About CHRT

Innovative financing models for addressing the social determinants of health with a special focus on supportive housing

August 2020 – May 2021
Client(s): Regents of the University of Michigan, Michigan Department of Health and Human Services
Funder: MIchigan Department of Health and Human Services
Partner(s): Paula Lantz, Associate Dean, Gerald R. Ford School of Public Policy
Need:

With State Innovation Model (SIM) funding from the U.S. Centers for Medicare and Medicaid Innovation, the Michigan Department of Health and Human Services funded a permanent supportive housing pilot that has had success addressing the intersection of homelessness and chronic illness. This project intends to build on that success by investigating and developing innovative financing mechanisms for supportive housing in Michigan. It will review federal, state, foundation, and private sector financing mechanisms for supportive housing and report on best practices and recommendations.

CHRT’s role:

CHRT will conduct research on supportive housing financing including:

--Innovative financing models for addressing the social determinants of health (especially housing), with a focus on models used by Medicaid managed care organizations and social impact bonds,
--How Medicaid waivers are used to finance programs that address the social determinants of health (especially housing),
--The models and financing of private market investments (hospitals, insurance plans, etc.) in supportive housing, and
--Housing stability interventions and policy changes during the COVID-19 pandemic.

CHRT will assist in the design of a social impact bond to fund supportive housing services. In addition, CHRT will help develop and present recommendations to MDHHS about expanding the ability for Medicaid Health Plans to bill for housing related supports.