| Autor: |
Huber K; Katie Huber, Duke University, Durham, North Carolina., Nohria R; Raman Nohria, Duke University, Durham, North Carolina., Nandagiri V; Vibhav Nandagiri, Duke University, Durham, North Carolina., Whitaker R; Rebecca Whitaker, Duke University, Durham, North Carolina., Tchuisseu YP; Yolande Pokam Tchuisseu, Duke University, Washington, D.C., Pylypiw N; Nicholas Pylypiw, Elicit Insights, Raleigh, North Carolina., Dennison M; Meaghan Dennison, Cape Fear Collective, Wilmington, North Carolina., Van Stekelenburg B; Brianna Van Stekelenburg, Duke University, Durham, North Carolina., Van Vleet A; Amanda Van Vleet, North Carolina Department of Health and Human Services, Raleigh, North Carolina., Perez MR; Maria Ramirez Perez, North Carolina Department of Health and Human Services., Morreale MC; Madlyn C. Morreale, Legal Aid of North Carolina, Inc., Raleigh, North Carolina., Thoumi A; Andrea Thoumi, Duke University, Washington, D.C., Lyn M; Michelle Lyn, Duke University, Durham, North Carolina., Saunders RS; Robert S. Saunders, Duke University, Washington, D.C., Bleser WK; William K. Bleser (william.bleser@duke.edu), Duke University, Washington, D.C. |
| Abstrakt: |
North Carolina Medicaid's Healthy Opportunities Pilots program is the country's first comprehensive program to evaluate the impact of paying community-based organizations to provide eligible Medicaid enrollees with an array of evidence-based services to address four domains of health-related social needs, one of which is housing. Using a mixed-methods approach, we mapped the distribution of severe housing problems and then examined the design and implementation of Healthy Opportunities Pilots housing services in the three program regions. Four cross-cutting implementation and policy themes emerged: accounting for variation in housing resources and needs to address housing insecurity, defining and pricing housing services in Medicaid, engaging diverse stakeholders across sectors to facilitate successful implementation, and developing sustainable financial models for delivery. The lessons learned and actionable insights can help inform the efforts of stakeholders elsewhere, particularly other state Medicaid programs, to design and implement cross-sectoral programs that address housing-related social needs by leveraging multiple policy-based resources. These lessons can also be useful for federal policy makers developing guidance on addressing housing-related needs in Medicaid. |
