Exploring Health Conditions and Health Care Utilization of HUD-Assisted Older Adults

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For the first time, researchers from the LeadingAge Center for Applied Research,  Lewin Group, and The Moran Company were able to successfully link administrative data from the U.S. Department of Health and Human Services (HHS) and the U.S. Department of Housing and Urban Development (HUD).  

The initial study created a dataset that linked HUD administrative data for all individuals receiving HUD assistance in 12 geographic areas with the individuals’ Medicare and Medicaid claims data. 

The dataset identifies the population’s health care service use and spending patterns in 2008, which was the latest year of both Medicare and Medicaid data available to the research team at the time the dataset was created. 

An analysis of the data confirmed that HUD-assisted residents in the study areas were more likely to be dually eligible for Medicare and Medicaid. Of the 85% of HUD-assisted older adults who were identified Medicare beneficiaries, approximately 68% were dually eligible for both Medicare and Medicaid.  

The study’s analysis focused primarily on Medicare-Medicaid enrollees, also known as dual eligibles, who were age 65+ and had Fee-for-Service (FFS) coverage. This group was compared to dual eligible beneficiaries in the community who did not receive assistance from HUD. 

A comparison of individuals in the study areas yielded these findings: 

  • More than half (55%) of HUD-assisted older adults who were dual eligibles had five or more chronic conditions, compared to 43% of dual-eligible older adults not receiving HUD assistance. 
  • Average Medicare per member per month (PMPM) costs for Medicare FFS were 16% higher for HUD-assisted dual eligible beneficiaries ($1,222) than for unassisted dual eligibles in the community ($1,054).   
  • PMPM costs for Medicaid FFS dual eligible beneficiaries were 32% higher for HUD-assisted MMEs ($1,180) than for unassisted dual eligible beneficiaries ($895).  

This project included several other components, including a series of case studies of housing plus services programs in several of the study areas. 

Project-Related Resources:

Picture of Housing and Health: Medicare and Medicaid Use Among Older Adults in HUD-Assisted Housing 

For More Information: 

Study Documents Higher Health Costs Among HUD Assisted Seniors

How Good Data Can Help Low-Income Elderly Age in Community

What is so Important about the HUD/HHS Study Findings