Quality Matters Archive

Quality Matters reported on emerging models and trends in health care delivery reform and interviews with leaders in the field. Please read its successor, Transforming Care.

  • October/November 2014 Issue
In Focus: Using Housing to Improve Health and Reduce the Costs of Caring for the Homeless

Supportive housing programs that offer shelter to the homeless and a variety of medical and social services have had a dramatic impact on health outcomes and costs in communities that have implemented them. One—a pilot program in Los Angeles that focused on homeless patients who fell into the highest decile of costs—led to an average cost-reduction per participant of $59,415. The spread of such programs has been hampered by lack of funding, but that may change in states that have expanded Medicaid and must now find a way to control spending for this vulnerable population.

Colorado Coalition for the Homeless: A Model of Supportive Housing

Relying on tax credit programs that encourage investment in affordable housing units as well as businesses and real estate projects in low-income communities, a Denver-based nonprofit built a $35 million development that combines supportive housing for the homeless with integrated physical and behavioral health services.

News Briefs

A call for greater oversight of Medicaid managed care beneficiaries' access to care; the ONC's roadmap to interoperable medical records; a quarter of ACOs earned bonuses for their work in 2013; and more.

Publications of Note

Selected publications from the professional literature report on results from a large pilot of bundled payments; the effectiveness of a national effort to improve patient safety in hospitals; ways to control waste in health care; and more.

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