The role of homelessness and supportive housing in healthcare disparities among adults in medicaid

Ended Project Grant Awarded Last action

Award ID
R01MD015261
Recipient
Awarding agency
Obligated
$6,889,405

Award facts

Completion date
Place of performance
Newark, NJ 07107, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
There is ample evidence that homelessness is associated with inadequate access to essential health services and that african american, hispanic/latinx and rural populations are at high risk for homelessness and/or its consequences. However, there is insufficient knowledge about gaps in use of specific types of healthcare among homeless adults, whether such gaps are greater among minority and rural populations, and the potential of permanent supportive housing (PSH) programs to mitigate the gaps. This study aims to: 1) quantify the contribution of homelessness to gaps in essential health services use among medicaid beneficiaries by race/ethnicity and rural residential status; 2) evaluate the extent to which the gaps are mitigated by placement in PSH programs; and 3) identify medicaid and PSH policy and programmatic strategies for improving access to essential health services and reducing associated racial/ethnic and rural disparities. This study will overcome shortcomings in prior research by using novel large scale, population- based, long-term data, combined with integrated quantitative-qualitative research methods. The study will address the first two aims using 10 years (2011-2020) of linked homeless services and medicaid administrative data for new jersey and pennsylvania. The contribution of homelessness to healthcare gaps and disparities will be measured by comparing utilization and spending for a broad spectrum of community-based and hospital health services among adults experiencing homelessness to matched medicaid beneficiaries who have not been homeless. PSH will be evaluated by comparing trends in healthcare use and disparities by race/ethnic and rural residential status among those receiving housing placements to adults in similar circumstances who did not receive such placements. Specific actionable strategies for improving policy and practice will be identified in focus groups with front-line PSH professionals during which quantitative findings will be shared and discussed.

Transactions

Action Obligated Date
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Amendment $64,823
Amendment $583,353
Original award $675,531
Show all 37

Subawards

Subrecipient Amount Awarded
University Of Pittsburgh - Of The Commonwealth System Of Higher Education The Role of Homelessness and Supportive Housing in Healthcare Disparities among Adults in Medicaid $150,229
Academy Health $17,585
Monarch Housing Associates, Inc. $7,500
Monarch Housing Associates, Inc. $4,500
University Of Pittsburgh - Of The Commonwealth System Of Higher Education $42,000
University Of Pittsburgh - Of The Commonwealth System Of Higher Education $18,864

Quick answers

Who received award R01MD015261?

R01MD015261 was awarded to Rutgers The State University Of New Jersey by National Institute for Minority Health and Health Disparities (National Institutes of Health) on May 21, 2021.

How much is award R01MD015261 worth?

$6,889,405 has been obligated on R01MD015261.

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