Found 45 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 Housing and Medicaid Services Pilot Program in Indianapolis, also known as the Blue Triangle Housing Program, is a collaboration that includes Anthem, the City of Indianapolis, a non-profit housing organization, and a community mental health center (CMHC).
Topics: Health, Housing, Medicaid / Medicare, Midwest, Partnerships, Supportive housing
Shared by Housing Is
on Apr 4, 2019 0
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Emerging health care financing models require much more sophisticated actuarial calculations than previous payment arrangements, often taking into account risk factors such as homelessness. Homelessness also has direct implications for clinical treatment decisions and integrated care models and should be noted in individual patient records. This policy brief provides a rationale for using the ICD-10-CM code for homelessness, outlines the challenges to maximizing this code, and offers strategies to consider to ensure health care providers ask about homelessness and record patients’ housing...
Topics: Health, Homelessness, Housing, Legislation & Policy, Low-income, Medicaid / Medicare
Shared by Mica O'Brien
on Mar 26, 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 administration has proposed an expansion of the “public charge” rule that would make it more difficult for applicants whom officials deem likely to rely on public assistance to obtain lawful permanent residence (a “green card”) or a temporary visa. Among other changes, the rule would expand public charge determinations to include an applicant’s enrollment in the Medicaid program. Adding Medicaid to the list of public charge benefits that would be considered may force immigrants to choose between health insurance coverage and a future green card—with adverse consequences for parents and...
Topics: Affordable Care Act, Health, Housing, Immigrants, Legislation & Policy, Medicaid / Medicare, Safety
Shared by Mica O'Brien
on Dec 6, 2018 0
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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
Shared by Mica O'Brien
on Dec 3, 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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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
Shared by Mica O'Brien
on Nov 5, 2018 0
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Partnerships between medicaid and supportive housing providers
Topics: Cost effectiveness, Funding, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Supportive housing
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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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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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