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AZ Blue Health Choice Expands In-Home Medicaid Care Model

Eighty-five percent of clinical care calls that once risked an emergency room trip are now resolved at home through a partnership between AZ Blue Health Choice and Nest Health. By shifting the focus to in-home, whole-family visits, the program aims to dismantle barriers like transportation and scheduling that plague Medicaid members.

AZ Blue Health Choice Expands In-Home Medicaid Care Model

One year into the initiative, the program serves more than 2,100 members across Mohave and Maricopa counties. The model replaces traditional office visits with comprehensive sessions where medical, behavioral, and social needs are addressed simultaneously. This approach has proven effective, with enrolled members closing care gaps at 1.7 times the rate of those outside the program.

Dr. Heather Carter, CEO of AZ Blue Health Choice, noted that meeting members in their own living spaces fosters better engagement and reduces the reliance on emergency services. Success stories include families cutting ER visits by over 70% and households managing chronic conditions while simultaneously accessing social resources like food and housing assistance. With 88% of enrolled children currently up to date on well-child visits, the insurer is signaling a shift toward more proactive, accessible healthcare delivery in Arizona.

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