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High-Cost Medicaid Users in Supportive Housing: Best Practices/Think Tank

In New York State, at the start of his first term, Governor Andrew Cuomo announced an ambitious plan to overhaul Medicaid and launched the Medicaid Redesign Team Initiative, a state-wide listening tour to gather information as to the best practices for reducing preventable costs in the healthcare system while improving care. The Network and its members attended those meetings, took state policymakers on tours of supportive housing and made a compelling case that, in order to reach the triple aim of healthcare reform, the state should invest in supportive housing.

Supportive housing —affordable housing linked to wrap-around services—has been proven to reduce individuals’ use of the costliest systems of care including emergency rooms, inpatient care and psychiatric centers. The resulting Medicaid Redesign plan included a commitment to utilize a portion of the savings the State would be realizing as a result of capping Medicaid spending and investing those dollars in the Medicaid Redesign Team Supportive Housing Initiative, a program now three years old that has invested more than $300 million into supportive housing for the very most vulnerable high-cost/high need users of Medicaid.

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