With the passage of the Affordable Care Act (ACA), health care providers and insurers are actively engaged in payment and delivery reform. Much of this reform focuses on integrating primary care and other aspects of health care. Medicaid Health homes, and option to states under the ACA, aims to improve the integration of physical health care needs with the broad range of mental health and social needs for high-cost, high-needs Medicaid beneficiaries. This brief draws on findings from Urban Institute's five-year evaluation of this new model of care, exploring the concept, as well as the challenges that must be overcome to achieve the desired results.
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