Found 37 resources.
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The unwinding of the Medicaid continuous coverage requirement represents the largest nationwide coverage transition since the Affordable Care Act, with significant health equity implications. As states restart eligibility redeterminations, millions of Medicaid enrollees will be at risk of losing their coverage with some portion exiting because they are no longer eligible, some losing coverage due to administrative challenges despite continued eligibility, and some transitioning to another source of coverage. Given the intense focus on coverage transitions during the unwinding, some states...
Topics: Affordable Care Act, Data sharing, Medicaid / Medicare

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Adequate, safe, and affordable housing is one of our most basic needs. But in the US, access to housing is not guaranteed. Demand for affordable housing is growing, especially as housing costs increase beyond wage growth in many communities. Hospitals and health systems are stepping in to help fill this gap. Because of their mission orientation, the importance of stable housing on health outcomes, and policy changes initiated by the Affordable Care Act, hospitals and health systems are increasingly investing in and supporting the creation of affordable housing in their communities.
Topics: Affordable Care Act, Community development, Health, Housing, Low-income

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High-need, high-cost (HNHC) individuals are defined as people of all ages living with clinically complex needs and functional limitations who also incur high health care costs or are likely to do so in the near future. Despite frequent contact with the health care system and substantial medical spending, the physical, social, and behavioral health needs of these individuals often remain unmet due to uncoordinated and fragmented care. Studies suggest that HNHC individuals could benefit from a more holistic approach that coordinates the care they receive and addresses their unmet social needs....
Topics: Affordable Care Act, Disabilities, Health, Research, Seniors

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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
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Kaiser is investing $200 million in low-interest loans for affordable housing nationwide. This may be part of a growing national trend of health maintenance organizations investing in housing to improve community health. In Phoenix, United Healthcare lent money to a community development corporation, Chicanos Por La Causa, to purchase apartment complexes for Medicaid recipients. In Chicago, the University of Illinois Hospital helps to find permanent housing for homeless people who regularly present at its emergency department.
Topics: Affordable Care Act, Community development, Health, Homelessness, Housing, Low-income, Partnerships, West Coast
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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

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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
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In response to the heightened interest in the relationship between work and the health of individuals and communities, CMCS has clarified that Medicaid funds cannot be used to pay beneficiaries’ wages, but can pay for employment counseling as an optional benefit—to help people get jobs. Years of experience with work requirements for the Supplemental Nutrition Assistance Program, Aid to Families with Dependent Children, and populations with disabilities have developed the evidence for what is needed to help different populations find and keep jobs.
Topics: Affordable Care Act, Disabilities, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Research, Stability, Workforce development
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Health and reentry are closely related, and chronic medical, mental health, and substance use problems make it harder for newly released people to seek employment, obtain housing, and avoid reincarceration. Compared with the general population, justice-involved people tend to be in poorer health and need access to physical and behavioral health services, as well as the know-how and motivation to get care.
Topics: Affordable Care Act, Criminal justice, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Research, Stability
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As the Trump Administration continues to encourage states to take Medicaid coverage away from people who don’t meet a work requirement, a new report describes Montana’s promising alternative: a workforce promotion program that targets state resources toward reducing barriers to work.
Topics: Affordable Care Act, Asset building, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Research, Workforce development

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Some seniors and people with disabilities receiving home- and community-based services (HCBS) could lose their Medicaid eligibility and have to go into nursing homes to get needed care if Congress adjourns without extending “spousal impoverishment” protections that are set to expire on December 31.
Topics: Affordable Care Act, Disabilities, Legislation & Policy, Medicaid / Medicare, Seniors
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The uninsured rate among children rose in 2017 from 4.7 percent to 5 percent, a new report from Georgetown University’s Center for Children and Families finds — the first increase since Georgetown began producing this annual report a decade ago.
Topics: Affordable Care Act, Child welfare, Health, Low-income, Medicaid / Medicare, Research
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For providers in the Supportive Housing arena, it is no secret that the road to recovery begins with housing. However, this fact has not always been recognized by major healthcare entities, like Medicaid. Thankfully, this mindset is changing and Supportive Housing organizations now have the ability to cover many of their services via Medicaid. Since the rules and requirements vary tremendously state-to-state, many providers feel overwhelmed with the documentation required to bill Medicaid.
During this session, Foothold Technology and experts from various states across the country,...
Topics: Affordable Care Act, Dual-eligibles, Health, Low-income, Medicaid / Medicare, Supportive housing
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In the first session of this series, Foothold Technology Director of Client Services, Paul Rossi and Senior Advisor, David Bucciferro, along with Sue Augustus from CSH, bring us back to basics of all things Medicaid. They cover topics ranging in commonly used terms, coverage and eligibility and the differences between Medicaid and Medicare. This webinar series is designed for beginners and experts alike. Beginners will walk away with a strong foundation and experts will have the opportunity to contribute to the conversation.
Topics: Affordable Care Act, Disabilities, Health, Low-income, Medicaid / Medicare
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The new opioid legislation—the Substance Use-Disorder Prevention That Promotes Opioid Recovery and Treatment for Patients and Communities Act (the SUPPORT Act)—signed into law on October 24 includes targeted expansions in treatment, including provisions that provide funding or flexibility to states to expand access to treatment for substance use disorders (SUD), including opioid use disorder (OUD), and health care more generally in Medicaid and Medicare.
Topics: Affordable Care Act, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Safety, Substance abuse
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A children’s hospital in Columbus, Ohio, is trying to treat a difficult patient: Its own struggling neighborhood.
Topics: Affordable Care Act, Child welfare, Health, Housing, Low-income, Midwest, Partnerships
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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

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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

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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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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

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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

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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

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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

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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

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The link between federal housing policy and public health has been understood since the nineteenth century, when housing activists first sought to abolish slums and create healthful environments. This article describes how the Obama administration—building on these efforts and those that followed, including the Great Society programs of President Lyndon Johnson—has adopted a cross-sector approach that takes health considerations into account when formulating housing and community development policy. The federal Department of Housing and Urban Development fully embraces this “health in all...
Topics: Affordable Care Act, Community development, Disabilities, Health, Healthy homes, Housing, Legislation & Policy, Low-income, Mobility, Partnerships, Place-based, RAD, Research
