Hennepin Health
Program Location:
Saint Paul, MN
Payer Type:
Medicaid
Partner Organizations:
OptumInsight
Payers:
Medicaid
Reported Outcomes
Description:
The Hennepin Health care model is anchored by interdisciplinary care coordination teams that are located in primary care clinics. The teams consist of registered nurse care coordinators, clinical social workers, and community health workers. In addition to the primary care–based care coordination and preventive care offered to all patients, these patients often receive ongoing disease management and enhanced support from their care coordination team during care transitions.
Patients also have access to a dedicated team of social workers in the county’s Human Services and Public Health Department, who connect them using case-by-case referral to services to address their socioeconomic needs (such as for housing).
Related News & Resources
Payment Model:
"As a Medicaid demonstration project that includes a licensed health plan, theHennepin Health ACO assumes full risk for the Medicaid expansion patients who are enrolled in the plan. Hennepin Health receives a PMPM capitation payment from the state to cover the costof all Medicaid services for the enrolled population. The medical providers (Hennepin County Medical Center, NorthPoint Health and Wellness Center, and county public health clinics) are reimbursed through fee-for-service payments from HennepinHealth. Hennepin Health contracts with additional affiliated providers to ensure that service needs (including for vision, behavioral health, pharmacy, and primary care) are met in the geographic area of coverage.
"At the close of each year, all four partners are at financial risk for any gains or losses relative to the per member per month capitation payments that Hennepin Health has received during the year."
- Health Affairs, November 2014
Fewer ED / Hospital Visits:
In a comparison of data for 2012 (the first year of Hennepin Health) and 2013:
- 9.1 percent reduction in ED visits. (This is likely due in part to the creation of an urgent care center adjacent to the ED, which patients could access for nonemergency care.)
- Hospitalizations remained stable, at approximately 16 per 1,000 member month
- Increase in outpatient visits of 3.3 percent
Improved Health:
Improvements in the quality of care for patients with chronic conditions:
- The percentage of patients receiving optimal diabetes care increased from 8.6 percent in the second half of 2012 to 10 percent in the second half of 2013.
- The percentage of patients receiving optimal vascular care increased from 25.0 percent to 36.1 percent in the same period.
- The percentage of patients receiving optimal asthma care increased from 10.6 percent in the last five months of 2012 to 13.8 percent in the last five months of 2013.
Improved Patient/Clinician Satisfaction:
- high patient satisfaction rating: 87 percent of members report that they are satisfied with their care.
Cost Savings:
- Hennepin Health has realized savings and reinvested them in future improvements
Data Source(s):
Last updated May 2015
