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THRIVE FROM THE START

Every infant and toddler deserves a safe, stable, and nurturing start in life. That’s why Housing Is has joined forces with  Prevent Child Abuse America, SchoolHouse Connection, and ZERO TO THREE to launch Thrive From The Start—a cross-sector effort dedicated to addressing homelessness among infants, toddlers, and expectant parents. Visit thrivefromthestart.org to learn more and explore how you can be a part of the solution. 

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Housing Is Working Group 2024-2025 Calendar

Join the Housing Is Working Group to discuss special topics related to cross-sector initiatives and programmatic considerations particularly focused on the intersections of housing, health, and education.

This year’s public webinars cover topics such as child welfare and housing, leveraging Medicaid resources for housing services, out-of-school time, and digital connectivity in a post-ACP world. 

View Calendar
 
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Report
Community:
Jul 26, 2018
Neighborhoods where insecure housing overlaps with higher rates of emergency department use may be promising areas for interventions under Medicaid value-based payment

Authored by: United Hospital Fund
Topics: East Coast, Health, Housing, Low-income, Medicaid / Medicare, Partnerships, Stability
Shared by Mica O'Brien on Oct 10, 2018

New Report Identifies NYC Neighborhoods Where Medicaid Might Better Support Members’ Health by Addressing Housing Insecurity

Report
Jul 26, 2018
United Hospital Fund
Neighborhoods where insecure housing overlaps with higher rates of emergency department use may be promising areas for interventions under Medicaid value-based payment
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Webinar
Community:
Sep 26, 2018
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 with members of CCH’s leadership complements our recent policy brief and included time for audience Q&A.

Authored by: National Health Care for the Homeless Council
Topics: Health, Homelessness, Low-income, Medicaid / Medicare, Mental health, Pacific Northwest, Place-based, Supportive housing
Shared by Mica O'Brien on Oct 9, 2018
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Research
Community:
Oct 3, 2018
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.

Authored by: Urban Institute
Topics: Asthma, Child welfare, Depression, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Metrics, Pre-natal, Research
Shared by Mica O'Brien on Oct 4, 2018

Early Detection and Intervention Could Improve Health Outcomes for Homeless Families

Research
Oct 3, 2018
Urban Institute
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.
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Policy Brief
Community:
Aug 9, 2018
Partnerships between medicaid and supportive housing providers

Authored by:
Topics: Cost effectiveness, Funding, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Supportive housing
Shared by Housing Is on Aug 9, 2018
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Report
Community:
Aug 9, 2018
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 the housing needs of underserved populations into its strategic priorities for investment and programming.

Authored by:
Topics: Affordable Care Act, Data sharing, Funding, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Partnerships
Shared by Housing Is on Aug 9, 2018
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Publication
Community:
Aug 9, 2018
Introduction to supportive housing and notes from the field

Authored by:
Topics: Health, Housing, Low-income, Medicaid / Medicare, Mental health, Partnerships, Supportive housing
Shared by Housing Is on Aug 9, 2018
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Policy Brief
Community:
Aug 9, 2018
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 traditional health care.

Authored by:
Topics: Funding, Health, Housing, Low-income, Medicaid / Medicare, Partnerships
Shared by Housing Is on Aug 9, 2018

Why Does a Health Care Company Care about Housing? Understanding the Intersection of Housing and Healthcare

Policy Brief
Aug 9, 2018
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.
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Policy Brief
Community:
Aug 9, 2018
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.

Authored by:
Topics: Cost effectiveness, Disabilities, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Mental health, Place-based, Seniors, Supportive housing
Shared by Housing Is on Aug 9, 2018
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Research
Community:
Aug 9, 2018
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 destructive, particularly in combination.

Authored by:
Topics: Asset building, Health, Housing, Medicaid / Medicare, Seniors
Shared by Housing Is on Aug 9, 2018
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Policy Brief
Community:
Aug 9, 2018
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.

Authored by:
Topics: Affordable Care Act, Disabilities, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Mental health, Partnerships, Place-based, Substance abuse, Supportive housing
Shared by Housing Is on Aug 9, 2018
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Case study
Community:
Aug 9, 2018
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.

Authored by:
Topics: Affordable Care Act, Cost effectiveness, Health, Low-income, Medicaid / Medicare, Mental health, Metrics, Partnerships, Research
Shared by Housing Is on Aug 9, 2018

Hennepin Health: A Safety-Net Accountable Care Organization for the Expanded Medicaid Population

Case study
Aug 9, 2018
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 org
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Research
Community:
Aug 1, 2018
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.

Authored by:
Topics: Cost effectiveness, Dual-eligibles, East Coast, Health, Home visiting, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Metrics, Seniors
Shared by Housing Is on Aug 1, 2018

The Impact of the Vermont Support and Services at Home Program on Healthcare Expenditures

Research
Aug 1, 2018
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.
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Report
Community:
Jul 27, 2018
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.

Authored by:
Topics: Data sharing, Funding, Health, Medicaid / Medicare, Metrics, Nutrition, Partnerships, Place-based, Research
Shared by Housing Is on Jul 27, 2018
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Publication
Community:
Jul 27, 2018
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.

Authored by:
Topics: Affordable Care Act, Cost effectiveness, Depression, Funding, Health, Housing, Medicaid / Medicare, Mental health, Nutrition, Substance abuse, Supportive housing, Workforce development
Shared by Housing Is on Jul 27, 2018

Medicaid Managed Care for Members with mental Health Conditions and/or Substance Use Disorders: Connecting Members to Social Supports

Publication
Jul 27, 2018
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 li
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Publication
Community:
Jul 27, 2018
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.

Authored by:
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
Shared by Housing Is on Jul 27, 2018

A Primer on Using Medicaid for People Experiencing Chronic Homelessness and Tenants in Permanent Supportive Housing

Publication
Jul 27, 2018
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.
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Publication
Community:
Jul 23, 2018
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.

Authored by:
Topics: Funding, Low-income, Medicaid / Medicare, Partnerships
Shared by Housing Is on Jul 23, 2018

Value Based Payment Reform in New York State: A Proposal to align Medicare's and NYS Medicaid's Reforms

Publication
Jul 23, 2018
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.
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Publication
Community:
Jul 23, 2018
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.

Authored by:
Topics: Cost effectiveness, Criminal justice, Disabilities, Domestic violence, Foster care, Funding, Homelessness, Housing, Medicaid / Medicare, Mental health, Substance abuse, Supportive housing, Youth
Shared by Housing Is on Jul 23, 2018

Empire State Supportive Housing Initiative: Inter-Agency Service and Operating Funding Opportunity Request for Proposals (2016)

Publication
Jul 23, 2018
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.
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Case study
Community:
Jul 23, 2018
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.

Authored by:
Topics: Cost effectiveness, East Coast, Health, Homelessness, Housing, Legislation & Policy, Medicaid / Medicare, Place-based, Supportive housing
Shared by Housing Is on Jul 23, 2018
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Publication
Community:
Jul 23, 2018
FAQs regarding MAGI rules (2013)

Authored by:
Topics: Medicaid / Medicare
Shared by Housing Is on Jul 23, 2018
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Report
Community:
Jul 23, 2018
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.

Authored by:
Topics: Affordable Care Act, Funding, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships
Shared by Housing Is on Jul 23, 2018
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Report
Community:
Jul 23, 2018
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

Authored by:
Topics: Affordable Care Act, Funding, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Research
Shared by Housing Is on Jul 23, 2018
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Report
Community:
Jul 23, 2018
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 one of the state’s Medicaid ACOs. This  set of profiles can help inform Medicaid ACO development in other  states.

Authored by:
Topics: Cost effectiveness, Data sharing, Health, Low-income, Medicaid / Medicare, Metrics
Shared by Housing Is on Jul 23, 2018

Medicaid Accountable Care Organization Programs: State Profiles

Report
Jul 23, 2018
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
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Publication
Community:
Jul 23, 2018
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 brief also highlights payment methodologies designed to influence providers to incorporate social services into their care efforts, with a focus on moving away from fee‐for‐service and toward value based payment strategies like global budgets.

Authored by:
Topics: Cost effectiveness, Funding, Health, Medicaid / Medicare, Partnerships, Supportive housing
Shared by Housing Is on Jul 23, 2018
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Report
Community:
Jul 20, 2018
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 problems.

Authored by:
Topics: Cost effectiveness, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Supportive housing
Shared by Housing Is on Jul 20, 2018
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Policy Brief
Community:
Jul 20, 2018
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.

Authored by:
Topics: Affordable Care Act, Health, Homelessness, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships
Shared by Housing Is on Jul 20, 2018

Affordable Housing's Place in Health Care: Opportunities Created by the Affordable Care Act and Medicaid Reform

Policy Brief
Jul 20, 2018
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 indiv