Found 29 resources.
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Emerging health care financing models require much more sophisticated actuarial calculations than previous payment arrangements, often taking into account risk factors such as homelessness. Homelessness also has direct implications for clinical treatment decisions and integrated care models and should be noted in individual patient records. This policy brief provides a rationale for using the ICD-10-CM code for homelessness, outlines the challenges to maximizing this code, and offers strategies to consider to ensure health care providers ask about homelessness and record patients’ housing...
Topics: Health, Homelessness, Housing, Legislation & Policy, Low-income, Medicaid / Medicare
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This series of papers provides an overview and framework for reaching out to stakeholders or potential partners from other sectors that may share your interest in collaborating and sharing data to improve community health. Knowing your audience will help your collaboration craft a successful and productive outreach strategy, strengthen your partnerships, and ensure ongoing sustainability by clearly defining and articulating the value of sharing data across sectors.
Topics: Criminal justice, Health, Homelessness, Housing, Medicaid / Medicare, Partnerships
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A whole host of factors — such as friends, housing and transportation — affect a person’s health and how much they need the social safety net. It’s time the government’s big health insurance programs took this reality into account, some lawmakers and policymakers are starting to argue.
Topics: Asset building, Cost effectiveness, Disabilities, Education, Food insecurity, Funding, Health, Homelessness, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Seniors, Transportation, Workforce development

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Delegates at the 2018 American Medical Association Annual Meeting in Chicago adopted several policies intended to alleviate chronic homelessness and racial housing segregation
Topics: Health, Homelessness, Low-income, Medicaid / Medicare, Partnerships
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As state and federal officials increasingly search for ways to curb rising health care costs, a decades-old idea is gaining traction: helping people with challenges that have nothing to do with medical care but everything to do with their health.
Topics: Cost effectiveness, Food insecurity, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Nutrition, Partnerships, Preventative care, Stability, Transportation
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CLPHA’s Housing Is Initiative is engaged in a number of cross-sector activities focused on developing partnerships, facilitating a community of practice, resource development, promoting best practices, online collaboration, policy and advocacy, and training and education. Read about recent activities in this Fall Update.
Topics: Child welfare, CLPHA, Community development, Cost effectiveness, Data sharing, Early childhood, Education, Family engagement, Funding, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Mental health, Partnerships, Place-based, Post-secondary, Research, Stability, Substance abuse, Workforce development, Youth
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The Colorado Coalition for the Homeless (CCH) has been investing in supportive housing since 1990. Since that time, this comprehensive community health center has developed nearly 1,700 units of housing, and is one of the country’s leaders in integrating health care and housing for a vulnerable population.
This webinar discusses how CCH finances its capital development; how they plan, design, and manage multiple projects simultaneously; how they integrate housing and health care services; and how they include property management staff in a coordinated approach to care. This conversation...
Topics: Health, Homelessness, Low-income, Medicaid / Medicare, Mental health, Pacific Northwest, Place-based, Supportive housing
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Using administrative data from Massachusetts, this study analyzes the health care use and Medicaid expenditures of families who experienced one or more homeless episodes between 2008 and 2015 to investigate how health care use is related to emergency housing experiences.
Topics: Asthma, Child welfare, Depression, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Metrics, Pre-natal, Research
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UnitedHealthcare provides health insurance benefits to more than 40 million people across the country. In the past decade, it has addressed housing as a social determinant of health at the national level through policy leadership and financial investments, and at the state level working with local communities to connect Medicaid participants to stable housing. Through this work, UnitedHealthcare has overcome a myriad of challenges associated with siloed health and housing fields at all levels of policy and implementation. This case study explores how this national health payer has integrated...
Topics: Affordable Care Act, Data sharing, Funding, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Partnerships

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Everyone needs safe, decent, stable housing. For some of the most vulnerable people in America — people with mental illness, chronic health conditions, histories of trauma, and other struggles — a home helps them to get adequate treatment and start on the path toward recovery. But some conditions make it difficult for people to maintain a stable home without additional help. Supportive housing, a highly effective strategy that combines affordable housing with intensive coordinated services, can provide that needed assistance.
Topics: Cost effectiveness, Disabilities, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Mental health, Place-based, Seniors, Supportive housing

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Social determinants of health are the economic and social conditions that affect health outcomes and are the underlying, contributing factors of health inequities. Examples include housing, educational attainment, employment and the environment.
Topics: Affordable Care Act, Disabilities, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Mental health, Partnerships, Place-based, Substance abuse, Supportive housing

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On January 1, 2014, in states that have chosen to expand Medicaid eligibility under the Affordable Care Act, nearly all chronically homeless people who lacked health insurance became eligible for Medicaid. This Primer offers state Medicaid officials and other interested parties strategies for using Medicaid to meet the needs of this very vulnerable population--some strategies that have succeeded in the past and some that are emerging under provisions of the Affordable Care Act.
Topics: Affordable Care Act, Criminal justice, Disabilities, Dual-eligibles, Funding, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Mental health, Partnerships, Stability, Substance abuse, Supportive housing

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Part of New York State’s Homelessness Action Plan includes an investment of new supportive housing resources and services over the next five years to address vulnerable populations experiencing homelessness. Therefore, the availability of and access to various support services such as employment and training opportunities, parenting, counseling, independent living skills training, primary healthcare, substance disorder treatment and mental health care, child care, and benefits advocacy are critical components of any project funded under this plan.
Topics: Cost effectiveness, Criminal justice, Disabilities, Domestic violence, Foster care, Funding, Homelessness, Housing, Medicaid / Medicare, Mental health, Substance abuse, Supportive housing, Youth

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Time and again, taking a narrow view of health care has proven ineffective in producing meaningful change. Yet the current
thrust of health care reform remains firmly focused on traditional health care services. Reforms such as care coordination models and patient centered medical homes are necessary but insufficient for homeless populations with complex problems. Pairing such reforms with supportive housing is more likely to result in lasting health improvements and reduced costs.
Topics: Cost effectiveness, East Coast, Health, Homelessness, Housing, Legislation & Policy, Medicaid / Medicare, Place-based, Supportive housing

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This issue brief outlines ways in which Medicaid can support integrated strategies and, based on telephone interviews with key informants, profiles three current initiatives that illustrate distinctly different approaches to linking Medicaid and supportive housing. The three initiatives include one launched by a city (Philadelphia), one by a state (Louisiana), and one by a Medicaid MCO (Mercy Maricopa Integrated Care in Phoenix, Arizona). They target special populations including homeless individuals, people with a wide range of disabilities, and adults with mental health and/or substance use...
Topics: Cost effectiveness, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Supportive housing

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This report examines several ways in which health care changes created by the ACA, and other health care reform initiatives, create the potential for affordable housing providers to collaborate with health care providers, insurers, and other institutions to support the wellbeing of low-income individuals and families.
Topics: Affordable Care Act, Health, Homelessness, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships

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In December 2016, federal and state policymakers examined health and housing issues at a meeting convened in Washington, D.C., by the National Academy for State Health Policy (NASHP) with support from The Commonwealth Fund. The goal of the meeting was to identify concrete policy recommendations and actionable steps to align health and housing programs to ensure that people with high service needs receive the housing and supportive services they need to become and stay healthy. This report summarizes their findings and recommendations
Topics: Data sharing, Disabilities, Health, Homelessness, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Supportive housing

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This guide is organized around five steps, each of which includes concrete ways to get started as well as links to additional resources. These five steps will help you build a case for why and how Medicaid can be structured at the state and local levels to pay for services in permanent supportive housing. When building a case you need to know some basics of Medicaid and the types of services you want Medicaid to cover. in order to convince Medicaid administrators and other health care payers to support your efforts, you need to have evidence of need for and impact of supportive housing and...
Topics: Affordable Care Act, Data sharing, Funding, Health, Homelessness, Medicaid / Medicare, Partnerships, Supportive housing

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Recognizing the layers to developing a health and housing partnership, this Literature Review and Resource Bank is intended to provide background and data resources that can be used in grant applications or in conversations with potential funders in the effort to foster new health and supportive housing partnerships.
Topics: Cost effectiveness, Criminal justice, Data sharing, Dual-eligibles, Funding, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Mental health, Partnerships, Post-secondary, Preventative care, Research, Seniors, Substance abuse, Supportive housing, Youth

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This brief aims to bring attention to non-Medicaid funding sources that states could potentially blend or braid to address social determinants of health and other needs that are not typically covered by Medicaid. It is intended to familiarize state Medicaid, public health, and other state policymakers with the funding streams of other agencies, and sketch out a continuum of options to help states coordinate funding to better serve the needs of low-income populations. Because this brief focuses on services for adult Medicaid beneficiaries, it does not address many of the funding sources...
Topics: Cost effectiveness, Data sharing, Dual-eligibles, Food insecurity, Funding, Health, Homelessness, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Mental health, Partnerships, Research, Substance abuse

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This report examines four specific aspects of the challenge before us:
• The need for a much greater supply of homes affordable to our nation’s lowest-income seniors.
• The importance of transforming homes and communities so that seniors can age with options, a desire shared by the overwhelming majority of older adults.
• The imperative to better integrate health care and supportive services with housing, recognizing that this integration has the potential to improve health outcomes for seniors and reduce the costs borne by the health care system.
• The need to deploy technologies on a far...
Topics: Cost effectiveness, Funding, Health, Home visiting, Homelessness, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Place-based, Preventative care, Seniors, Supportive housing

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In Boston, Massachusetts, the Boston Housing Authority, Boston Public Health Commission, the city’s Inspectional Services Department, the Boston Foundation, and local universities and medical institutions have come together over the last decade-plus to address the intersection of health and housing. Motivated by a desire to improve the lives of Boston’s most vulnerable residents, these organizations began collaborating to address asthma and, more recently, to prioritize housing and health needs for pregnant women. By bridging anchor institutions, foundations, and city agencies around health...
Topics: Asthma, Child welfare, Dual-generation, Early childhood, East Coast, Exercise, Family engagement, Funding, Health, Home visiting, Homelessness, Housing, Low-income, Medicaid / Medicare, Nutrition, Obesity, Partnerships, Pre-natal, Preventative care, Research, Smoke-free

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A Research Review and Comment on Future Directions for Integrating Housing and Health Services
Topics: Affordable Care Act, Cost effectiveness, Data sharing, Exercise, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Mental health, Metrics, Nutrition, Obesity, Partnerships, Preventative care, Research, Supportive housing

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This brief explores how state Medicaid agencies have utilized a variety of federal authorities and delivery systems to increase access to supportive housing services and highlights important implementation considerations.
Topics: Cost effectiveness, Criminal justice, Data sharing, Funding, Health, Healthy homes, Homelessness, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Mental health, Partnerships, Substance abuse, Supportive housing

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In December 2016, federal and state policymakers examined the intersection of unstable housing and negative health outcomes at a meeting convened in Washington, D.C., by the National Academy for State Health Policy (NASHP) with support from The Commonwealth Fund. The goal of the meeting was to identify concrete policy recommendations and actionable steps to align health and housing programs to ensure that people with high service needs receive the housing and supportive services they need to become and stay healthy. This report summarizes their findings and recommendations.
Topics: Child welfare, Cost effectiveness, Data sharing, Disabilities, Dual-generation, Health, Homelessness, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Seniors, Supportive housing
