Survey Finds Significant Shortcomings in Healthcare Financing of Healthy Homes Services

The National Center for Healthy Housing (NCHH) and Milken Institute School of Public Health at the George Washington University have published Healthcare Financing of Healthy Homes Services: Findings from a 2014 Survey of State Reimbursement Policies, a report documenting current Medicaid reimbursement practices for environmental health services in the homes of lead-exposed children and people with asthma and highlighting opportunities for increasing access to these benefits.

The report shows that while 27 states have some Medicaid reimbursement policy in place for either home-based asthma services or follow-up services for children with lead exposure, these important services are not mandatory in most states.

For asthma, despite recommendations by the Community Guide to Preventive Services and the Clinical Guidelines for the Diagnosis and Management of Asthma (EPR-3), only 13 states have any reimbursement in place for home-based asthma trigger control services, such as asthma education and environmental assessments.

The researchers plan to undertake additional analysis to understand how states successfully convert policies into services on the ground and how to address potential barriers to assist state and local agencies further in exploring healthcare financing for healthy homes.

Outside of Medicaid reimbursement, the survey showed that, in some states, private payers, hospitals, and other providers are beginning to explore integration of home-based asthma and lead services with clinical care through avenues such as accountable care organizations, hospital community benefits, and social impact bonds. These arrangements, though less common, may be gaining momentum.

To view the full report, click here. For a press release on the report, click here. For additional financing resources from the NCHH, click here.