Top 0.1% of total Medicaid enrollment accounts for 7% of the spending,
Top 1.0% of Medicaid enrollment accounts for 28% of the spending, and
Top 5.0% of the Medicaid enrollment accounts for 62% of the spending.
The goals of the project are:
Link 2011-16 data from the Homeless Management Information System (HMIS) to the Medicaid Management Information System (HMIS).
Identify opportunities to generate Medicaid savings and improve patient outcomes among Medicaid beneficiaries who use homeless services.
Estimate the impact on Medicaid spending of permanent supportive housing placement.
Engage state officials and other interested stakeholders.
HMIS is a local information technology system used to collect client-level data and data on the provision of housing and services to homeless individuals and persons at risk of homelessness.
The average annual Medicaid spending by status in the Homelessness Management Information System (HMIS) was $6,694/year for individuals not in the HMIS system vs. $7,607/year for individuals in the HMIS system.
Comparing the composition of Medicaid spending by HMIS status, for individuals in the HMIS system, inpatient hospital spending was $1,622 vs. for individuals not in them HMIS system $950.
The summary of preliminary results of the research to date include:
About 8% of Medicaid beneficiaries appear in HMIS annually, 130,000-165,000 individuals, 20% increase after expansion
Medicaid beneficiaries appearing in HMIS are more likely to be ages 25-60 and less likely to be kids or 60+
Medicaid beneficiaries appearing in HMIS are much more likely to have substance use, substance use and mental health diagnoses, and serious mental illness
Medicaid beneficiaries appearing in HMIS have a higher inpatient and emergency department use
Medicaid beneficiaries appearing in HMIS have about 14% higher average Medicaid spending & more likely to be in higher spending group
Medicaid beneficiaries appearing in HMIS have higher hospital and pharmacy spending, lower LTC spending