Document Type
Report
Publication Date
9-2019
Abstract
This report presents findings on the effect of participant retention on outcomes in the Medicaid Redesign Team Supportive Housing (MRT-SH) program, with implications for provider practice and policy. It is intended to put findings from preceding pre-post cost and outcomes reports in context. Previous analyses may underestimate the effects of MRT-SH because they use an “intent to treat” methodology, which includes people who only received services for a short time. This examination explicitly separates out effects for those who received a certain minimum duration of services (6 or 12 months) versus those who did not. To the extent that longer retention is associated with improved outcomes, this research may also encourage a policy focus on improved retention within programs.
The report describes how different levels of “dosage,” or number of months enrolled in an MRT-SH program, impacted participant outcomes, such as inpatient hospitalization, ED usage, primary care usage, and overall Medicaid spending, as well as housing stability. Additionally, the relationship between pre-period and post-period resource use was accounted for to determine whether the associations between retention and outcomes were the result of lower resource-use clients being retained longer (i.e. a selection effect).
Recommended Citation
McGinnis, Sandra; Gullick, Margaret; and Polvere, Lauren, "MRT Supportive Housing Evaluation: Effects of 6- and 12-Month Program Retention on Client Outcomes" (2019). Health and Healthcare Services Reports and Research Briefs. 6.
https://scholarsarchive.library.albany.edu/chsr-hhs-reports-and-briefs/6
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