New York City Health and Hospitals Corporation

HHC Options is a financial assistance program available to uninsured and minimally insured patients visiting the hospitals and clinics operated by the New York City Health and Hospitals Corporation. HHC Options operates on a fee-for-service, sliding-scale basis, with required payments determined by income and family size for various visits, hospital stays, prescriptions, and other services. This fee-for-service approach is associated with fragmented, episodic, and expensive care—and does not align with federal and state health reform efforts that advance care coordination and emphasize the importance of primary and preventive care. With the ultimate goal of improving the delivery of services to this population, this project will evaluate the current HHC Options program by analyzing data of clients; develop and vet several viable alternatives for redesigning the program through focus groups and interviews; and produce a report on the results.

Feb. 19, 2015