Found 162 resources.
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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
Shared by Housing Is
on Aug 9, 2018 0
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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
Shared by Housing Is
on Aug 9, 2018 0
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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
Shared by Housing Is
on Aug 9, 2018 0
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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
Shared by Housing Is
on Aug 9, 2018 0
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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
Shared by Housing Is
on Aug 9, 2018 0
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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
Shared by Housing Is
on Aug 9, 2018 0
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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
Shared by Housing Is
on Aug 9, 2018 0
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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 0
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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
Shared by Housing Is
on Aug 1, 2018 0
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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
Shared by Housing Is
on Jul 27, 2018 0
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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
Shared by Housing Is
on Jul 27, 2018 0
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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
Shared by Housing Is
on Jul 27, 2018 0
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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
Shared by Housing Is
on Jul 23, 2018 0
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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
Shared by Housing Is
on Jul 23, 2018 0
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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
Shared by Housing Is
on Jul 23, 2018 0
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FAQs regarding MAGI rules (2013)
Topics: Medicaid / Medicare
Shared by Housing Is
on Jul 23, 2018 0
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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
Shared by Housing Is
on Jul 23, 2018 0
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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
Shared by Housing Is
on Jul 23, 2018 0
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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
Shared by Housing Is
on Jul 23, 2018 0
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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
Shared by Housing Is
on Jul 23, 2018 0
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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
Shared by Housing Is
on Jul 20, 2018 0
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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
Shared by Housing Is
on Jul 20, 2018 0
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While links between housing deficiencies and health conditions are well substantiated, research evaluating the health benefits of specific interventions has been limited. There is, however, some evidence that multifaceted interventions may lead to improvements in health of children and families, as well as to reduced use of medical services.
Topics: Community development, Funding, Health, Healthy homes, Medicaid / Medicare, Seniors
Shared by Housing Is
on Jul 19, 2018 0
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In December 2016, federal and state policymakers examined health and housing issues at a meeting convened in Washington, D.C., by the National Academy for State Health Policy (NASHP) with support from The Commonwealth Fund. The goal of the meeting was to identify concrete policy recommendations and actionable steps to align health and housing programs to ensure that people with high service needs receive the housing and supportive services they need to become and stay healthy. This report summarizes their findings and recommendations
Topics: Data sharing, Disabilities, Health, Homelessness, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Supportive housing
Shared by Housing Is
on Jul 19, 2018 0
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Issue Brief: Special Populations Enrolled in Demonstrations under the Financial Alignment Initiative
This Issue Brief provides an update on the beneficiary experience in the first two demonstrations that were implemented as part of the Centers for Medicare & Medicaid Services (CMS) Financial Alignment Initiative to test integrated care and financing models for Medicare-Medicaid enrollees. The Washington Health Homes MFFS demonstration, a managed fee-forservice model demonstration, and the Massachusetts One Care demonstration, a capitated model demonstration, began operations on July 1st and October 1st of 2013, respectively.
For the purposes of this report, special populations...
Topics: East Coast, Health, Healthy homes, Immigrants, Low-income, Medicaid / Medicare, Pacific Northwest, Partnerships, Racial inequalities, Research
Shared by Housing Is
on Jul 18, 2018