Changes in healthcare costs and utilization for Medicaid recipients who received supportive housing through a payer-community-based housing partnership.
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| Title: | Changes in healthcare costs and utilization for Medicaid recipients who received supportive housing through a payer-community-based housing partnership. |
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| Authors: | Lovelace J; UPMC Insurance Services Division, Pittsburgh, Pennsylvania, USA., Lai YH; Department of Health Economics, UPMC Insurance Services Division, Pittsburgh, Pennsylvania, USA., Kanter J; UPMC Center for High-Value Health Care, UPMC Insurance Services Division, Pittsburgh, Pennsylvania, USA., Eichner JC; Center for Social Impact, UPMC Insurance Services Division, Pittsburgh, Pennsylvania, USA., Prushnok R; Center for Social Impact, UPMC Insurance Services Division, Pittsburgh, Pennsylvania, USA., Winger ME; Department of Health Economics, UPMC Insurance Services Division, Pittsburgh, Pennsylvania, USA. |
| Source: | Health services research [Health Serv Res] 2025 May; Vol. 60 Suppl 3, pp. e14411. Date of Electronic Publication: 2024 Nov 13. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Blackwell Country of Publication: United States NLM ID: 0053006 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1475-6773 (Electronic) Linking ISSN: 00179124 NLM ISO Abbreviation: Health Serv Res Subsets: MEDLINE |
| Imprint Name(s): | Publication: Malden, MA : Blackwell Original Publication: Chicago, Hospital Research and Educational Trust. |
| MeSH Terms: | Medicaid*/statistics & numerical data , Medicaid*/economics , Public Housing*/economics , Public Housing*/statistics & numerical data , Patient Acceptance of Health Care*/statistics & numerical data , Health Care Costs*/statistics & numerical data, Humans ; United States ; Female ; Male ; Retrospective Studies ; Middle Aged ; Adult ; Pennsylvania ; Managed Care Programs/economics ; Housing |
| Abstract: | Objective: To evaluate healthcare cost and utilization changes among Medicaid and dually eligible participants of a supportive housing program implemented by a managed care organization and community-based organization. Study Setting and Design: Healthcare claims were reviewed retrospectively for 80 program participants in one urban Pennsylvania county between 1/1/2018 and 9/28/2023 who had ≥6 months of claims data in both pre- and post-housing periods. Eligibility included age >18 years, Medicaid/Special Needs Plan enrollment, and housing need. Due to limited housing units, potential participants were prioritized by medical need and history of unplanned care. Data Sources and Analytic Sample: Healthcare cost and utilization were compared during pre- (i.e., 12 months before housing initiation) and post-periods (i.e., 12 months after housing initiation). Principal Findings: Compared to the pre-period, significantly lower medical (-40.4%, p = 0.004), emergency department (-62.7%, p = 0.02), and total (-33.3%, p = 0.02) costs of care were observed in the post-period. Significantly lower primary care (-50.0%, p = 0.0003), specialist (-31.3%, p = 0.02), and emergency department (-50.0%, p = 0.03) utilization were also observed. Conclusions: Healthcare cost and utilization among medically complex individuals were lower with supportive housing. Future evaluations with randomized designs can address the potential causal impact of supportive housing as a healthcare intervention on specific outcomes. (© 2024 Health Research and Educational Trust.) |
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| Contributed Indexing: | Keywords: Medicaid; health care costs; health equity; program evaluation; social determinants of health |
| Entry Date(s): | Date Created: 20241113 Date Completed: 20250506 Latest Revision: 20250522 |
| Update Code: | 20250522 |
| PubMed Central ID: | PMC12052510 |
| DOI: | 10.1111/1475-6773.14411 |
| PMID: | 39535313 |
| Database: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstract: | Objective: To evaluate healthcare cost and utilization changes among Medicaid and dually eligible participants of a supportive housing program implemented by a managed care organization and community-based organization.<br />Study Setting and Design: Healthcare claims were reviewed retrospectively for 80 program participants in one urban Pennsylvania county between 1/1/2018 and 9/28/2023 who had ≥6 months of claims data in both pre- and post-housing periods. Eligibility included age >18 years, Medicaid/Special Needs Plan enrollment, and housing need. Due to limited housing units, potential participants were prioritized by medical need and history of unplanned care.<br />Data Sources and Analytic Sample: Healthcare cost and utilization were compared during pre- (i.e., 12 months before housing initiation) and post-periods (i.e., 12 months after housing initiation).<br />Principal Findings: Compared to the pre-period, significantly lower medical (-40.4%, p = 0.004), emergency department (-62.7%, p = 0.02), and total (-33.3%, p = 0.02) costs of care were observed in the post-period. Significantly lower primary care (-50.0%, p = 0.0003), specialist (-31.3%, p = 0.02), and emergency department (-50.0%, p = 0.03) utilization were also observed.<br />Conclusions: Healthcare cost and utilization among medically complex individuals were lower with supportive housing. Future evaluations with randomized designs can address the potential causal impact of supportive housing as a healthcare intervention on specific outcomes.<br /> (© 2024 Health Research and Educational Trust.) |
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| ISSN: | 1475-6773 |
| DOI: | 10.1111/1475-6773.14411 |