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The Role of Homelessness and Supportive Housing in Healthcare Disparities among Adults in Medicaid

Award Number: R01MD015261
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 05/21/2021
PERIOD OF PERFORMANCE END DATE: 02/28/2026

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The Role of Homelessness and Supportive Housing in Healthcare Disparities among Adults in Medicaid - Abstract There is ample evidence that homelessness is associated with inadequate access to essential health services and that African American, Hispanic/Latinx and rural populations are at high risk for homelessness and/or its consequences. However, there is insufficient knowledge about gaps in use of specific types of healthcare among homeless adults, whether such gaps are greater among minority and rural populations, and the potential of permanent supportive housing (PSH) programs to mitigate the gaps. This study aims to: 1) quantify the contribution of homelessness to gaps in essential health services use among Medicaid beneficiaries by race/ethnicity and rural residential status; 2) evaluate the extent to which the gaps are mitigated by placement in PSH programs; and 3) identify Medicaid and PSH policy and programmatic strategies for improving access to essential health services and reducing associated racial/ethnic and rural disparities. This study will overcome shortcomings in prior research by using novel large scale, population- based, long-term data, combined with integrated quantitative-qualitative research methods. The study will address the first two aims using 10 years (2011-2020) of linked homeless services and Medicaid administrative data for New Jersey and Pennsylvania. The contribution of homelessness to healthcare gaps and disparities will be measured by comparing utilization and spending for a broad spectrum of community-based and hospital health services among adults experiencing homelessness to matched Medicaid beneficiaries who have not been homeless. PSH will be evaluated by comparing trends in healthcare use and disparities by race/ethnic and rural residential status among those receiving housing placements to adults in similar circumstances who did not receive such placements. Specific actionable strategies for improving policy and practice will be identified in focus groups with front-line PSH professionals during which quantitative findings will be shared and discussed.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $609,585 )
2025	2025	RUTGERS THE STATE UNIVERSITY OF NEW JERSEY	65 BERGEN ST	NEWARK	NJ	07107	ESSEX	USA	Minority Health and Health Disparities Research	002	5	4/18/2025	NON-COMPETING CONTINUATION	$609,585
2025	2024	RUTGERS THE STATE UNIVERSITY OF NEW JERSEY	65 BERGEN ST	NEWARK	NJ	07107	ESSEX	USA	Minority Health and Health Disparities Research	000	4	3/4/2025	NON-COMPETING CONTINUATION	$0
2025	2024	RUTGERS THE STATE UNIVERSITY OF NEW JERSEY	65 BERGEN ST	NEWARK	NJ	07107	ESSEX	USA	Minority Health and Health Disparities Research	001	4	4/18/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $609,585

Issue Date FY: 2024 ( Subtotal = $610,578 )
2024	2024	RUTGERS THE STATE UNIVERSITY OF NEW JERSEY	65 BERGEN ST	NEWARK	NJ	07107	ESSEX	USA	Minority Health and Health Disparities Research	004	4	5/29/2024	NON-COMPETING CONTINUATION	$44,059
2024	2024	RUTGERS THE STATE UNIVERSITY OF NEW JERSEY	65 BERGEN ST	NEWARK	NJ	07107	ESSEX	USA	Minority Health and Health Disparities Research	003	4	2/29/2024	NON-COMPETING CONTINUATION	$566,519
2024	2023	RUTGERS THE STATE UNIVERSITY OF NEW JERSEY	65 BERGEN ST	NEWARK	NJ	07107	ESSEX	USA	Minority Health and Health Disparities Research	002	3	2/20/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2024	2023	RUTGERS THE STATE UNIVERSITY OF NEW JERSEY	65 BERGEN ST	NEWARK	NJ	07107	ESSEX	USA	Minority Health and Health Disparities Research	001	3	11/28/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$258,974
2024	2022	RUTGERS, THE STATE UNIVERSITY	83 SOMERSET ST	NEW BRUNSWICK	NJ	08901	MIDDLESEX	USA	Minority Health and Health Disparities Research	000	2	11/28/2023	NON-COMPETING CONTINUATION	-$258,974
														Subtotal = $610,578

Issue Date FY: 2023 ( Subtotal = $639,465 )
2023	2023	RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY	65 BERGEN ST	NEWARK	NJ	07107	ESSEX	USA	Minority Health and Health Disparities Research	001	3	2/27/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$639,465
2023	2022	RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY	83 SOMERSET ST	NEW BRUNSWICK	NJ	08901	MIDDLESEX	USA	Minority Health and Health Disparities Research	000	2	2/27/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $639,465

Issue Date FY: 2022 ( Subtotal = $648,176 )
2022	2022	RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY	83 SOMERSET ST	NEW BRUNSWICK	NJ	08901	MIDDLESEX	USA	Minority Health and Health Disparities Research	000	2	2/18/2022	NON-COMPETING CONTINUATION	$583,353
2022	2022	RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY	83 SOMERSET ST	NEW BRUNSWICK	NJ	08901	MIDDLESEX	USA	Minority Health and Health Disparities Research	001	2	4/29/2022	NON-COMPETING CONTINUATION	$64,823
														Subtotal = $648,176

Issue Date FY: 2021 ( Subtotal = $675,531 )
2021	2021	RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY	83 SOMERSET ST	NEW BRUNSWICK	NJ	08901	MIDDLESEX	USA	Minority Health and Health Disparities Research	000	1	5/21/2021	NEW	$675,531
														Subtotal = $675,531

Grand Total All Awards = $3,183,335

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The Role of Homelessness and Supportive Housing in Healthcare Disparities among Adults in Medicaid

Award Number: R01MD015261

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 05/21/2021

PERIOD OF PERFORMANCE END DATE: 02/28/2026

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