Evidence map›Paper›PMID 42761822›Full record

ArticleHealth affairs scholar2026

Medicaid waiver-based housing supports in a safety-net setting: utilization and spending outcomes.

Nicole C McCann, Heather E Hsu, Stephanie Ettinger de Cuba, Jasper Frank, Paulina Lange, Michael D Stein, Paul R Shafer

Abstract read
In one paragraph

Article in Health affairs scholar, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Nicole C McCannDepartment of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA 02118, United States.ORCID https://orcid.org/0000-0002-4916-4319
Heather E HsuDepartment of Pediatrics, Boston Medical Center, Boston, MA 02118, United States.ORCID https://orcid.org/0000-0002-5863-1804
Stephanie Ettinger de CubaDepartment of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA 02118, United States.ORCID https://orcid.org/0000-0003-1789-1009
Jasper FrankDepartment of Population Health, Boston Medical Center, Boston, MA 02118, United States.
Paulina LangeDepartment of Population Health, Boston Medical Center, Boston, MA 02118, United States.ORCID https://orcid.org/0000-0002-2952-1059
Michael D SteinDepartment of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA 02118, United States.
Paul R ShaferDepartment of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA 02118, United States.ORCID https://orcid.org/0000-0003-0654-5821

Funding

Improving value-based healthcare delivery for opioid use disorderK01DA054328 · NIDA · BOSTON MEDICAL CENTER · PI HSU, HEATHER · 2021 to 2025
$897k
Evaluation of a Massachusetts Medicaid housing support program among people with opioid use disorder: implementation and healthcare utilization outcomesR36DA062645 · NIDA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MCCANN, NICOLE · 2025 to 2025
$53k
NIDA NIH HHS K01 DA054328NIDA NIH HHS R36 DA062645
6 · The paper itself

Abstract

Introduction: States have expanded Medicaid waiver-based housing support programs, but evidence on outcomes in safety-net settings is limited. Methods: We evaluated health care utilization and spending associated with Massachusetts Medicaid's Flexible Services Program housing supports (FSP-H), provided to Accountable Care Organization (ACO) members with housing-related needs and qualifying health risks (2021-2024). Within a Boston-based safety-net health system, we linked FSP-H data to claims and electronic health records. Using staggered difference-in-differences, we compared monthly probability of inpatient and emergency department (ED) utilization and per-patient spending in FSP-H recipients ( Results: Overall, FSP-H receipt was not associated with significant changes in monthly probability of inpatient utilization (-3.3 percentage points, Conclusion: Findings offer evidence for state Medicaid plans implementing or adapting housing programs.

Indexed as

health-related social needshousing instabilityMedicaidSection 1115 demonstration waiverstenancy supports

Identifiers

PMID42761822
PMCPMC13587248

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.