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The Center for Housing Policy’s publications cover a range of topics, programs and policies related to the broad goal of identifying and meeting the nation’s housing challenges.
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In 2012, New York State began reforming the way the state delivers and pays for health care for Medicaid beneficiaries in order to offer high-quality health care to low-income individuals at lower cost. The state is using a Section 1115 Medicaid demonstration waiver to adapt its Medicaid system in a way that will increase focus on community-level collaboration and care coordination. This shift is expected to both improve the health of Medicaid beneficiaries and reduce the use of hospitals to deliver basic care. These reforms are estimated to result in a $17.1 billion reduction in Medicaid expenditures over five years. The state is using $8 billion of the anticipated savings to invest in several initiatives that support the health and wellbeing of Medicaid beneficiaries. One of these is the Supportive Housing Initiative implemented by the Medicaid Redesign Team (MRT), a group of stakeholders and experts guiding the state Medicaid reform process. The Initiative, through capital funds and operating subsidies, constructs or rehabilitates supportive housing designed for high Medicaid utilizers.
New research from Children’s HealthWatch illustrates there is no safe level of homelessness. The timing (pre-natal, post-natal) and duration of homelessness (more or less than six months) compounds the risk of harmful child health outcomes. The younger and longer a child experiences homelessness, the greater the cumulative toll of negative health outcomes, which can have lifelong effects on the child, the family, and the community.
The paper explains how the Medicaid program works and key changes made by the Affordable Care Act (ACA) and prior health care reform efforts have altered the health care sector to focus more on prevention, care coordination, and the social needs of Medicaid beneficiaries. Some of the changes to the Medicaid program by the ACA and other reforms have created openings and incentives for health care organizations to collaborate with affordable housing providers to address the impact that housing has on the health of a low-income individuals. The report identifies these opportunities and describes promising programs and developments in different parts of the country. This report offers an overview of areas where the health and housing sectors overlap in the wake of Medicaid reform for affordable housing providers, healthy housing organizations, and advocates to discover ways in which they can pursue collaborations with health organizations.
Housing is well understood to be an important social determinant of physical and mental health and well-being. In the context of ongoing national and state efforts to reform health care, it is important for policymakers to understand the various pathways through which housing affects health. As an update to earlier reviews on the relationship between housing and health, the authors examined recent research on the various ways in which the production, rehabilitation, or other provision of affordable housing may affect health outcomes for children, adults, and older adults.1 This report is organized around ten hypotheses on the contribution of affordable housing to supporting positive health outcomes.
Most of us use the Internet in all facets of our lives: forwork, education, medical care, entertainment,shopping, and innumerable daily tasks.Having a reliable broadband connectionat home makes all sorts of tasks easier,faster, and cheaper. Yet far too manylow-income households do not have evena basic broadband connection at home. To help achieve affordable broadband connectivity for all, the National Housing Conference(NHC) convened a Connectivity Working Group to recommend policy changes. The groupdraws from affordable housing developers, public agencies, policy experts, capital providers,national intermediaries, and more, all committed to the shared mission of closing the digitaldivide for low-income people. The recommendations presented here draw on the expertise ofthe Connectivity Working Group, the policy briefs from NHC’s Center for Housing Policy, andadvice from other stakeholders. We