Health Home Partners of Western New York (HHPWNY), located in Buffalo, is a Medicaid Health Home partnership that brings together a wide range of care services across the region to deliver comprehensive medical, behavioral, and social service care to the population. An early adopter of GSI Health’s population health management platform and long-standing client, HHPWNY has been an innovator in implementing value-based care programs. The partners—Catholic Health, Evergreen Health Services, and Spectrum Human Services—collaborate to deliver care to the community’s most needy and high-risk patients, with each partner offering leadership in a specialty expertise, including behavioral health, youth disorders, and HIV and AIDS programs in addition to medical.
This partnership shows the power of successful care management: different organizations working together and transforming the model of care, with measurable results. Using GSI Health’s population health management platform as an enabling technology, HHPWNY successfully achieved an 181% increase in primary care utilization and 32% decrease in emergency department (ED) usage, verified via a recent NY state Medicaid Health Home redesignation audit.
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