Seizing the
Opportunities
pp
for Health &
H
Housing
i
Rebecca Morley, MSPP, Executive Director
National Center for Healthy Housing
Where are you from?
www.nchh.org
Where do you call home?
www.nchh.org
The Western Perspective
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Another Perspective
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Where
you live
matters
www.nchh.org
Framing our next steps
Opportunities for Action
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Collaboration with
Health Care
Collaboration
C
ll b ti with
ith
Code Enforcement
Affordable
Care
C
Act
A t
Insurance Matters & What it Covers Matters
Policy & Systems Outside the Clinical System Matter Too
Key Titles of the ACA
www.nchh.org
 Title I: Private coverage of essential health benefits
 Title II: Medicaid as the insurance program for Americans <138%fpl
 Title III: Moving from fee
fee-for-service
for service to accountable care
 Accountable Care Organizations (ACOs) – 252 via CMS
 Patient Centered Medical Homes
 Hospital Penalties for Readmissions (and Infections)
 CMS Innovation Center
 Title IV: Prevention
gy
 National Prevention Strategy
 Prevention Trust Fund
 Coverage of Clinical Preventive Services without cost sharing
 Title V: Workforce initiatives
 Title VI: Patient Centers Outcomes Research Institute
 Title IX: Hospital Community Benefit requirements
Title 1: Essential Health
Benefits
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CURRENT LANDSCAPE
Allowable coverage of preventive services limited to those
provided by a physician or licensed practitioner.
CHANGES TO THE RULE
Allows state Medicaid programs to reimburse for preventive
services provided by professionals that are NOT clinically
licensed, as long as those services are recommended by a
physician or other licensed practitioner.
WHAT IT MEANS
Beginning January 2014, Medicaid can cover community
b d asthma
based
h
and
d other
h h
healthy
lh h
homes services
i
carried
i d out
by asthma educators, healthy homes specialists and other
community health workers.
Title IV: Coverage of Clinical
P
Preventive
ti Services
S
i
Section 2713 of the Affordable Care Act
requires
q
"new" private
p
health plans
p
to
offer, without cost sharing, "evidence-informed
preventive care and screenings provided for in
the comprehensive guidelines supported by
the Health Resources and Services
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Title X: Revenue Provisions
Hospital Community
Comm nit Benefits
Section 9007 clarifies
nonprofit hospitals’
responsibilities to provide
benefits to the
communities
iti they
th serve
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Reimbursement for homebased asthma interventions
MI
Long-standing example of work with private payers
MA
Waiver to pilot bundled payment approach
OR
L l pilots;
Local
il
O
Oregon H
Health
l h IImprovement Pl
Plan
TX
Non
o d
disease-specific
sease spec c case management
a age e t
NY
Benefit endorsed as part of state’s Medicaid Redesign;
part of mega-waiver
g
submitted to CMS as p
OH, MD,
others
Working with private and public payers to explore
options
~50%
In a recent
ece t
survey of 22
states 12
states,
reported some
l l off
level
Medicaid
reimbursement
What about lead?
Housing
g
Code
E f
Enforcement
t
Standards, Enforcement, Open
p Data
Health
H
lh
Based
Attainable
Attainable,
Enforceable
and
Practicable
National Healthy Housing Standard
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Standard’ss Value Add
The Standard
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Not a construction
or rehab standard…
standard
Deliver
Guide
standard
Overlay
rental
of care for
International property
t
Adopt in
every
Property
owner
entirety
home
Maintenance
Strengthen
Code
existing code
Comparison with Health and
S f t in
Safety
i E
Existing
i ti St
Standards
d d
Provision
International
Property
Maintenance
Code
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HUD’s
National
Housing
Healthy
Quality
Housing
Standards Standard
Noise Infiltration Limit




Correct Moisture Problem
and Cause

CO Alarm
Al
Integrated Pest Management
Ventilation


www.changelabsolutions.org
LIVES: A Proof of Concept
Putting Open Data to Work
24
Getting to Work
 Lead a local housing
matters choir
 Explain
l and
d show
h health
h lh
care how you can help
 Review and strengthen
codes
 Consider systematic code
enforcement
f
 Pursue open inspection
data
25
Rebecca Morley
NATIONAL CENTER
FOR HEALTHY HOUSING
[email protected]
www.nchh.org
JOIN US
@nchh
Facebook com/HealthyHousing
Facebook.com/HealthyHousing.
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