Hallmarks of a Person-First Health System
Report
Dec 6, 2023
Developed by listening to our community, the Alliance has compiled seven hallmarks that make up a person-first health system.
0
0
0
Community:
Dec 6, 2023
Developed by listening to our community, the Alliance has compiled seven hallmarks that make up a person-first health system.
Topics: Advocacy, Community development, Health, Healthy homes, Medicaid / Medicare
Shared by Molli Caite Hughes
on Dec 6, 2023
0
0
0
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.
0
0
0
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.
0
0
0
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.
0
0
0
Community:
Strengthening primary care is critical to promoting health and reducing costs in the United States. Comprehensive Primary Care Plus, or CPC+, is an advanced alternative payment model for primary care that builds on the foundation of the Comprehensive Primary Care initiative, implemented by the Center for Medicare & Medicaid Innovation from 2012 through 2016. The evaluation is assessing whether CPC+ achieves improved quality, reduced expenditures, and better health for Medicare and Medicaid beneficiaries in thousands of primary care practices using a mixed methods study. We are analyzing claims data; survey and qualitative interviews with patients, primary care practitioners, practice staff, practices, and payers; and program data.
Topics: Health, Medicaid / Medicare, Research
Shared by Housing Is
on Mar 18, 2019
Evaluating the Nation's Largest Primary Care Delivery Initiative
Research
Strengthening primary care is critical to promoting health and reducing costs in the United States.
0
0
0
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
0
0
0
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.
0
0
0
Community:
Sep 4, 2018
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
Shared by Mica O'Brien
on Feb 20, 2019
Unlocking the Value of Data Sharing Series: A Look Across Five Sectors
Report
Sep 4, 2018
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.
0
0
0
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.
0
0
0
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%.
0
0
0
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.
0
0
0
Community:
May 1, 2018
Housing and health systems need to work together. Public housing authorities (PHAs) are significant providers of housing to those in need, offering the health sector scale and expertise. Little was known about how PHAs worked with the health sector writ large. With a national survey, we found that PHAs across the country are engaged in a wide range of partnerships with different health organizations that address various target populations and health priorities. Barriers to housing-health collaboration, such as funding and staffing capacity, can be overcome with cross-system partnerships that seek to address these needs.
Topics: Child welfare, Funding, Health, Housing, Low-income, Medicaid / Medicare, Partnerships, Preventative care, Research, Seniors, Smoke-free
Shared by Housing Is
on Dec 19, 2018
Health Starts at Home: A National Snapshot of Public Housing Authorities' Health Partnerships
Report
May 1, 2018
Housing and health systems need to work together. Public housing authorities (PHAs) are significant providers of housing to those in need, offering the health sector scale and expertise. Little was known about how PHAs worked with the health sector writ large.
0
0
0
Community:
Oct 17, 2018
Prioritizing young children in Medicaid through cross-sector, innovative practice change has the potential to improve their lifetime trajectories, overall population health and long-run savings.
Topics: Child welfare, Early childhood, Health, Low-income, Medicaid / Medicare, Research
Shared by Mica O'Brien
on Dec 13, 2018
Promoting Young Children's Healthy Development in Medicaid and CHIP
Report
Oct 17, 2018
Prioritizing young children in Medicaid through cross-sector, innovative practice change has the potential to improve their lifetime trajectories, overall population health and long-run savings.
0
0
0
Community:
Oct 1, 2018
Studies have consistently documented high rates of obesity and tobacco use among individuals with serious mental illness. In recent years, Medicaid programs have enrolled individuals with serious mental illness into managed care plans, which are responsible for ensuring that their members receive preventive care. Despite the movement to managed care, not much is known about whether this population receives routine screening and follow-up care for common comorbid health conditions and health behaviors.
Topics: Disabilities, Health, Low-income, Medicaid / Medicare, Mental health, Preventative care, Research
Shared by Mica O'Brien
on Nov 16, 2018
Health Screening and Follow-Up Care Among Medicaid Beneficiaries with Serious Mental Illness Enrolled in Managed Care Plans
Report
Oct 1, 2018
Studies have consistently documented high rates of obesity and tobacco use among individuals with serious mental illness.
0
0
0
Community:
Nov 5, 2018
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
Shared by Mica O'Brien
on Nov 5, 2018
New evidence shows the safety net reduces Americans' material hardship by 48 percent
Research
Nov 5, 2018
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 w
0
0
0
Community:
Oct 24, 2018
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
Shared by Mica O'Brien
on Oct 24, 2018
Housing Is Fall 2018 Update
Report
Oct 24, 2018
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.
0
0
0
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
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
Neighborhoods where insecure housing overlaps with higher rates of emergency department use may be promising areas for interventions under Medicaid value-based payment
0
0
0
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.
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
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.
0
0
0
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.
Topics: Affordable Care Act, Data sharing, Funding, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Partnerships
Shared by Housing Is
on Aug 9, 2018
A National Insurer Goes Local: Emerging Strategies for Integrating Health and Housing
Report
Aug 9, 2018
UnitedHealthcare provides health insurance benefits to more than 40 million people across the country.
0
0
0
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.
Topics: Asset building, Health, Housing, Medicaid / Medicare, Seniors
Shared by Housing Is
on Aug 9, 2018
Housing , Health, and Annuities
Research
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.
0
0
0
Community:
Aug 1, 2018
Work requirements in public housing are highly controversial, and
little is known about their impacts. We examined how implementation of a work requirement paired with supportive services by Charlotte Housing Authority has impacted residents’ overall well-being. Although the policy might improve well-being
by increasing household income, it might also engender stress through greater housing precarity.
Topics: Depression, Disabilities, Education, Food insecurity, Health, Housing, Low-income, Medicaid / Medicare, Mental health, Metrics, MTW, Partnerships, Racial inequalities, Research, South, Workforce development
Shared by Housing Is
on Aug 1, 2018
Work Requirements and Well-Being in Public Housing
Research
Aug 1, 2018
Work requirements in public housing are highly controversial, and
little is known about their impacts. We examined how implementation of a work requirement paired with supportive services by Charlotte Housing Authority has impacted residents’ overall well-being.
0
0
0
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.
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.
0
0
0
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.
Topics: Data sharing, Funding, Health, Medicaid / Medicare, Metrics, Nutrition, Partnerships, Place-based, Research
Shared by Housing Is
on Jul 27, 2018
Using Social Determinants of Health Data to Improve Health Care and Health: A Learning Report
Report
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.
0
0
0
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.
Topics: Affordable Care Act, Funding, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships
Shared by Housing Is
on Jul 23, 2018
Report: State Policy Capacity and Leadership for Health Reform
Report
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.
0
0
0
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
Topics: Affordable Care Act, Funding, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Research
Shared by Housing Is
on Jul 23, 2018
Executive Summary: State Policy Capacity and Leadership for Health Reform
Report
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.