Reducing the use of emergency department services, hospitalization, and corrections resources by high utilizers by creating supportive housing projects that are jointly funded by hospitals, housing providers, and other key stakeholders. 

Approximately 5% of patients account for 50% of health care costs. Many of these so-called “high utilizers” have complex medical conditions compounded by mental illness and substance use disorders; some are homeless or unstably housed. For this population, affordable housing co-located with supportive services has been shown to improve health outcomes, reduce the use of high-cost emergency room and hospital services, and improve corrections outcomes, with attendant cost savings.

For this initiative, we are investing in community-based planning grants that identify a specific population to be served, and draft a viable plan for financing, developing, and operating a supportive housing project. We will also work with consultants to identify cost-neutral opportunities to use Medicaid dollars for supportive housing.

Recipients of grant funds will present strong plans to:

  • Develop a coalition (generally housing agencies, hospitals, and corrections officials, with other partners as appropriate) that agrees to collaborate to develop a supportive housing plan.
  • Identify a specific population of high-utilizing patients to be served by the project.
  • Develop specific metrics to measure current utilization patterns and costs.
  • Develop data sharing agreements to facilitate collaboration.
  • Create a supportive housing plan that includes design, financing, and operations to meet the needs of the target population.

If you are interested in applying for funding under this initiative, please contact our office. 

Initiative Resources