Policy Brief

One Big Beautiful Bill Act: State-Level Advocacy Actions for the HCH Community

H.R. 1, the One Big Beautiful Bill Act, requires significant policy and funding changes to state Medicaid programs over the coming years that will disproportionately harm people experiencing homelessness. However, there are options states can take to lessen these harms. This policy brief outlines state-level advocacy options the Health Care for the Homeless (HCH) Community […]

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Reporting on Homeless Mortality: Data Sources and Considerations

As more states and local jurisdictions continue publishing homeless mortality reports, it is becoming clear that the varying methodologies used to collect and report this data make it difficult to estimate broader national estimates. This limits our understanding of the nationwide impact of homelessness on the likelihood of dying. Different data sources and reporting categories

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Policy Brief: Health Centers Improve Health Outcomes with Medical Respite Care

The purpose of this issue brief is to describe medical respite care programs, illustrate how health centers can fulfill mission and add value to their community by adding a medical respite care program, outline both the advantages and challenges to such an expansion, and offer action steps for health centers to consider. Download Document (PDF)

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Policy Brief: Medical Respite Care Programs & the IHI Triple Aim Framework

The Institute of Healthcare Improvement (IHI) developed the Triple Aim framework as a way of simultaneously improving the patient care experience, improving the health of the population, and reducing the per capita cost of health care.1, 2 This framework is increasingly being used as the guidepost for health care systems seeking to transform their service

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Policy Brief: Addressing the Opioid Crisis: Medication-Assisted Treatment at Health Care for the Homeless Programs

Health Care for the Homeless (HCH) programs, a subset of community health centers that receive special populations funding to address the specific needs of vulnerable and medically complex patients, play a significant role in addressing the opioid epidemic by providing medication-assisted treatment (MAT). MAT, which combines one of three medications (methadone, buprenorphine, or naltrexone) with

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Policy Brief: Medical Respite Care: Financing Approaches

Many states and local communities are seeking cost-effective alternatives to inpatient hospital stays while at the same time trying to improve the health of vulnerable populations and reduce homelessness. People experiencing homelessness have significant health care needs and use hospitals at higher rates and for longer periods of time than their housed counterparts. Unfortunately, because

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Ask & Code: Documenting Homelessness Throughout the Health Care System

People experiencing homelessness have disproportionately high rates of acute and chronic disease and behavioral health conditions and are high utilizers of all components of the health care system. In an era of growing focus on social determinants of health, value-based reimbursements based on risk factors, population health, and better health outcomes, more accurate data on

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