Healthcare IT News November 30, 2021
Bill Siwicki

Nearly half of the reachable target population participated in a phone call with “Eleanor” to collect updated outreach preferences and determine clinical need.

The New York State Health Home program is designed for the neediest Medicaid patients and aims to reduce overall healthcare costs by decreasing inpatient costs (and utilization) by addressing social determinants of health such as housing, transportation and food.


The COVID-19 pandemic has led to a major SDOH crisis in New York, resulting in an increased demand for Health Home care-coordination services – not only for current patients but for a new pool of patients who need these services, as well.

“Our program members required promptly timed outreach to identify their needs and align resources...

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