The Chronic Illness Demonstration Projects (CIDP), initiated by the New York State Department of Health, aimed to enhance health results and lower expenses for individuals grappling with chronic medical and behavioral conditions. These demonstrations, diverse in geography, targeted Medicaid beneficiaries with complex medical needs across the state who were in fee-for-service arrangements. A core objective was superior care coordination and management for individuals outside mandatory managed care. By integrating healthcare services, CIDPs sought to improve access and ensure care delivery in the most suitable settings.
CIDPs employed varied strategies to strengthen patient-provider relationships, encourage patient self-management, and boost adherence to treatment plans. The ultimate aim was to decrease emergency department visits and hospitalizations. Although formal outcome evaluations are ongoing, the CIDP project offered valuable insights that shaped New York’s Health Home strategy, specifically designed for adults with intricate needs. The parallels in beneficiary complexity between CIDP and Health Homes suggest that CIDP experiences offer crucial guidance for effective “Programa Home Care” implementation and similar initiatives focused on delivering comprehensive care in home settings.
Historical context regarding the phased rollout of Health Homes across New York State during program implementation can be accessed on the Phase-in Plan for Applications page, offering further details on the strategic development of these “programa home care” models.
