Tuesday, October 29, 2019

NY Medicaid Addresses Housing Quality, Social Determinants of Health


Heat maps reveal where asthma issues, poor housing quality, and Medicaid enrollment overlap to inform social determinants of health hot spots.
October 24, 2019 - Hot spot maps from the United Hospital Fund (UFH) could help identify key areas in New York City where Medicaid intervention and social determinants of health programming could help improve the health of individuals.
The maps specifically look at areas of poor housing quality, high incidence of pediatric asthma, and Medicaid enrollment. When laid on top of one another, these maps could identify areas where Medicaid can introduce housing interventions to improve the health of NYC residents.
The maps show that certain neighborhoods, including Hunts Point and Longwood in the Bronx, and East Harlem South in Manhattan, have high rates of childhood asthma. These regions also have high Medicaid enrollment and poor housing quality. Specifically, these areas have high rates of housing defects and cockroach exposure.
The Lower East Side of Manhattan and Rockaways in Queens also have high incidences of poor housing quality and asthma-related pediatric health episodes, the maps showed.
At the same time, these neighborhoods see high rates of asthma-related pediatric health episodes – not only do many of the children living in these neighborhoods have an asthma diagnosis, but they experience adverse health impacts that can result in costly hospital visits.
These health issues are likely tied to poor housing quality, according to Misha Sharp, the UHF senior research analyst who co-authored the report.
“It has been well-demonstrated that the lack of stable housing can have a powerful impact on health, but the quality of housing also has considerable health effects,” Sharp said in a statement. “Medicaid interventions directed at improving housing could be well worth it, by reducing costly emergency room visits and hospitalizations for children with asthma.”
State and City officials are putting some programs to work to address the social determinants of health, the report added.  Through New York Medicaid’s reform initiative, the Delivery System Reform Incentive Payment (DSRIP) program, the Bronx Partners for Healthy Communities (BPHC) Performing Provider System collaborated with the Northwest Bronx Community and Clergy Coalition to host patient education sessions led by peer community health leaders.
Peer support leaders visited buildings with a high population of children with asthma and high asthma-related health services use, the report authors reviewed. Patient education efforts centered on facility improvements that can address health issues as well as in-home services patients suffering from severe asthma symptoms may access.
The report also outlined the Healthy Homes value-based payment (VBP) pilot, a program from the state’s Department of Health and its Energy and Research Development Authority. Through the pilot, state workers and Medicaid managed care plans and providers will work together to identify asthmatic children living with housing with poor quality to housing intervention programs.
The programs will review asthma care management, strategies for reducing asthma attack triggers, and home environmental triggers and tools for improving them.
This pilot program aims to serve as a paradigm for integrating the social determinants of health into payment models.
Of course, making these statewide reforms for addressing asthma care costs, housing quality, and other social determinants of health will not be easy, the report authors pointed out. Legal and policy limits, lacking financing plans, and logistical and operational issues might plague efforts to integrate housing quality and stability into healthcare benefits.
But these latest efforts are working to iron out some of those problem areas, according to Nathan Myers, the director of UHF’s Medicaid Institute and another report co-author. New programs from New York Medicaid could serve as an example for how to integrate social determinants of health benefits into payer plans.
“Nevertheless, New York Medicaid’s ongoing reforms may provide new opportunities to address the housing issues that contribute to childhood asthma,” Myers said in a statement. “Such efforts could help Medicaid advance its goal of reducing avoidable hospitalizations while improving housing, and health, for children in New York City and across the state.”

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