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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, or affordable housing paired with supportive services (e.g., on-site case management, referrals to community-based services). High-cost, high-need Medicaid recipients who were homeless, unstably housed, or living in treatment facilities providing a higher level of care than needed were targeted for enrollment. This investment was anticipated to improve quality of life and health outcomes for enrolled clients, thus decreasing utilization of especially expensive forms of healthcare (inpatient hospitalizations, emergency department visits, and nursing home stays), increasing usage of primary care services, improving housing stability, and potentially reducing overall healthcare spending. This Research Brief examines changes in Medicaid spending and utilization from one year before to one year after program enrollment, versus changes in a matched group of similar but not-enrolled individuals.



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