Date of Award




Document Type


Degree Name

Doctor of Public Health (DrPH)


Department of Health Policy, Management and Behavior

Content Description

1 online resource (ii, xii, 314 pages) : illustrations (some color)

Dissertation/Thesis Chair

Wendy Weller

Committee Members

Brenda Kirkwood, Patricia Strach


HIV-positive persons, AIDS (Disease), Medicaid beneficiaries, Health services administration, Managed care plans (Medical care)

Subject Categories

Public Health


Within the U.S. healthcare system, there has been a renewed focus to improve the delivery of care services, to increase the quality of care, and to decrease costs. The Affordable Care Act introduced the health home (HH) model to serve vulnerable, Medicaid populations who are experiencing difficulty managing their care and navigating complex healthcare systems. The HH was a voluntary state option; of which New York State (NYS) chose to participate. Additionally, NYS was granted a Medicaid 1115 waiver to fully implement an ambitious re-design of NYS’s Medicaid program. NYS invested in the HH as a key model to address targeted sub-groups within the Medicaid population, such as the HIV population, who disproportionately use health services and contribute to the highest healthcare costs in NYS.

Included in

Public Health Commons