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The New York State Medicaid Redesign Team (MRT) was created in 2011 to develop a multi-year reform plan to address unprecedented healthcare cost growth and improve healthcare quality. One innovation tested under this Redesign is the investment in supportive housing, i.e., affordable housing paired with supportive services, such as on-site case management or referrals to community-based services. High-cost, high-need Medicaid recipients who were homeless or unstably housed (including people living on the streets and in shelters, and also those living in nursing facilities who do not require the level of care provided therein) were targeted for enrollment. This investment was anticipated to improve quality of life and health outcomes for enrolled clients, thereby decreasing utilization of especially expensive forms of healthcare (emergency department visits, inpatient hospitalizations, and nursing home stays), increasing usage of primary care services, improving housing stability, and potentially reducing overall healthcare spending. This Research Brief examines Medicaid spending and utilization one year before, versus one and two years after, program enrollment.



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