MO HealthNet's Primary Care Health Home (PCHH) initiative strives to provide intensive care coordination and care management as well as address social determinants of health for a medically complex population. One aspect of the program includes the implementation and evaluation of the Patient Centered Medical Home (PCMH) model as a means to:

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• achieve accessible, high quality primary care;

• reduce inpatient hospitalization, readmissions and inappropriate emergency room visits

• demonstrate cost-effectiveness in order to validate and support the sustainability and spread of the model,

• support primary care practices by increasing available resources and improving care coordination thus improving the quality of clinician work life and patient outcomes
   

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