Faculty, Staff and Student Publications
Language
English
Publication Date
3-1-2024
Journal
The American Journal of Managed Care
DOI
10.37765/ajmc.2024.89514
PMID
38457821
Abstract
Objectives: This study evaluated a collaborative service model between the largest Medicaid managed care organization (MCO) in Texas, Superior HealthPlan, and the affordable housing provider Prospera Housing Community Services.
Study design: Using a quasi-experimental 2-groups research design, we compared health care outcomes and costs between a sample of 104 participants served by the Prospera+Superior collaborative model and a group of 104 participants who had health care coverage through the Superior HealthPlan Medicaid MCO but did not live at Prospera properties (ie, Superior-only group).
Methods: Data from medical claims were analyzed to examine change in outcomes 12 months before and after implementation of the Prospera+Superior collaborative model in 2019.
Results: The Prospera+Superior group had a 56% lower rate of emergency department/urgent care visits and spent $2061 less in prescription costs than the Superior-only group after implementation.
Conclusions: These findings provide needed evidence of the clinical and economic value of forming multisector collaborative models between MCOs and other community providers.
Keywords
United States, Humans, Housing, Costs and Cost Analysis, Managed Care Programs, Medicaid, Cephalosporins
Published Open-Access
yes
Recommended Citation
Tsai, Jack; Rajan, Suja; Truong, Chau; et al., "Evaluation of a Collaborative Model Between Managed Care and Affordable Housing on Acute Care Costs" (2024). Faculty, Staff and Student Publications. 1437.
https://digitalcommons.library.tmc.edu/uthsph_docs/1437