The Healthy Hendry Health Coaching Program

About the Program

Category: Human Services (Best in Category)

Year: 2016

Hendry County, Florida is faced with how to serve the unique needs of the most challenging and costly segments of the county’s Medicaid population. The Healthy Hendry Health Coaching Program (HHHCP) is designed to meet these needs. HHHCP is a patient centered program designed to engage patients within Hendry County, through Health Coaching. When patients are an active participant in their own health care, they are more likely to follow through with treatment and receive their care at the appropriate healthcare setting. In 2011, the State of Florida expanded statewide a 2006 pilot for Statewide Medicaid Managed Care. Under Managed Care, the State will pay a monthly capitation rate for each Medicaid enrollee, rather than paying only for actual services received. Counties in the State of Florida have no ability to control the growing costs associated with Medicaid. HHHCP is designed to decrease inappropriate Emergency Room visits while increasing primary care visits. Funding Medicaid is currently a substantial and growing portion of Hendry County’s budget. Hendry County ranks # 1 in the State for the most eligible enrollees per capita with an eligible population of 13,704 of 37,895 total or 33.89%. HHHCP is designed to be “budget-positive” for Hendry County. There are no direct Program costs for Hendry County, since the Program is based on a shared savings model. Hendry County receives 40% of the savings that the Program realizes. HHHCP is demonstrating that improvements and efficiencies and savings can be obtained through engagement with the patient. • Program kicked off in January 2015 • Started working with Medicaid Patients in June of 2015 • 6 months of results in 2015 (June 2015 – December 2015) o 55% reduction in Emergency Room visits o 83% reduction of Inpatient visits o 70% increase in Primary Care visits o 53% patient cost reduction