Reports from Cornell University Advance Knowledge in Managed Care (Entrenched Opportunity: Medicaid, Health Systems, and Solutions To Homelessness): Managed Care

2025 APR 04 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- A new study on Managed Care is now available. According to news reporting out of Ithaca, New York, by NewsRx editors, research stated, “As inequality grows, politically powerful health care institutions-namely Medicaid and health systems-are increasingly assuming social policy roles, particularly related to solutions to homelessness. Medicaid and health systems regularly interact with persons experiencing homelessness who are high users of emergency health services and who experience frequent loss of or inability to access Medicaid services because of homelessness.”

Funders for this research include Poverty Solutions at the University of Michigan, NIH National Institute of Mental Health (NIMH).

Our news journalists obtained a quote from the research from Cornell University, “This research examines Medicaid and health system responses to homelessness, why they may work to address homelessness, and the mechanisms by which this occurs. The authors collected primary data from Medicaid policies and the 100 largest health systems, along with national survey data from local homelessness policy systems, to assess scope and to measure mechanisms and factors influencing decision-making. Nearly one third of states have Medicaid waivers targeting homelessness, and more than half of the 100 largest health systems have homelessness mitigation programs. Most Medicaid waivers use local homelessness policy structures as implementing entities. A plurality of health systems rationalizes program existence based on the failure of existing structures. Entrenched health care institutions may bolster local homelessness policy governance mechanisms and policy efficacy.”

According to the news editors, the research concluded: “Reliance on health systems as alternative structures, and implementing entities in Medicaid waivers, may risk shifting homelessness policy governance and retrenchment of existing systems.”

This research has been peer-reviewed.

For more information on this research see: Entrenched Opportunity: Medicaid, Health Systems, and Solutions To Homelessness. Journal of Health Politics, Policy and Law, 2025;50(2):307-336. Journal of Health Politics, Policy and Law can be contacted at: Duke Univ Press, 905 W Main St, Ste 18-B, Durham, NC 27701, USA.

Our news journalists report that additional information may be obtained by contacting Charley E. Willison, Cornell University, Ithaca, NY 14850, United States. Additional authors for this research include Naquia A. Unwala and Katarzyna Klasa.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1215/03616878-11567700. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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