Found 60 resources.
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Scope of Practice article on the American Medical Association's website
Topics: Cost effectiveness, Health

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This report focuses on the homelessness and health care use of older homeless adults in New York City, specifically those 55 years of age or older. Recent evidence suggests a unique cohort effect of postWorld War II “baby boomers” born between 1955 and 1965 who have shown a disproportionately high
risk of homelessness over the last two decades.
Topics: Cost effectiveness, East Coast, Health, Homelessness, Housing, Low-income, Research, Seniors

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This report is intended to accompany a report entitled The Emerging Crisis of Aged Homelessness: Could Proposed Housing Solutions Be Funded from Avoidance of Excess Hospital and Nursing Home Costs?, which reports on findings from a multi-site study involving the analysis of data from Boston, Los Angeles and New York City. That report is motivated by recent evidence documenting a cohort effect in the single adult homeless population, wherein persons born between 1955 and 1964 have faced a disproportionate risk of homelessness over the past two decades.
Topics: Cost effectiveness, East Coast, Health, Homelessness, Housing, Low-income, Research, Seniors

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Could Housing Solutions be Funded by Avoidance of Excess Shelter, Hospital, and Nursing Home Costs?
Topics: Cost effectiveness, Health, Homelessness, Housing, Legislation & Policy, Research, Seniors

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Launched in 2016, the Denver Supportive Housing SIB aims to support residents struggling with homelessness, substance use, and mental health problems by increasing the number of people getting and staying housed and reducing the number of days they spend in jail. The permanent supportive housing model combines a permanent housing subsidy with wraparound services, such as mental health counseling, to help people improve their stability. In Denver, MHCD and the Colorado Coalition for the Homeless (CCH) were selected to offer these services as part of the SIB.
Topics: Cost effectiveness, Criminal justice, Homelessness, Housing, Low-income, Pacific Northwest, Partnerships, Research, Substance abuse
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Although such a complex problem such as lack of affordable housing demands numerous solutions, modular construction looks promising, barreling toward a tipping point with a new generation of startups bringing a manufacturing mindset to multifamily construction.
Topics: Community development, Cost effectiveness, Housing, Low-income

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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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Policymakers seek to transform the US health care system along two dimensions simultaneously: alternative payment models and new models of provider organization. This transformation is supposed to transfer risk to providers and make them more accountable for health care costs and quality. The transformation in payment and provider organization is neither happening quickly nor shifting risk to providers. The impact on health care cost and quality is also weak or nonexistent.
Topics: Cost effectiveness, Health, Legislation & Policy, Research
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The State of Arizona’s Medicaid agency (AHCCCS) recognizes the vital importance of safe, decent and affordable housing to health. With a portfolio of over 3,000 units of affordable housing for Medicaid members with a determination of serious mental illness (SMI) and/or substance use disorder, housing is a major component of how the State of Arizona assists those trying to recover and stabilize.
Topics: Cost effectiveness, Health, Housing, Low-income, Medicaid / Medicare, Mental health, Partnerships, Substance abuse

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Investments in affordable housing are a proven catalyst for economic growth, job creation, and development.
Topics: Cost effectiveness, Housing, Partnerships, Research
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Stricter work requirement policies for the Supplemental Nutrition Assistance Program (SNAP) at the federal level were left out of the recently passed farm bill, but state policymakers are still considering whether to expand or establish their own work requirements for SNAP and Medicaid, with the goal of incentivizing employment. There’s no question that good jobs help spur upward mobility. But if we are serious about helping people work, we have to get serious about helping people improve their skills.
Topics: Child welfare, Cost effectiveness, Dual-generation, Early childhood, Food insecurity, Legislation & Policy, Low-income, Research, Stability, Workforce development
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CLPHA’s Education Working Group hosts a webinar including presentations on efforts from the Chicago Housing Authority to work with residents on pursuing postsecondary opportunities, as well as an update from HUD’s Office of Policy Development & Research on data collection around tracking and increasing FAFSA utilization.
Topics: CLPHA, Cost effectiveness, Data sharing, Education, Funding, Housing, Housing Is Working Group, Low-income, Metrics, Midwest, Post-secondary, Research, Stability, Youth
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Three Ohio community colleges have successfully adapted the City University of New York’s innovative Accelerated Study in Associate Programs (ASAP), according to findings released today at Lorain County Community College in Elyria, Ohio.
Topics: Cost effectiveness, Low-income, Post-secondary, Youth
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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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The Enhanced Transitional Jobs Demonstration (ETJD), funded by the Employment and Training Administration of the U.S. Department of Labor, tested seven transitional jobs programs that targeted people recently released from prison or low-income parents who had fallen behind in child support payments.
Topics: Asset building, Cost effectiveness, Criminal justice, Legislation & Policy, Low-income, Research, Stability, Workforce development, Youth
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Does a screening requirement for homeless families seeking shelter create unintended costs? In 2012, Massachusetts passed a law requiring homeless families seeking shelter to prove that they had recently stayed somewhere not meant for human habitation. Hospital emergency department discharge paperwork can provide such proof. This study explored the trends of emergency department use for shelter by homeless youth before and after the eligibility criteria was passed into law and to measure the financial impact it had on the health care system. Researchers conducted a retrospective analysis of...
Topics: Cost effectiveness, East Coast, Health, Homelessness, Housing, Legislation & Policy, Low-income, Research, Youth
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Using multiple panels from the US Census Bureau’s Survey of Income and Program Participation, we find that participation in Temporary Assistance for Needy Families, the Supplemental Nutrition Assistance Program (SNAP), or public health insurance reduces the number of hardships low-income families with children experience by 48 percent and reduces the share who experience food insufficiency by 72 percent.
Topics: Child welfare, Cost effectiveness, Food insecurity, Legislation & Policy, Low-income, Medicaid / Medicare, Metrics, Research, Stability
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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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Nationally, resources for providing families with housing assistance are inadequate. DC is piloting a new approach, the DC Flexible Rent Subsidy Program (DC Flex), to test whether shallow (smaller than the average subsidy, over a defined period) and flexible subsidies can help more families maintain affordable, adequate housing.
Topics: Cost effectiveness, East Coast, Housing, Low-income, Research, Stability
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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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The Colorado Coalition for the Homeless created the Denver Housing First Collaborative (DHFC) in 2003 with funding provided by a collaboration of federal agencies. The DHFC involved CCH as the lead agency, Denver Department of Human Services (DDHS), Denver Health (DHHA), Arapahoe House, the Mental Health Center of Denver (MHCD) and the Denver VA Medical Center. The DHFC is designed to provide comprehensive housing and supportive services to chronically homeless individuals with disabilities. Initial federal funding created the capacity to house and serve 100 chronically homeless individuals...
Topics: Cost effectiveness, Funding, Health, Homelessness, Housing, Pacific Northwest, Partnerships, Research, Stability, Supportive housing

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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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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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We sought to learn more about how state- and locally funded rental
assistance programs were created, how they are structured, whom they serve, and how they are funded.
Topics: Cost effectiveness, Data sharing, Disabilities, Family engagement, Funding, Health, Homelessness, Housing, Legislation & Policy, Low-income, Partnerships, Research, Supportive housing

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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
