Medical Home Network (MHN) isn’t new to care coordination. For 14 years, the Chicago-based accountable care organization (ACO) has focused on bringing care coordination into the primary care office, using community health workers to provide whole-person care. But now, as a part of the ACO REACH Model, MHN looks forward to a future free from the constraints of fee-for-service and focused on health equity and social determinants of health.
“MHN has a model that they developed in Chicago almost 20 years ago, which really revolved around embedded care coordinators who are unlicensed and care managers who are licensed, either LCSWs or RNs,” according to Abigail DeVries, MD, market medical director for MHN, who is spearheading the organization participation in ACO REACH.
Being part of ACO REACH, a designation Medical Home Network REACH ACO got in September of 2022, will be a game-changer, DeVries told PatientEngagementHIT in an interview. The transition to value-based care generally frees up clinics to do more work on health equity and community health, she noted, and that’s even more true in fully capitated models like ACO REACH.