Found 20 resources.
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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 0
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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...
Topics: Dual-eligibles, Funding, Health, Low-income, Medicaid / Medicare, Research, Seniors
Shared by Housing Is
on Apr 24, 2019 0
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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
Shared by Mica O'Brien
on Apr 11, 2019 0
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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,...
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 0
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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...
Topics: Health, Legislation & Policy, Low-income, Medicaid / Medicare, Research
Shared by Mica O'Brien
on Feb 7, 2019 0
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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 0
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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 0
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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
Shared by Mica O'Brien
on Dec 17, 2018 0
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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
Shared by Mica O'Brien
on Dec 14, 2018 0
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Using a two-generation (2Gen) framework, Medicaid can be designed to support the social capital, health and well-being, educational attainment, and economic security of children and families, together, so they can maximize their health and thrive. This checklist outlines specific Medicaid policies and design choices adopted in Colorado to implement a 2Gen approach to improve the lives of children and families.
Topics: Dual-generation, Early childhood, Family engagement, Health, Low-income, Medicaid / Medicare
Shared by Mica O'Brien
on Dec 13, 2018 0
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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
Shared by Mica O'Brien
on Nov 30, 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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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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This paper offers strategic guidance in building, assessing and/or strengthening various types of partnerships between Health Center Program Grantees, behavioral health providers and supportive housing providers. Whether you represent one of these types of organizations or you are merely curious about health and housing partnerships, you can use this guide as your roadmap.
Topics: Data sharing, Dual-eligibles, Health, Low-income, Medicaid / Medicare, Partnerships, Supportive housing
Shared by Housing Is
on Jul 13, 2018 0
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Recognizing the layers to developing a health and housing partnership, this Literature Review and Resource Bank is intended to provide background and data resources that can be used in grant applications or in conversations with potential funders in the effort to foster new health and supportive housing partnerships.
Topics: Cost effectiveness, Criminal justice, Data sharing, Dual-eligibles, Funding, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Mental health, Partnerships, Post-secondary, Preventative care, Research, Seniors, Substance abuse, Supportive housing, Youth
Shared by Housing Is
on Jul 13, 2018 0
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Topics: CLPHA, Data sharing, Health, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Preventative care, Research
Shared by Housing Is
on Jul 13, 2018 0
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This brief aims to bring attention to non-Medicaid funding sources that states could potentially blend or braid to address social determinants of health and other needs that are not typically covered by Medicaid. It is intended to familiarize state Medicaid, public health, and other state policymakers with the funding streams of other agencies, and sketch out a continuum of options to help states coordinate funding to better serve the needs of low-income populations. Because this brief focuses on services for adult Medicaid beneficiaries, it does not address many of the funding sources...
Topics: Cost effectiveness, Data sharing, Dual-eligibles, Food insecurity, Funding, Health, Homelessness, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Mental health, Partnerships, Research, Substance abuse
Shared by Housing Is
on Jul 12, 2018 0
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This report examines four specific aspects of the challenge before us:
• The need for a much greater supply of homes affordable to our nation’s lowest-income seniors.
• The importance of transforming homes and communities so that seniors can age with options, a desire shared by the overwhelming majority of older adults.
• The imperative to better integrate health care and supportive services with housing, recognizing that this integration has the potential to improve health outcomes for seniors and reduce the costs borne by the health care system.
• The need to deploy technologies on a far...
Topics: Cost effectiveness, Funding, Health, Home visiting, Homelessness, Housing, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Place-based, Preventative care, Seniors, Supportive housing
Shared by Housing Is
on Jul 12, 2018 0
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Working Together to Meet Unmet Housing and Healthcare Needs
Topics: Affordable Care Act, Data sharing, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Mental health, Partnerships, Stability, Substance abuse, Supportive housing
Shared by Housing Is
on Jul 10, 2018