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The LeadingAge Center for Applied Research is working with RTI International on a newly awarded contract to evaluate the Supports and Services at Home (SASH) program. The project is funded by the Office of the Assistant Secretary for Planning and Evaluation (ASPE) at the U.S. Department of Health and Human Services (HHS).The SASH program uses not-for-profit housing as a platform for coordinating and delivering health and supportive services to seniors and people with disabilities. SASH participants live in the housing properties and their surrounding communities. The interdisciplinary SASH team includes a SASH coordinator and wellness nurse who are based at the housing property, and representatives from a network of community-based service providers.Cathedral Square Corporation in South Burlington, VT, developed the SASH program, which is currently being rolled out to 112 housing sites through Vermont’s Multi-payer Advanced Primary Care Practice (MAPCP) demonstration. The demonstration, funded by the Centers for Medicare and Medicaid Services, is designed to support state efforts to improve the quality and coordination of health care services through team-based “medical homes.”
During the 3-year evaluation, the Center for Applied Research and RTI International will examine the development and implementation of the SASH program as well as outcomes for program participants. Primary study activities will include:
At the end of the MAPCP demonstration, the HHS Secretary has the option of making demonstration activities a permanent component of the Medicare program. The evaluation findings could help inform this decision. Evaluation results could also inform policy efforts at the federal and state level related to the role that affordable housing linked with health and supportive services could play in addressing health and long-term care reform goals.For more information about the SASH evaluation, contact Alisha Sanders at 202-508-1211.