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Approaches to Financing Medical Respite/Recuperative Care Programs

Resource Topic: Emerging Issues, Finance, Social Determinants of Health (SDOH), Special and Vulnerable Populations, Value-Based Health Care Transformation

Resource Subtopic: Capital Development, Health Equity, Population Health, Community, Health, and Housing Partnerships, Value-Based Payment.

Keywords: Payment and Reform, Persons Experiencing Homelessness, Reimbursement.

Year Developed: 2021

Resource Type: Publication.

Primary Audience: Administrative Staff C-Suite (CEOs, CFOs, CIO, COOs, CMOs, etc.) Clinicians PCAs

Language: English

Developed by: National Health Care for the Homeless Council (See other resources developed by this organization). In collaboration with National Institute for Medical Respite Care.

Resource Summary: Also known as recuperative care, medical respite care is short-term care for individuals experiencing homelessness who are too frail to recover from illness or injury on the streets or in shelters but not sick enough to remain in the hospital. This white paper describes trends and opportunities for funding medical respite programs and services and offers methods to expand and scale programs through innovative financing mechanisms and increased flexibility in payment policy. The paper outlines various approaches to finance medical respite programs, offering providers, state and federal Medicaid leadership, policymakers, and managed care organizations (MCOs) specific partnership options to ensure continuity and quality of care for patients with long-term health and housing needs.

Resource Details: Also known as recuperative care, medical respite care is short-term care for individuals experiencing homelessness who are too frail to recover from illness or injury on the streets or in shelters but not sick enough to remain in the hospital. This white paper describes trends and opportunities for funding medical respite programs and services and offers methods to expand and scale programs through innovative financing mechanisms and increased flexibility in payment policy. The paper outlines various approaches to finance medical respite programs, offering providers, state and federal Medicaid leadership, policymakers, and managed care organizations (MCOs) specific partnership options to ensure continuity and quality of care for patients with long-term health and housing needs.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.