Evidence map›Paper›PMID 39535313›Full record

ArticleHealth services research2025

Changes in healthcare costs and utilization for Medicaid recipients who received supportive housing through a payer-community-based housing partnership.

John Lovelace, Yu-Hsuan Lai, Justin Kanter, Joan C Eichner, Ray Prushnok, Mary E Winger

Abstract read
In one paragraph

Article in Health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

John LovelaceUPMC Insurance Services Division, Pittsburgh, Pennsylvania, USA.
Yu-Hsuan LaiDepartment of Health Economics, UPMC Insurance Services Division, Pittsburgh, Pennsylvania, USA.
Justin KanterUPMC Center for High-Value Health Care, UPMC Insurance Services Division, Pittsburgh, Pennsylvania, USA.
Joan C EichnerCenter for Social Impact, UPMC Insurance Services Division, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-5884-7034
Ray PrushnokCenter for Social Impact, UPMC Insurance Services Division, Pittsburgh, Pennsylvania, USA.
Mary E WingerDepartment of Health Economics, UPMC Insurance Services Division, Pittsburgh, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate healthcare cost and utilization changes among Medicaid and dually eligible participants of a supportive housing program implemented by a managed care organization and community-based organization. STUDY SETTING AND

designHealthcare claims were reviewed retrospectively for 80 program participants in one urban Pennsylvania county between 1/1/2018 and 9/28/2023 who had ≥6 months of claims data in both pre- and post-housing periods. Eligibility included age >18 years, Medicaid/Special Needs Plan enrollment, and housing need. Due to limited housing units, potential participants were prioritized by medical need and history of unplanned care. DATA SOURCES AND ANALYTIC SAMPLE: Healthcare cost and utilization were compared during pre- (i.e., 12 months before housing initiation) and post-periods (i.e., 12 months after housing initiation). PRINCIPAL

findingsCompared to the pre-period, significantly lower medical (-40.4%, p = 0.004), emergency department (-62.7%, p = 0.02), and total (-33.3%, p = 0.02) costs of care were observed in the post-period. Significantly lower primary care (-50.0%, p = 0.0003), specialist (-31.3%, p = 0.02), and emergency department (-50.0%, p = 0.03) utilization were also observed.

conclusionsHealthcare cost and utilization among medically complex individuals were lower with supportive housing. Future evaluations with randomized designs can address the potential causal impact of supportive housing as a healthcare intervention on specific outcomes.

Indexed as

Health Care CostsMedicaidPatient Acceptance of Health CarePublic HousingAdultFemaleHousingHumansMaleManaged Care ProgramsMiddle AgedPennsylvaniaRetrospective StudiesUnited Stateshealth care costshealth equityMedicaidprogram evaluationsocial determinants of health

Identifiers

PMID39535313
PMCPMC12052510

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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.