The National Health Care for the Homeless Council received a CMMI Health Care Innovation Award in June 2012. The project seeks to address the over-reliance of persons experiencing homelessness on Emergency Department service’s at safety net hospitals. Such over-reliance has resulted in inflated Medicare, Medicaid, and uncompensated care costs while failing to link underserved patients with primary care services.
To refer these populations to appropriate primary care settings, this project will employ Community Health Workers (CHWs) to target patients experiences homelessness who frequently seek access to primary care in Emergency Departments and other hospital settings, regardless of insurance status. This project seeks to accomplish the triple aim of CMS through CHW interventions to transition care of homeless person from inappropriate hospital utilization to HCH primary care sites funded by the Health Resources and Services Administration (HRSA). The National HCH Council has partnered with 10 HCH sites to accomplish this goal.