Communities of Color Disproportionally Suffer from Medical Debt
Communications
Oct 14, 2022
Medical debt is a critical challenge to Americans’ financial stability and well-being.
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Community:
Oct 14, 2022
Medical debt is a critical challenge to Americans’ financial stability and well-being. People with medical debt are more likely to forgo needed medical care, have difficulty meeting basic needs, and face an increased risk of bankruptcy.
Recent Urban research shows there are great disparities in who carries the most medical debt. Adults who live in communities where the majority of the population are people of color are more likely to have medical debt in collections reported on their credit reports. In particular, Black adults are more likely to have difficulty paying for family medical expenses. These inequities reinforce the racial wealth gap and contribute to disparities in health outcomes.
Topics: Asset building, Dual-eligibles, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Racial inequalities
Shared by Sandra Ware
on Oct 27, 2022
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Community:
Aug 5, 2019
CLPHA developed a general data sharing template that public housing authorities (PHAs) and their health partners can customize to suit their data sharing and collaboration needs. Please feel free to comment to share any uses/modifications your organization made to implement into a partnership.
Topics: Affordable Care Act, CLPHA, Community development, Cost effectiveness, Data sharing, Dental, Depression, Dual-eligibles, Funding, Health, Healthy homes, Legislation & Policy, Low-income, Medicaid / Medicare, Mental health, Metrics, MTW, Nutrition, Obesity, Partnerships, Place-based, Preventative care, Racial inequalities, Research, SAMHSA, Smoke-free, Stability, Substance abuse, Supportive housing, Sustainability, TA
Shared by Steve Lucas
on Aug 5, 2019
CLPHA Data Sharing Template for PHAs and Health Organizations
Disclaimer: This template is provided for informational purposes only and not for the purpose of providing legal advice. You should contact your attorney to obtain advice with respect to any particular issue or question. Use of this template, including its exhibits and attachments, does not create a relationship or any responsibilities between CLPHA and the user.
Research
Aug 5, 2019
CLPHA developed a general data sharing template that public housing authorities (PHAs) and their health partners can customize to suit their data sharing and collaboration needs. Please feel free to comment to share any uses/modifications your organization made to implement into a partnership.
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Community:
May 7, 2019
The Trump administration is proposing regulatory changes that could result in cuts in federal aid to millions of low-income Americans.
Topics: Food insecurity, Legislation & Policy, Low-income, Medicaid / Medicare
Shared by Housing Is
on May 14, 2019
Trump Administration Seeks to Redefine Formula for Calculating Poverty
News Article
May 7, 2019
The Trump administration is proposing regulatory changes that could result in cuts in federal aid to millions of low-income Americans.
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Community:
Apr 25, 2019
Research shows that clinical care is only one factor that impacts population health and that a collection of other factors – including the natural and built environment where people live, education economic stability, food, and community and social context – grouped under the term social determinants of health (SDOH), have significantly more influence on care utilization, outcomes, and population health. Together, these factors account for 60% of preventable mortality.
Topics: Child welfare, Early childhood, Health, Low-income, Medicaid / Medicare
Shared by Housing Is
on May 2, 2019
Addressing Social Determinants of Maternal and Child health through Medicaid Managed Care
Publication
Apr 25, 2019
Research shows that clinical care is only one factor that impacts population health and that a collection of other factors – including the natural and built environment where people live, education economic stability, food, and community and social context – grouped under the term social determinant
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Community:
Apr 24, 2019
The Centers for Medicare and Medicaid Services (CMS) and states spend over $300 billion per year on the care of dually eligible individuals, yet still do not achieve acceptable health outcomes. In a 2016 study of social risk factors in the Medicare value-based purchasing programs, dual enrollment status was the most powerful predictor of poor outcomes. For example, relative to Medicare-only beneficiaries, dually eligible individuals had 10-31 percent higher risk-adjusted odds of hospital readmission across conditions measured in the Hospital Readmissions Reduction Program, and scores were lower for dually eligible individuals on nearly all (17 of 19) beneficiary-level quality measures in Medicare Advantage.
Topics: Dual-eligibles, Funding, Health, Low-income, Medicaid / Medicare, Research, Seniors
Shared by Housing Is
on Apr 24, 2019
Better Care for People Dually Eligible for Medicare and Medicaid
Publication
Apr 24, 2019
The Centers for Medicare and Medicaid Services (CMS) and states spend over $300 billion per year on the care of dually eligible individuals, yet still do not achieve acceptable health outcomes.
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Community:
Apr 10, 2019
A key challenge for states in ensuring access to care for the 85.3 million Medicaid beneficiaries is having a sufficient number of providers. The Medicaid and CHIP Payment and Access Commission (MACPAC) recently found that higher Medicaid fees are associated with higher rates of physicians accepting new Medicaid patients. Even so, acceptance of new Medicaid patients differs across specialties.
Topics: Affordable Care Act, Health, Low-income, Medicaid / Medicare
Shared by Mica O'Brien
on Apr 11, 2019
Physician Acceptance of New Medicaid Patients: What Matters and What Doesn't
Publication
Apr 10, 2019
A key challenge for states in ensuring access to care for the 85.3 million Medicaid beneficiaries is having a sufficient number of providers.
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Community:
Oct 1, 2016
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 status. This data is highly relevant to clinicians and administrators at health centers, hospitals, state Medicaid systems, Medicaid managed care organizations, and public health departments.
Topics: Health, Homelessness, Housing, Legislation & Policy, Low-income, Medicaid / Medicare
Shared by Mica O'Brien
on Mar 26, 2019
Ask and Code: Documenting Homelessness Throughout the Health Care System
Policy Brief
Oct 1, 2016
Emerging health care financing models require much more sophisticated actuarial calculations than previous payment arrangements, often taking into account risk factors such as homelessness.
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Community:
Mar 20, 2019
As the population ages, one of the greatest challenges facing state officials is how to organize and pay for long-term services and supports (LTSS) for low-income elderly and disabled adults—the most complex, expensive, and fastest-growing group covered by Medicaid. To help address this challenge, a toolkit for state leaders published in 2017 has been updated.
Topics: Disabilities, Health, Low-income, Medicaid / Medicare, Partnerships, Seniors
Shared by Housing Is
on Mar 26, 2019
Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Interactive
Mar 20, 2019
As the population ages, one of the greatest challenges facing state officials is how to organize and pay for long-term services and supports (LTSS) for low-income elderly and disabled adults—the most complex, expensive, and fastest-growing group covered by Medicaid.
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Community:
The Home Preservation Initiative (HPI) for Healthy Living seeks to improve asthma outcomes related to unhealthy housing in five neighborhoods in West Philadelphia. By combining home repairs and community health worker home visits, HPI aims to significantly reduce emergency department visits and hospitalizations due to pediatric asthma. For these primarily African-American communities, substandard housing, unemployment, low wages and a lack of education are barriers to the overall health and well-being of residents. Using outcome data, the collaboration will show health care cost savings, aiming to make a strong case for Medicaid reimbursement for home repairs.
Topics: Asthma, Cost effectiveness, Data sharing, East Coast, Health, Low-income, Medicaid / Medicare, Partnerships, Racial inequalities, Research
Shared by Housing Is
on Mar 19, 2019
Home Preservation Initiative for Healthy Living
Publication
The Home Preservation Initiative (HPI) for Healthy Living seeks to improve asthma outcomes related to unhealthy housing in five neighborhoods in West Philadelphia.
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Community:
Feb 1, 2019
As of 2015, the Centers for Medicare & Medicaid Services (CMS) pays for chronic care management (CCM) services for Medicare beneficiaries with two or more chronic conditions. CMS requires eligible providers to first obtain patients’ verbal (and, prior to 2017, written) consent, to ensure that patients who participate in CCM services understand their rights and agree to any applicable cost sharing. CCM providers must also enhance patients’ access to continuous and coordinated care, including ongoing care management.
Topics: Health, Low-income, Medicaid / Medicare, Research
Shared by Housing Is
on Mar 18, 2019
Patient Experiences with Chronic Care Management Services Fees: A Qualitative Study
Research
Feb 1, 2019
As of 2015, the Centers for Medicare & Medicaid Services (CMS) pays for chronic care management (CCM) services for Medicare beneficiaries with two or more chronic conditions.
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Community:
Nov 19, 2018
With persistent concerns about health care expenditures, the health care field has recognized a group of patients known as super utilizers—people with complex health needs and socioeconomic challenges who have very high levels of hospital use. A well-publicized team-based care management model to address the needs of these patients is the hotspotting model pioneered by the Camden Coalition of Healthcare Providers in New Jersey, first brought to national attention by an article in the New Yorker in 2011. So far, interest in programs to help super utilizers has outpaced the available evidence on their effectiveness.
Topics: Health, Low-income, Medicaid / Medicare, Research
Shared by Housing Is
on Mar 18, 2019
High-Intensity Care Management Program Shows Promise for Reducing Hospital Use and Spending for Super Utilizers
Research
Nov 19, 2018
With persistent concerns about health care expenditures, the health care field has recognized a group of patients known as super utilizers—people with complex health needs and socioeconomic challenges who have very high levels of hospital use.
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Community:
Mar 8, 2019
The number of kids enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) — two government health plans for the poor — fell by nearly 600,000 in the first 11 months of 2018, a precipitous drop that has puzzled and alarmed many health policy analysts, while several states say it reflects the good news of an improving economy.
Topics: Affordable Care Act, Child welfare, Early childhood, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Research, Youth
Shared by Housing Is
on Mar 8, 2019
Child Enrollment in Public Health Programs Fell by 600K Last Year
Research
Mar 8, 2019
The number of kids enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) — two government health plans for the poor — fell by nearly 600,000 in the first 11 months of 2018, a precipitous drop that has puzzled and alarmed many health policy analysts, while several states say it refl
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Community:
Nov 22, 2018
Improved access to health insurance contributed to reducing worry and stress associated with paying rent/mortgage or purchasing meals among low-income people. Expanding health insurance access may have contributed to increasing the disposable income of low income groups.
Topics: Affordable Care Act, Health, Housing, Low-income, Medicaid / Medicare, Mental health, Research, Stability
Shared by Mica O'Brien
on Mar 7, 2019
Spillover benefit of improved access to healthcare on reducing worry about housing and meal affordability
Research
Nov 22, 2018
Improved access to health insurance contributed to reducing worry and stress associated with paying rent/mortgage or purchasing meals among low-income people. Expanding health insurance access may have contributed to increasing the disposable income of low income groups.
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Community:
Feb 19, 2019
Integrating health care data with data from other sectors helps address the holistic needs of individual patients while informing the development of population-level programs and policies that can improve outcomes, both in health care and other sectors. This paper provides guidance for those in non-health care sectors (e.g. housing, social services, community-based organizations) on effectively engaging and advancing conversations with health care stakeholders about collaborating to share data, focusing on the specific stakeholder of hospitals/health systems.
Topics: Health, Housing, Low-income, Medicaid / Medicare, Partnerships
Shared by Mica O'Brien
on Feb 20, 2019
Health Care: Unlocking the Value of Data Sharing
Report
Feb 19, 2019
Integrating health care data with data from other sectors helps address the holistic needs of individual patients while informing the development of population-level programs and policies that can improve outcomes, both in health care and other sectors.
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Community:
Feb 19, 2019
A glossary for the emerging Democratic health care debate.
Topics: Health, Legislation & Policy, Low-income, Medicaid / Medicare, Seniors
Shared by Mica O'Brien
on Feb 19, 2019
The Difference Between a 'Public Option' and 'Medicare for All'? Let's Define Our Terms
News Article
Feb 19, 2019
A glossary for the emerging Democratic health care debate.
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Community:
Feb 1, 2019
While there are many examples of small-scale programs that have integrated care and financing for Medicare-Medicaid eligible individuals, implementation at large scale has been elusive, often limited by concerns that savings will not materialize. The Medicare-Medicaid Coordination Office with its Financial Alignment Demonstration was specifically created to allow states to step forward and develop models that could substantially improve care for beneficiaries while delivering savings to states and the federal programs.We are now six years into this audacious set of pilots, which involve 12 states and nearly 440,000 people.
Topics: Health, Legislation & Policy, Low-income, Medicaid / Medicare, Research
Shared by Mica O'Brien
on Feb 7, 2019
Integrating Medicare and Medicaid: Success to Date, Lessons Learned, and the Road Ahead
Publication
Feb 1, 2019
While there are many examples of small-scale programs that have integrated care and financing for Medicare-Medicaid eligible individuals, implementation at large scale has been elusive, often limited by concerns that savings will not materialize.
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Community:
Jan 18, 2019
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: Health, Housing, Low-income, Medicaid / Medicare, Partnerships, Place-based
Shared by Mica O'Brien
on Feb 7, 2019
A Trailblazing Partnership Between Housers and Healthcare Providers
Publication
Jan 18, 2019
The State of Arizona’s Medicaid agency (AHCCCS) recognizes the vital importance of safe, decent and affordable housing to health.
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Community:
Jan 30, 2019
Medicaid helps low-income seniors, children, people with disabilities, and families get needed health care. Medicaid coverage improves families’ financial security by protecting them from medical debt and helping them stay healthy for work. Medicaid coverage also has long-term health, educational, and financial benefits for children. Click on the map to learn more about Medicaid’s contributions to your state.
Topics: Child welfare, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Research
Shared by Housing Is
on Jan 30, 2019
Medicaid Works for Low-Income Families and Individuals in Your State
Interactive
Jan 30, 2019
Medicaid helps low-income seniors, children, people with disabilities, and families get needed health care. Medicaid coverage improves families’ financial security by protecting them from medical debt and helping them stay healthy for work.
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Community:
Jan 25, 2019
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
Shared by Housing Is
on Jan 25, 2019
The Health 202: Policymakers are realizing health is about a lot more than just care
News Article
Jan 25, 2019
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.
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Community:
Mar 1, 2018
Medicaid coverage reduced the prevalence of undiagnosed depression by almost 50% and untreated depression by more than 60%. It increased use of medications and reduced the share of respondents reporting unmet mental health care needs by almost 40%.
Topics: Depression, Low-income, Medicaid / Medicare, Mental health, Metrics, Pacific Northwest, Research
Shared by Mica O'Brien
on Jan 24, 2019
The Effect of Medicaid on Management of Depression: Evidence From the Oregon Health Insurance Experiment
Research
Mar 1, 2018
Medicaid coverage reduced the prevalence of undiagnosed depression by almost 50% and untreated depression by more than 60%. It increased use of medications and reduced the share of respondents reporting unmet mental health care needs by almost 40%.
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Community:
Jun 15, 2018
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
Shared by Mica O'Brien
on Jan 22, 2019
New policies adopted on segregation, homelessness
Publication
Jun 15, 2018
Delegates at the 2018 American Medical Association Annual Meeting in Chicago adopted several policies intended to alleviate chronic homelessness and racial housing segregation
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Community:
Jan 18, 2019
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
Shared by Housing Is
on Jan 22, 2019
A Trailblazing Partnership Between Housers and Healthcare Providers
News Article
Jan 18, 2019
The State of Arizona’s Medicaid agency (AHCCCS) recognizes the vital importance of safe, decent and affordable housing to health.
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Community:
Dec 27, 2018
The nation’s public housing authorities are seeking closer links to health insurers and medical care providers to address social determinants of health.
Topics: CLPHA, Funding, Health, Housing, Low-income, Medicaid / Medicare, Partnerships, Place-based, Research
Shared by Mica O'Brien
on Jan 7, 2019
Public Housing Authorities Seek Closer Ties to Health Insurers
News Article
Dec 27, 2018
The nation’s public housing authorities are seeking closer links to health insurers and medical care providers to address social determinants of health.
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Community:
Dec 6, 2018
The Denver Housing Authority (DHA) wins a 2017 Award of Excellence in Client and Resident Services for creating the Health Navigators (HN) program, which provides mental health education, resources, and doctor referrals.
Topics: Disabilities, Health, Housing, Low-income, Medicaid / Medicare, Mental health, Partnerships, Place-based, Seniors
Shared by Mica O'Brien
on Dec 21, 2018
Tackling Mental Health
Case study
Dec 6, 2018
The Denver Housing Authority (DHA) wins a 2017 Award of Excellence in Client and Resident Services for creating the Health Navigators (HN) program, which provides mental health education, resources, and doctor referrals.
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Community:
Dec 1, 2018
The conditions in which people live, learn, work, and play affect health in myriad ways. State Medicaid agencies are increasingly exploring opportunities to address these social determinants of health (SDOH) in an effort to provide more efficient care and improve health outcomes. As states begin to support these efforts, they are thinking strategically about how best to align SDOH-related activities with other reforms — such as value-based purchasing, care transformation, and the development of cross-sector partnerships.
Topics: Health, Low-income, Medicaid / Medicare
Shared by Housing Is
on Dec 19, 2018
Addressing Social Determinants of Health via Medicaid Managed Care Contracts and Section 1115 Demonstrations
Report
Dec 1, 2018
The conditions in which people live, learn, work, and play affect health in myriad ways. State Medicaid agencies are increasingly exploring opportunities to address these social determinants of health (SDOH) in an effort to provide more efficient care and improve health outcomes.