Housing is Healthcare: Supportive Housing Evaluation

The Medicaid Redesign Team created numerous supportive housing programs to provide vulnerable high–cost Medicaid members with rental subsidies, new capital construction and pilot projects to test new models of care. These programs began operations in 2012 and have served over 13,000 high acuity Medicaid members. On average, individuals served in the program have a multitude of comorbidities, including mental health and substance use disorders, HIV/AIDS, and one or more chronic conditions. Findings in the 2017 reports demonstrate that investments in social determinants, such as housing, can have a profound impact on health care costs and utilization, including:

  • 40% reduction in inpatient days
  • 26% reduction in emergency department visits
  • 44% reduction in patients with inpatient substance use rehab admissions
  • 27% reduction in patients with inpatient psychiatric admissions
  • 15% reduction in overall Medicaid health expenditures
  • Through strategic prioritization, the top decile of enrollees had average Medicaid savings of $23,000–$52,000 per person per year (varied by program)

2017 Evaluation Reports

Objective, accomplishments, and benefits chart
  • Clinical Characteristics diagram