Greater Rochester Health Home Network

What Greater Rochester Health Home Network does

Greater Rochester Health Home Network (GRHHN) is a 501(c)(3) not-for-profit Lead Health Home designated under the New York State Medicaid Health Home program, serving eligible Medicaid recipients with serious mental illness, substance use disorders, multiple chronic conditions, and housing instability. Established in 2014 and headquartered in Rochester, NY, GRHHN operates as a subsidiary of the Finger Lakes Performing Provider System (FLPPS), which acquired the organization in 2018. GRHHN coordinates care management across an 8-county service area (Allegany, Chemung, Genesee, Livingston, Monroe, Ontario, Steuben, Wayne) by managing a network of 22 affiliated Care Management Agencies and an internal Direct Care Management team that delivers community-based, home-based, and telephonic support.

The organization's core technology stack centers on Netsmart CareManager for care plan management, assessments, and coordination, complemented by a web-based referral portal (referral.grhhn.org) for provider and community-based intake and the FLPPS Learning Management System with a GRHHN Resource Library for training, policies, and job aids. The product portfolio also includes a multi-factor authentication system for system access. Measured outcomes include a 27% reduction in inpatient care and 11% reduction in all-cause readmissions post-enrollment, plus social-determinant results such as 75% of initially homeless members reporting being housed at reassessment.

GRHHN's business model is entirely Medicaid-funded: services are provided at no cost to eligible beneficiaries, and GRHHN is reimbursed under the NY State Medicaid Health Home program for care coordination of complex, high-need populations. GTM is referral-led, driven by upstream providers (primary care, hospitals, behavioral health, community-based organizations) and amplified through the FLPPS partnership network (19 hospitals, 6,700+ providers, 600+ organizations across 13 counties). Pricing is not publicly disclosed, and there is no commercial customer base or enterprise sales motion; the customer base is the Medicaid member population, and the de facto payer is NY State Medicaid.

Name

Greater Rochester Health Home Network

Legal name

The Greater Rochester Health Home Network, LLC

Website

https://grhhn.org

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

11–50 employees

Short description

GRHHN is a 501(c)(3) Lead Health Home under the NY State Medicaid program, coordinating care management for vulnerable Medicaid recipients with complex medical, behavioral health, and substance use conditions across 8 counties in the Finger Lakes region.

Ownership category

akta.pro rank

Headquarters

HQ city

Rochester

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Others

Revenue model

1. Medicaid Health Home Program: GRHHN operates as a not-for-profit Health Home under the NY State Medicaid program. The organization coordinates care management services for eligible Medicaid recipients, with funding tied to care coordination and management of vulnerable populations with complex health needs.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Greater Rochester Health Home Network (GRHHN) provides care management coordination services as a Lead Health Home under New York State's Medicaid Health Home program. The organization serves Medicaid-eligible individuals with complex medical, mental health, and substance use conditions by managing a network of contracted Care Management Agencies that connect patients with primary care, behavioral health, and community-based social services across the Finger Lakes region.

Product overview

GRHHN operates as a Health Home network offering a portfolio of care management services centered around its core Health Home Care Management Services. The organization provides a Learning Management System (FLPPS LMS) with an associated Resource Library for training and policy documentation, an online referral portal, and an internal Direct Care Management team. The services connect Medicaid recipients with complex chronic conditions to comprehensive care through a network of affiliated Care Management Agencies. Technical infrastructure includes a multi-factor authentication system for security and integration with the Netsmart care management platform.

Differentiator

Problem solved

Functional benefit

Products and services

• Health Home Care Management Services
• Care Management Agency Network Coordination
• FLPPS Learning Management System

Quantifiable outcome

• 27% reduction in inpatient care post enrollment compared to pre-enrollment period
• +6 more outcomes

Named customers7 records

Segments6 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature2 records

Partnerships

18 partnerships are on record, tiered core and minor.

• FLPPS (Finger Lakes Performing Provider System)coreStrategic or Co-development Partner · 1 January 2018In 2018, FLPPS acquired GRHHN. FLPPS is a partnership of 19 hospitals, 6,700+ healthcare providers, and 600+ healthcare and community-based organizations across 13 counties. The partnership implements NYS DSRIP program to reform local Medicaid healthcare delivery. FLPPS provides administrative infrastructure including LMS, compliance programs, and HR support.
• AIM Independent Living CenterminorChannel Partner/ Reseller/ DistributorCare Management Agency providing support services for adults with disabilities, veterans, homelessness, or recovery populations.
• Anthony Jordan Health CenterminorChannel Partner/ Reseller/ DistributorCare Management Agency providing primary care services and care management.
• ARC of Monroe CountyminorChannel Partner/ Reseller/ DistributorCare Management Agency providing support services for individuals with intellectual disabilities.
• Bridges for Brain InjuryminorChannel Partner/ Reseller/ DistributorCare Management Agency providing support services for those affected by brain injury or physical disability.
• East HouseminorChannel Partner/ Reseller/ DistributorCare Management Agency providing residential and recovery services for those with mental illness and substance abuse.
• FLACRAminorChannel Partner/ Reseller/ DistributorCare Management Agency providing support for those affected by substance use and other health-related disorders.
• HCR (Health Resources and Services)minorChannel Partner/ Reseller/ DistributorCare Management Agency providing Health Home Services.
• HillsideminorChannel Partner/ Reseller/ DistributorCare Management Agency providing mental and physical health, special education, and developmental disabilities services.
• Huther DoyleminorChannel Partner/ Reseller/ DistributorCare Management Agency providing outpatient counseling and medication-assisted treatment for alcohol and substance use disorders.
• MC CollaborativeminorChannel Partner/ Reseller/ DistributorCare Management Agency providing care management services for the homeless population.
• Monroe PlanminorChannel Partner/ Reseller/ DistributorCare Management Agency providing Health Home Services.
• Person Centered Housing OptionsminorChannel Partner/ Reseller/ DistributorCare Management Agency providing homeless outreach, permanent supportive housing, rapid rehousing, and Health Home Care Management.
• Rochester Regional HealthminorChannel Partner/ Reseller/ DistributorCare Management Agency providing inpatient and outpatient behavioral health and chemical dependency services, emergency and hospital services.
• Salvation ArmyminorChannel Partner/ Reseller/ DistributorCare Management Agency serving homeless adults and families, child welfare, domestic violence, rapid rehousing in Chemung County.
• UR Medicine Home CareminorChannel Partner/ Reseller/ DistributorCare Management Agency providing home care services, hospice, and Meals on Wheels.
• URMC Strong Memorial HospitalminorChannel Partner/ Reseller/ DistributorCare Management Agency providing inpatient and outpatient behavioral health and chemical dependency services, emergency and hospital services.
• NetsmartcoreTechnology or IntegrationTechnology platform provider for Netsmart CareManager, the care management system used by GRHHN and its network of Care Management Agencies for care coordination, assessments, and care plan management.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Regional players

• Hudson Valley Care Coalition: Regional care coordination entity serving Hudson Valley Medicaid populations. Comparable to GRHHN in NY Health Home operations and community-based care management, but operating in a different upstate NY region.

Broad incumbents

• Mount Sinai Health System: Large NYC-based academic health system that operates its own Health Home program for Medicaid beneficiaries with complex needs. Comparable in Health Home model and population, but operates as part of a much broader hospital and physician enterprise.
• Magellan Health: National managed care company serving Medicaid behavioral health and complex populations with care management services. Comparable to GRHHN in Medicaid care coordination and behavioral health focus, but as a large payer/vendor rather than a community-based Lead Health Home.
• Carelon Behavioral Health (formerly Beacon Health Options): National behavioral health managed care organization providing care coordination and utilization management for Medicaid behavioral health populations. Comparable to GRHHN in managing behavioral health populations under Medicaid, but at national scale and as a payer-facing vendor.
• Northwell Health: Large NY health system operating Health Home programs across its service area. Comparable to GRHHN in Health Home operations and care coordination, but embedded within a much larger integrated delivery network.

Direct peers

• Coordinated Care Services Inc. (CCSI): NY-based care coordination organization supporting behavioral health, I/DD, and social service providers across upstate NY. Comparable to GRHHN in operating region and in providing network oversight, training, and care management infrastructure under NY Medicaid frameworks.
• Care Management Group (CMG) of Western New York: Western NY Health Home serving Medicaid populations with serious mental illness and chronic conditions. Comparable to GRHHN in model, population, and NY Medicaid Health Home designation, but in a different upstate region.
• Coordinated Behavioral Care: NYC-based Health Home serving Medicaid beneficiaries with serious mental illness, substance use, and chronic conditions through a network of Care Management Agencies. Operates the same NY State Health Home model as GRHHN, making it the closest peer in structure and population served.
• Public Health Solutions: NYC-based non-profit operating Health Home programs and serving Medicaid populations with chronic and behavioral health needs through a network of community partners. Comparable to GRHHN in mission, model, and Medicaid population focus.
• Hudson River HealthCare (Sun River Health): Federally Qualified Health Center network serving Medicaid and vulnerable populations in the Hudson Valley and Long Island with integrated care management. Comparable to GRHHN in serving safety-net populations, addressing SDOH, and operating under NY Medicaid value-based arrangements.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Customer concentration

• LinkedInlinkedin.com/company/greater-rochester-health-home-network-llc

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Greater Rochester Health Home Network