that meet people with multiple and complex conditions.

These services will be delivered by Care Management Organizations (CMOs) affiliated with provider systems or contracting with an entity such as a Clinically Integrated Network, Care Management vendor, or another population health entity. Ultimately, CMOs will delegate health home care coordination responsibilities to Advanced Medical Homes or AMHs located locally.

AMHs will work closely with primary care practices and other community partners to coordinate care for those enrolled, providing individualized attention and services as required, tracking quality measures to report to the State, and writing them annually.

Centene of Chesterfield, Missouri, provides healthcare services and specialty health insurance solutions to Medicare beneficiaries and individuals. Their offerings include behavioral health management, claims processing software, in-home healthcare services, correctional healthcare services, dental benefits management, life and health insurance policies with dental benefit management capabilities, pharmacy benefit management, and specialty pharmacy options. Furthermore, Telehealth solutions and additional health solutions are also offered by Centene.