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Bridging Health and Temporary Housing Services for Medicaid Members Experiencing Homelessness: Program Impact on Health Care Utilization, Costs, and Well-being
This study assesses the effect of participation in a temporary housing program on health care utilization, health services cost, and overall well-being for Medicaid members experiencing homelessness. Medicaid administrative claims were used in difference-in-differences analyses to compare utilizatio...
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Published in: | Journal of health care for the poor and underserved 2021-11, Vol.32 (4), p.1949-1964 |
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Main Authors: | , , , , , |
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Language: | English |
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cited_by | cdi_FETCH-LOGICAL-c366t-d360a1ec608ce08fc8699aeb375eb36308aacfc0a73c3d1a1ba26778ce398e483 |
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container_end_page | 1964 |
container_issue | 4 |
container_start_page | 1949 |
container_title | Journal of health care for the poor and underserved |
container_volume | 32 |
creator | Gordon, Aliza Liu, Ying Tavitian, Katherine York, Bradley Finnell, S. Maria Agiro, Abiy |
description | This study assesses the effect of participation in a temporary housing program on health care utilization, health services cost, and overall well-being for Medicaid members experiencing homelessness. Medicaid administrative claims were used in difference-in-differences analyses to compare utilization and cost of participants with those of individuals on a waiting list for the program (non-participants). Surveys were used to assess changes in well-being of participants from program entry to exit. Compared with non-participants, program participants had 0.20 fewer emergency department visits (p=.04), and 0.14 more primary care physician visits (p=.01) per person per month following program entry compared with prior to entry; medical costs were not significantly different. Compared with program entry, participants self-reported improved rates of social support at program exit. This study demonstrated the effectiveness of a local public-private partnership in reducing emergency utilization, increasing primary care visits, and improving social support. |
doi_str_mv | 10.1353/hpu.2021.0175 |
format | article |
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Maria ; Agiro, Abiy</creator><creatorcontrib>Gordon, Aliza ; Liu, Ying ; Tavitian, Katherine ; York, Bradley ; Finnell, S. Maria ; Agiro, Abiy</creatorcontrib><description>This study assesses the effect of participation in a temporary housing program on health care utilization, health services cost, and overall well-being for Medicaid members experiencing homelessness. Medicaid administrative claims were used in difference-in-differences analyses to compare utilization and cost of participants with those of individuals on a waiting list for the program (non-participants). Surveys were used to assess changes in well-being of participants from program entry to exit. Compared with non-participants, program participants had 0.20 fewer emergency department visits (p=.04), and 0.14 more primary care physician visits (p=.01) per person per month following program entry compared with prior to entry; medical costs were not significantly different. Compared with program entry, participants self-reported improved rates of social support at program exit. This study demonstrated the effectiveness of a local public-private partnership in reducing emergency utilization, increasing primary care visits, and improving social support.</description><identifier>ISSN: 1049-2089</identifier><identifier>ISSN: 1548-6869</identifier><identifier>EISSN: 1548-6869</identifier><identifier>DOI: 10.1353/hpu.2021.0175</identifier><identifier>PMID: 34803052</identifier><language>eng</language><publisher>United States: Johns Hopkins University Press</publisher><subject>Case management ; Cost analysis ; Costs ; Emergency exits ; Emergency medical services ; Emergency services ; Government programs ; Health care ; Health Care Costs ; Health care expenditures ; Health care policy ; Health services ; Health services utilization ; Homeless people ; Homeless Persons ; Homelessness ; Housing ; Housing costs ; Humans ; Intervention ; Medicaid ; Medicine ; Mental health ; Participation ; Patient Acceptance of Health Care ; Pharmacy ; Primary care ; Primary Health Care ; Public private partnerships ; Social interactions ; Social support ; Temporary housing ; United States ; Utilization ; Visits ; Well being</subject><ispartof>Journal of health care for the poor and underserved, 2021-11, Vol.32 (4), p.1949-1964</ispartof><rights>Copyright © Meharry Medical College.</rights><rights>Copyright Johns Hopkins University Press Nov 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-d360a1ec608ce08fc8699aeb375eb36308aacfc0a73c3d1a1ba26778ce398e483</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2604872691?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,12846,21394,21395,27344,27866,27924,27925,30999,33611,33612,33774,34530,34531,43733,44115</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34803052$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gordon, Aliza</creatorcontrib><creatorcontrib>Liu, Ying</creatorcontrib><creatorcontrib>Tavitian, Katherine</creatorcontrib><creatorcontrib>York, Bradley</creatorcontrib><creatorcontrib>Finnell, S. Maria</creatorcontrib><creatorcontrib>Agiro, Abiy</creatorcontrib><title>Bridging Health and Temporary Housing Services for Medicaid Members Experiencing Homelessness: Program Impact on Health Care Utilization, Costs, and Well-being</title><title>Journal of health care for the poor and underserved</title><addtitle>J Health Care Poor Underserved</addtitle><description>This study assesses the effect of participation in a temporary housing program on health care utilization, health services cost, and overall well-being for Medicaid members experiencing homelessness. Medicaid administrative claims were used in difference-in-differences analyses to compare utilization and cost of participants with those of individuals on a waiting list for the program (non-participants). Surveys were used to assess changes in well-being of participants from program entry to exit. Compared with non-participants, program participants had 0.20 fewer emergency department visits (p=.04), and 0.14 more primary care physician visits (p=.01) per person per month following program entry compared with prior to entry; medical costs were not significantly different. Compared with program entry, participants self-reported improved rates of social support at program exit. This study demonstrated the effectiveness of a local public-private partnership in reducing emergency utilization, increasing primary care visits, and improving social support.</description><subject>Case management</subject><subject>Cost analysis</subject><subject>Costs</subject><subject>Emergency exits</subject><subject>Emergency medical services</subject><subject>Emergency services</subject><subject>Government programs</subject><subject>Health care</subject><subject>Health Care Costs</subject><subject>Health care expenditures</subject><subject>Health care policy</subject><subject>Health services</subject><subject>Health services utilization</subject><subject>Homeless people</subject><subject>Homeless Persons</subject><subject>Homelessness</subject><subject>Housing</subject><subject>Housing costs</subject><subject>Humans</subject><subject>Intervention</subject><subject>Medicaid</subject><subject>Medicine</subject><subject>Mental health</subject><subject>Participation</subject><subject>Patient Acceptance of Health Care</subject><subject>Pharmacy</subject><subject>Primary care</subject><subject>Primary Health Care</subject><subject>Public private partnerships</subject><subject>Social interactions</subject><subject>Social support</subject><subject>Temporary housing</subject><subject>United States</subject><subject>Utilization</subject><subject>Visits</subject><subject>Well being</subject><issn>1049-2089</issn><issn>1548-6869</issn><issn>1548-6869</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><sourceid>ALSLI</sourceid><sourceid>BHHNA</sourceid><sourceid>HEHIP</sourceid><sourceid>M2S</sourceid><recordid>eNpdkU1v1DAQhiMEoh9w5IoscemhWcZ24jjc6KplKxWB1FYcLceZbL2K42AniPJn-Kt1-oXEwfZIfvTOaJ4se0dhRXnJP96M84oBoyugVfki26dlIXMhRf0y1VDUOQNZ72UHMe4AgPOCv872eCGBQ8n2s78nwbZbO2zJBnU_3RA9tOQK3eiDDrdk4-e4fF5i-GUNRtL5QL5ia422bSpcgyGS098jBouDuc_xDnuMcUjnE_ke_DZoR87dqM1E_PDUZ60DkuvJ9vaPnqwfjsnaxyke3w_wA_s-bzDFvcledbqP-PbxPcyuz06v1pv84tuX8_Xni9xwIaa85QI0RSNAGgTZmbSAWmPDqzJdgoPU2nQGdMUNb6mmjWaiqhLMa4mF5IfZ0UPuGPzPGeOknI0mjaEHTDtQTABIVnJaJvTDf-jOz2FI0y1UISsmapqo_IEywccYsFNjsC7tVFFQizmVzKnFnFrMJf79Y-rcOGyf6SdVCSie2-7QTG6O-K-z5BVntbpc9C_2GS0AWPJ9BxWxpes</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Gordon, Aliza</creator><creator>Liu, Ying</creator><creator>Tavitian, Katherine</creator><creator>York, Bradley</creator><creator>Finnell, S. 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Maria ; Agiro, Abiy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-d360a1ec608ce08fc8699aeb375eb36308aacfc0a73c3d1a1ba26778ce398e483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Case management</topic><topic>Cost analysis</topic><topic>Costs</topic><topic>Emergency exits</topic><topic>Emergency medical services</topic><topic>Emergency services</topic><topic>Government programs</topic><topic>Health care</topic><topic>Health Care Costs</topic><topic>Health care expenditures</topic><topic>Health care policy</topic><topic>Health services</topic><topic>Health services utilization</topic><topic>Homeless people</topic><topic>Homeless Persons</topic><topic>Homelessness</topic><topic>Housing</topic><topic>Housing costs</topic><topic>Humans</topic><topic>Intervention</topic><topic>Medicaid</topic><topic>Medicine</topic><topic>Mental health</topic><topic>Participation</topic><topic>Patient Acceptance of Health Care</topic><topic>Pharmacy</topic><topic>Primary care</topic><topic>Primary Health Care</topic><topic>Public private partnerships</topic><topic>Social interactions</topic><topic>Social support</topic><topic>Temporary housing</topic><topic>United States</topic><topic>Utilization</topic><topic>Visits</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gordon, Aliza</creatorcontrib><creatorcontrib>Liu, Ying</creatorcontrib><creatorcontrib>Tavitian, Katherine</creatorcontrib><creatorcontrib>York, Bradley</creatorcontrib><creatorcontrib>Finnell, S. 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Maria</au><au>Agiro, Abiy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bridging Health and Temporary Housing Services for Medicaid Members Experiencing Homelessness: Program Impact on Health Care Utilization, Costs, and Well-being</atitle><jtitle>Journal of health care for the poor and underserved</jtitle><addtitle>J Health Care Poor Underserved</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>32</volume><issue>4</issue><spage>1949</spage><epage>1964</epage><pages>1949-1964</pages><issn>1049-2089</issn><issn>1548-6869</issn><eissn>1548-6869</eissn><abstract>This study assesses the effect of participation in a temporary housing program on health care utilization, health services cost, and overall well-being for Medicaid members experiencing homelessness. Medicaid administrative claims were used in difference-in-differences analyses to compare utilization and cost of participants with those of individuals on a waiting list for the program (non-participants). Surveys were used to assess changes in well-being of participants from program entry to exit. Compared with non-participants, program participants had 0.20 fewer emergency department visits (p=.04), and 0.14 more primary care physician visits (p=.01) per person per month following program entry compared with prior to entry; medical costs were not significantly different. Compared with program entry, participants self-reported improved rates of social support at program exit. This study demonstrated the effectiveness of a local public-private partnership in reducing emergency utilization, increasing primary care visits, and improving social support.</abstract><cop>United States</cop><pub>Johns Hopkins University Press</pub><pmid>34803052</pmid><doi>10.1353/hpu.2021.0175</doi><tpages>16</tpages></addata></record> |
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source | Applied Social Sciences Index & Abstracts (ASSIA); Project Muse:Jisc Collections:Project MUSE Journals Agreement 2024:Premium Collection; Social Science Premium Collection; Sociology Collection; PAIS Index; Sociological Abstracts |
subjects | Case management Cost analysis Costs Emergency exits Emergency medical services Emergency services Government programs Health care Health Care Costs Health care expenditures Health care policy Health services Health services utilization Homeless people Homeless Persons Homelessness Housing Housing costs Humans Intervention Medicaid Medicine Mental health Participation Patient Acceptance of Health Care Pharmacy Primary care Primary Health Care Public private partnerships Social interactions Social support Temporary housing United States Utilization Visits Well being |
title | Bridging Health and Temporary Housing Services for Medicaid Members Experiencing Homelessness: Program Impact on Health Care Utilization, Costs, and Well-being |
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