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Addressing Housing-Related Social Needs Through Medicaid: Lessons From North Carolina's Healthy Opportunities Pilots Program.

Publication ,  Journal Article
Huber, K; Nohria, R; Nandagiri, V; Whitaker, R; Tchuisseu, YP; Pylypiw, N; Dennison, M; Van Stekelenburg, B; Van Vleet, A; Perez, MR; Thoumi, A ...
Published in: Health Aff (Millwood)
February 2024

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.

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Published In

Health Aff (Millwood)

DOI

EISSN

1544-5208

Publication Date

February 2024

Volume

43

Issue

2

Start / End Page

190 / 199

Location

United States

Related Subject Headings

  • United States
  • North Carolina
  • Medicaid
  • Humans
  • Housing
  • Health Status
  • Health Policy & Services
  • 4407 Policy and administration
  • 4203 Health services and systems
  • 1402 Applied Economics
 

Citation

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Huber, K., Nohria, R., Nandagiri, V., Whitaker, R., Tchuisseu, Y. P., Pylypiw, N., … Bleser, W. K. (2024). Addressing Housing-Related Social Needs Through Medicaid: Lessons From North Carolina's Healthy Opportunities Pilots Program. Health Aff (Millwood), 43(2), 190–199. https://doi.org/10.1377/hlthaff.2023.01044
Huber, Katie, Raman Nohria, Vibhav Nandagiri, Rebecca Whitaker, Yolande Pokam Tchuisseu, Nicholas Pylypiw, Meaghan Dennison, et al. “Addressing Housing-Related Social Needs Through Medicaid: Lessons From North Carolina's Healthy Opportunities Pilots Program.Health Aff (Millwood) 43, no. 2 (February 2024): 190–99. https://doi.org/10.1377/hlthaff.2023.01044.
Huber K, Nohria R, Nandagiri V, Whitaker R, Tchuisseu YP, Pylypiw N, et al. Addressing Housing-Related Social Needs Through Medicaid: Lessons From North Carolina's Healthy Opportunities Pilots Program. Health Aff (Millwood). 2024 Feb;43(2):190–9.
Huber, Katie, et al. “Addressing Housing-Related Social Needs Through Medicaid: Lessons From North Carolina's Healthy Opportunities Pilots Program.Health Aff (Millwood), vol. 43, no. 2, Feb. 2024, pp. 190–99. Pubmed, doi:10.1377/hlthaff.2023.01044.
Huber K, Nohria R, Nandagiri V, Whitaker R, Tchuisseu YP, Pylypiw N, Dennison M, Van Stekelenburg B, Van Vleet A, Perez MR, Morreale MC, Thoumi A, Lyn M, Saunders RS, Bleser WK. Addressing Housing-Related Social Needs Through Medicaid: Lessons From North Carolina's Healthy Opportunities Pilots Program. Health Aff (Millwood). 2024 Feb;43(2):190–199.

Published In

Health Aff (Millwood)

DOI

EISSN

1544-5208

Publication Date

February 2024

Volume

43

Issue

2

Start / End Page

190 / 199

Location

United States

Related Subject Headings

  • United States
  • North Carolina
  • Medicaid
  • Humans
  • Housing
  • Health Status
  • Health Policy & Services
  • 4407 Policy and administration
  • 4203 Health services and systems
  • 1402 Applied Economics