Found 107 resources.
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Neighborhoods where insecure housing overlaps with higher rates of emergency department use may be promising areas for interventions under Medicaid value-based payment
Topics: East Coast, Health, Housing, Low-income, Medicaid / Medicare, Partnerships, Stability
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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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Partnerships between medicaid and supportive housing providers
Topics: Cost effectiveness, Funding, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Supportive housing

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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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Introduction to supportive housing and notes from the field
Topics: Health, Housing, Low-income, Medicaid / Medicare, Mental health, Partnerships, Supportive housing

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In a post health care reform era, Medicaid programs need to build system capacity to effectively manage increasingly complex Medicaid populations while simultaneously seeking innovative solutions to reduce costs and improve access. As states are increasingly becoming more reliant upon managed care for complex populations – such as individuals in need of long-term services and supports, those with intellectual or developmental disabilities, individuals with severe and persistent mental illness, as well as children with special health care needs – the needs of these populations range far beyond...
Topics: Funding, Health, 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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Annuities, long-term care insurance (LTCI), and reverse mortgages appear to offer important consumption smoothing benefits to the elderly, yet private markets for these products are small. A prominent idea is to combine LTCI and annuities to alleviate both supply (selection) and demand (liquidity) problems in these markets. This paper shows that if consumers typically liquidate home equity only in the event of illness, then LTCI and annuities become substitutes and less attractive. Simulations confirm that without home equity loans, both LTCI and constant real annuities may be welfare...
Topics: Asset building, Health, Housing, Medicaid / Medicare, Seniors

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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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Health care payment and delivery models that challenge providers to be accountable for outcomes have fueled interest in community-level partnerships that address the behavioral, social, and economic determinants of health.We describe how Hennepin Health—a county-based safety-net accountable care organization in Minnesota—has forged such a partnership to redesign the health care workforce and improve the coordination of the physical, behavioral, social, and economic dimensions of care for an expanded community of Medicaid beneficiaries.
Topics: Affordable Care Act, Cost effectiveness, Health, Low-income, Medicaid / Medicare, Mental health, Metrics, Partnerships, Research

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The Support and Services at Home (SASH) program in Vermont aims
to coordinate care and assist participants in accessing the health care and support services they need to maintain their health and age comfortably and safely in their homes. Most program participants are residents of U.S. Department of Housing and Urban Development (HUD)-assisted properties or Low-Income Housing Tax Credit
(LIHTC) properties. Our objective is to estimate the impact of the first 5 1/2 years of the SASH program on the Medicare expenditures of these participants.
Topics: Cost effectiveness, Dual-eligibles, East Coast, Health, Home visiting, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Metrics, Seniors

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This report aims to provide the Robert Wood Johnson Foundation (RWJF) and other health foundations with a perspective on the emerging intersection of social determinants of health (SDOH), health care systems, and social and other services. These fields intersect in how and what data are collected, and in ways the data are used to improve health and well-being and promote a Culture of Health.
Topics: Data sharing, Funding, Health, Medicaid / Medicare, Metrics, Nutrition, Partnerships, Place-based, Research

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Anthem’s affiliated health plans and other managed care organizations (MCOs) increasingly are helping Medicaid members who are diagnosed with mental health conditions and substance use disorders (MH/SUD) find stable housing, secure meaningful employment, and address a range of financial and daily life challenges.
Topics: Affordable Care Act, Cost effectiveness, Depression, Funding, Health, Housing, Medicaid / Medicare, Mental health, Nutrition, Substance abuse, Supportive housing, Workforce development

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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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Both the Centers for Medicare & Medicaid Services (CMS) and New York State (NYS) have embarked on an ambitious journey to improve outcomes for patients and populations, reward the delivery of high value care by providers, and increase long-term financial sustainability. In this document, New York State presents an approach to maximally align CMS’ payment reform efforts for Medicare to the NYS’ Medicaid Payment Reform Roadmap which has recently been approved by CMS.
Topics: Funding, Low-income, Medicaid / Medicare, Partnerships

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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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FAQs regarding MAGI rules (2013)
Topics: Medicaid / Medicare

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The aim of the study was to understand how policy capacity was defined and managed by state health leaders in different political environments during the implementation of the ACA. We conducted a total of 24 interviews, 18 with state executive agency officials and six with legislators from 10 states. The the final sample includes two states from the Northeast, three from the South, three from the Midwest, and two from the West.
Topics: Affordable Care Act, Funding, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships

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The aim of the study was to understand how policy capacity was defined and managed by state health leaders in different political environments during the implementation of the ACA. Working with a sample of states—large and small, red and blue, actively reformist or more circumspect, etc.—the research team interviewed 18 state executive agency officials and six legislators from 10 states about their experiences developing and sustaining the capacity needed for major transformations in health care
Topics: Affordable Care Act, Funding, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Research

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States are implementing accountable care organizations (ACOs) to
improve health care quality and better manage costs for Medicaid populations. Core components that define Medicaid ACOs are: the payment model; quality measurement approach; and the data
strategy. This brief provides an overview of these core ACO elements and profiles how nine states -Colorado, Illinois, Iowa, Maine, Minnesota, New Jersey, Oregon, Utah, and Vermont -have structured their Medicaid ACOs. For each state, it outlines key ACO characteristics; details unique payment, quality, and data approaches; and spotlights ...
Topics: Cost effectiveness, Data sharing, Health, Low-income, Medicaid / Medicare, Metrics

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States are realizing the potential benefits associated with integrating medical care and social services, and are beginning to take the first steps toward developing financing and payment models that encourage this connection. This brief, made possible by The Commonwealth Fund, reviews potential financing mechanisms to facilitate integration, with a particular focus on Medicaid. Drawing from interviews with experts across the country, it offers models ranging from one time seed funding for pilot projects to blended or braided financing arrangements that support comprehensive integration. The...
Topics: Cost effectiveness, Funding, Health, Medicaid / Medicare, Partnerships, 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
