named programs · 3 · from sources
What they call their work
Best Practices Forum
Facilitates knowledge-sharing among Health Home leaders through regular meetings, resources, and collaborative development of care standards
Health Home Care Management
Provides coordinated, community-based care for Medicaid members with complex health and social needs, including care planning, care manager support, and connection to social services
Policy & Advocacy Initiative
Engages with state policymakers and managed care organizations to influence health policy, improve reimbursement, and advance value-based care for Health Homes
activities · 6 groups
What they do
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Healthcare Policy Advocacy 2 activities
- Advocacy for Health Home policy developmentCollaborates with the New York State Department of Health and other stakeholders to influence policy development, submits formal public comments on state health initiatives such as the Medicaid Value-Based Payment Roadmap and the Rural Health Transformation Program, and advocates for improved services for Health Home members.
- Dissemination of Health Home information and policy positionsProduces and distributes position papers, fact sheets, and advocacy materials to educate policymakers, healthcare providers, the public, and stakeholders about Health Home care management and related policy issues.
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Medicaid Health Home Care Coordination 2 activities
- Direct care management for Medicaid members with complex needsProvides integrated, individualized care management that addresses medical, behavioral health, substance use, and social needs; supports care plan development, provider coordination, appointment scheduling, transportation, medication adherence, and education to improve health outcomes and system engagement.
- Support for Health Home providers to improve care deliverySupports Health Home providers in delivering high-quality, cost-effective care management through collaboration, resource sharing, and capacity-building initiatives to improve health outcomes for individuals served.
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Medical Research & Education Dissemination 2 activities
- Provision of educational resources and implementation toolsDevelops and distributes educational materials, toolkits, checklists, and guidance memos to support Health Home providers and Social Care Networks in implementing and navigating care management programs.
- Research and publication of Health Home performance and policy analysisConducts and publishes research on Health Home outcomes, including return on investment analyses, reimbursement guidance, and policy-related fact sheets to inform stakeholders and improve care management understanding.
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Professional Association Capacity Building 1 activity
- Capacity building through knowledge sharing and best practicesFacilitates regular conference calls, knowledge exchange, and dissemination of best practices, standards, and toolkits among Health Home leaders to improve care management systems and services.
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Hospital and Medical Center Support 1 activity
- Funding care management services for Medicaid membersServes as the primary funding mechanism in New York State for care management services delivered by Health Homes to Medicaid members with complex needs.
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Uncategorized 2 activities
- Improvement of health outcomes through care managementReduces inpatient hospitalizations by 37.8%, preventable readmissions by 37%, and emergency department visits by 17.2% among Health Home members enrolled for at least 9 months; improves preventive care, chronic disease management, and follow-up after mental health discharge.
- Reduction of social determinants of health insecurityReduces housing insecurity by 47% and food insecurity by 52.6% among Health Home members after one year of enrollment; increases access to transportation by 48% and connects members to housing, food, vocational services, and benefits.
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financials · form 990 · fy2024
revenue
Total revenue$320K
Contributions & grants$00%
Program service revenue$320K100%
Investment income$00%
Other revenue$0
expenses
Total expenses$333K
Program expenses70%
Admin / overhead30%
Fundraising0%
Salaries & benefits$228K
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$570K
Cash$207K
Investments$0
Liabilities$403K
Net assets$167K
Liquid reserves7.5 mo
4 years on record · 2020–2024 · YoY revenue +2.3%
leadership · form 990 part vii · fy2024
Who runs it
paid leadership · 1
| Name | Title | Hours/wk | Compensation |
|---|---|---|---|
| LAURA LANPHEAR | EXECUTIVE DIRECTOR | 40 | $184K |
board members · 13
- AMANDA SEMIDEY TERM JUNE 2024 — DIRECTOR
- AMIE PARIKH — VICE CHAIR
- ANDREA HOPKINS — SECRETARY
- HIRA RUSKIN — CHAIR
- JANE VAIL — DIRECTOR
- JANELLE SHULTS — DIRECTOR
- JODI SAITOWITZ — TREASURER
- MAGDALENA GORDON — DIRECTOR
- NATHAN ITO PRINE — DIRECTOR
- PETER BAUMAN TERM MAY 2024 — DIRECTOR
- PHIL BALTA — DIRECTOR
- SCOTT EBNER TERM APRIL 2024 — DIRECTOR
- TRAVIS BETHEL — DIRECTOR
relationships · 33
Who they work with
- Adirondack Health Institute (AHI) Partner — Director of Care Management Traves Bethel serves on the Coalition Board
- BestSelf Health Home Services Coalition — Member organization of the NY Health Home Coalition.
- Bronx Accountable Health Care Network Health Home Coalition — Member organization of the NY Health Home Coalition.
- Brooklyn Health Home Partner — Assistant Vice President Magdalena Gordon serves on the Coalition Board
- Central New York Health Home Network Coalition — Member organization of the NY Health Home Coalition.
- Central New York Health Home Network, Inc. Partner — Executive Director Jane Vail serves on the Coalition Board
- Chautauqua County Department of Mental Hygiene Coalition — Member organization of the NY Health Home Coalition.
- Collaborative for Children and Families Coalition — Member organization of the NY Health Home Coalition.
- Collaborative for Children and Families (CCF) Partner — President and CEO Jodi Saitowitz serves as Treasurer on the Coalition Board
- Community Care Management Partners (CCMP) Partner — CEO Nathan Ito-Prine serves on the Coalition Board
- Community Care Management Partners Health Home Coalition — Member organization of the NY Health Home Coalition.
- Community Health Connections Coalition — Member organization of the NY Health Home Coalition.
- Coordinated Behavioral Care Coalition — Member organization of the NY Health Home Coalition.
- Federally Qualified Health Centers Partner — Collaborates with Federally Qualified Health Centers as part of the Health Home lead agency structure to deliver coordinated care.
- Greater Rochester Health Home Network, LLC Coalition — Member organization of the NY Health Home Coalition.
- HHUNY Partner — Regional Director Phil Balta serves on the Coalition Board
- Healthy Alliance's Social Care Network (SCN) Partner — Regional Director Janelle Shults serves on the Coalition Board
- Hudson Valley Care Partner — Executive Director Amie Parikh serves as Vice Chair on the Coalition Board
- Hudson Valley Care Coalition Coalition — Member organization of the NY Health Home Coalition.
- Institute for Family Health Coalition — Member organization of the NY Health Home Coalition.
- Medicaid Government — Provides care management services for Medicaid members in New York State.
- Medicaid Government — Reimburses Health Home services and partners in care delivery for members.
- Medicaid Managed Care Plans Partner — Works with the coalition to improve operations, data sharing, and transition to value-based care.
- NY State Department of Health Government — Collaborates with the NY State Department of Health on policy and reimbursement guidance related to Social Care Networks.
- NYC Health + Hospitals Coalition — Member organization of the NY Health Home Coalition.
- NYS Care Management Coalition Coalition — Jointly issued a public statement with the Coalition of NYS Health Homes and iHealth on the NYS SFY 2026/27 Enacted Budget.
- NYSDOH Government — Engages with NYSDOH on policies affecting Health Homes.
- New York State Department of Health Government — Collaborates with the coalition on policy development and care optimization for Health Homes.
- New York State Department of Health Government — Submitted comments to the NYS Department of Health on the Rural Health Transformation Program and the Medicaid Value-Based Payment Roadmap.
- Northwell Health Government — AVP of Operations Hira Ruskin serves as President of the Coalition Board
+ 3 more
strategies · 4
How they approach the work
Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.
- Integrated Care Coordination Addressing Social Determinantsmethodology: care_coordination_with_social_determinantsBy embedding social determinants of health—such as housing, employment, and education—into individualized care management for Medicaid members with complex needs, the organization improves health outcomes through community-based, holistic coordination between health and social services.
- Member-Led Advocacy for Systemic Changemethodology: member-led_advocacyBy organizing and amplifying advocacy efforts driven by member organizations, the coalition influences health policy and advances systemic improvements in the Health Home model, ensuring that reforms reflect frontline experience and needs.
- Peer-Led System Improvementmethodology: peer-learning-networkBy creating structured forums for peer learning and mutual support among Health Home providers, the organization promotes the adoption of best practices and strengthens collective capacity, leading to improved care quality and system-wide performance.
- Provider Capacity Building for Value-Based Caremethodology: value-based-care-advancementBy strengthening provider organizations' ability to deliver high-quality, cost-effective care management through system-level support and collaboration with payers and agencies, the organization enables sustainable value-based care transformation that improves outcomes for high-need populations.