When the NCACH selected Community-Based Care Coordination as one of its Medicaid Transformation Projects in 2017, the Pathways Community HUB model was the only evidence-based model ACHs could choose from. Our ACH opted to contract out the implementation of this model, and Action Health Partners boldly and passionately stepped up to the challenge. Implementing a Pathways Community HUB in our region was a huge undertaking, but one that built on their successful track record with the Health Home program.
The pilot launched in Moses Lake in October 2018, and we conducted a rapid-cycle evaluation to learn about successes and challenges, including barriers that delayed expansion. In late 2019, the Health Care Authority indicated that, while they remained supportive of community-based care coordination, they were prioritizing Health Homes as the program for high-risk Medicaid beneficiaries and that future funding for Pathways HUB would have to come from local and regional partners. All of these factors contributed to our decision in early 2020 to discontinue implementation of the Pathways Community HUB model.