Medical Home Network
Medical Home Network, an innovative leader in patient-centered, team-based care, serves Cook County’s most vulnerable populations, with dramatic outcomes.
Today, in the face of a global pandemic, MHN is innovating again. This time it is building on its predictive health risk screening approach in partnership with Closedloop.ai, a healthcare science data platform, to identify Medicaid patients who are most at risk from COVID-19.
“Medical Home Network is using our health risk data which includes social determinants of health powered by AI predictive models to prioritize resources in our communities,” said Cheryl Lulias, President and CEO, Medical Home Network. “Our care teams can make a difference for those patients who are likely to have a heightened vulnerability to severe complications from COVID-19.”
Patients who have been identified as high risk for severe complications from COVID-19 infection will be contacted by MHN ACO care management teams who are employed by their primary care practices based in communities across Cook County and have built trusted relationships with patients in Chicago’s south and southwest neighborhoods.
ClosedLoop.ai’s COVID-19 Vulnerability Index, an AI-based predictive model, was used in combination with MHN ACO’s patient demographics, social determinants of health, claims and clinical activity to create a predictive model that allows MHN to prioritize care management outreach to patients who are likely to have a heightened vulnerability to severe complications from COVID-19.
Medical Home Network’s Accountable Care Organization (MHN ACO) provides high-quality managed health care to approximately 120,000 Medicaid patients in Cook County. MHN ACO, includes ten Federally Qualified Health Centers, three hospital systems, and their physician practices.