ArticleHealth affairs (Project Hope)2020
Health Care Spending And Use Among People Experiencing Unstable Housing In The Era Of Accountable Care Organizations.
Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed.
- Medicaid waiver-based housing supports in a safety-net setting: utilization and spending outcomes.Health affairs scholar · 2026Article
- National and State Societal Costs of Schizophrenia in the US in 2024.JAMA psychiatry · 2026Article
- Factors Associated With Rising Homelessness Within US States, 2019 to 2024.JAMA network open · 2026Article
- Supporting Emergency Department Patients Experiencing Homelessness.Journal of the American College of Emergency Physicians open · 2026Article
- Health Care Outcomes of Homelessness Prevention Programs in Veterans Experiencing Housing Instability.JAMA health forum · 2026Observational
- Homeless Services Data vs Health Records to Recognize Homelessness.JAMA health forum · 2025Article
- When state Medicaid demonstrations end: projected eligibility loss after a MassHealth housing support program transition.Health affairs scholar · 2025Article
- Hospital Readmissions Among Patients Experiencing Homelessness: An Electronic Health Record Data Study.The Permanente journal · 2024Article
- PRELIMINARY IMPACT OF SUPPORTIVE HOUSING ON HOSPITAL UTILIZATION FOR INDIVIDUALS EXPERIENCING HOMELESSNESS.Transactions of the American Clinical and Climatological Association · 2024Article
- "More than just checking the box": community-based organizations on their role in Medicaid redesigns.Health affairs scholar · 2023Article
- Advancing social risk-informed care for people experiencing homelessness.Journal of hospital medicine · 2023Article
- Health & Housing in Delaware:: Matching Medicaid Claims and Encounters and the Community Management Information System Databases.Delaware journal of public health · 2023Article
- Health Care Utilization among Homeless-Experienced Adults Who Were Seen by a Mobile Addiction Health Clinic in Boston, Massachusetts: A Quasi-Experimental Study.Substance use & misuse · 2023Article
- Predicting Homelessness Among U.S. Army Soldiers No Longer on Active Duty.American journal of preventive medicine · 2022Article
- A Community Partnership to House and Care for Complex Patients with Unstable Housing.NEJM catalyst innovations in care delivery · 2021Article
- Comparison of Childbirth Delivery Outcomes and Costs of Care Between Women Experiencing vs Not Experiencing Homelessness.JAMA network open · 2021Article
- Pandemic Pause: Systematic Review of Cost Variables for Ambulatory Care Organizations Participating in Accountable Care Organizations.Healthcare (Basel, Switzerland) · 2021Review
- Establishing Academic Homes for Homelessness: A Call to Action.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
Provider organizations are increasingly held accountable for health care spending in vulnerable populations. Longitudinal data on health care spending and use among people experiencing episodes of homelessness could inform the design of alternative payment models. We used Medicaid claims data to analyze spending and use among 402 people who were continuously enrolled in the Boston Health Care for the Homeless Program (BHCHP) from 2013 through 2015, compared to spending and use among 18,638 people who were continuously enrolled in Massachusetts Medicaid with no evidence of experiencing homelessness. The BHCHP population averaged $18,764 per person per year in spending-2.5 times more than spending among the comparison Medicaid population ($7,561). In unadjusted analyses this difference was explained by greater spending in the BHCHP population on outpatient care, including emergency department care, as well as on inpatient care and prescription drugs. After adjustment for covariates and multiple hypothesis testing, the difference was largely driven by outpatient spending. Differences were sensitive to adjustments for risk score, which suggests that housing instability and health risk are meaningfully correlated. This longitudinal analysis improves understanding of health care use and resource needs among people who are homeless or have unstable housing, and it could inform the design of alternative payment models for vulnerable populations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.