Grant Partners

Boston Center for Independent Living (BCIL) will provide services to and seek full integration for individuals with disabilities into society. BCIL will advocate to policymakers and legislative leaders, maintain and strengthen operations for the Disability Advocates Advancing our Healthcare Rights (DAAHR) Coalition, organize the disability community against any threats to coverage or affordability, develop organizational technical expertise, and provide policy analysis and input to the field, particularly related to One Care. BCIL will also increase capacity to focus on behavioral health integration and social equity.

The Massachusetts League of Community Health Centers (the League) will address the changes in the policy and health care environment with vulnerable populations, community health centers, and their communities.  A main goal is to analyze health care reform policies, monitor proposals for change, and educate community health centers and partner organizations. The League will also assemble health centers, community members, providers, and advocates in an action-based coalition for maintaining and expanding coverage.

Community Health Programs (CHP) will target outreach in nearby towns with over 100 uninsured residents, and attend community events to connect with the underserved, using its mobile van to reach those in geographically isolated locations. It will reduce churn by proactively communicating via phone and email that insurance is about to lapse, and provide instructions for seeking assistance. CHP will also create a Facebook page to explain common insurance terms, and post and translate sample letters from MassHealth.

Friends of Jewish Community Housing for the Elderly (JCHE) provides supportive, affordable, independent senior housing in Massachusetts, and owns 1,200 apartments that are home to 1,500 low-income older adults in Brighton, Newton, and Framingham.  In collaboration with the LeadingAge Center for Applied Research, JCHE will seek to demonstrate the effectiveness of affordable housing on the quality of life for the organization's seniors, as well as an impact on costs to the government and health care system.  It will include metro Boston seniors who are low- and moderate-income with similar demographics (income, age, ethnicity, risk profile) living in subsidized housing and receiving supportive services.  The provision of housing will be studied as an intervention at three levels, using Medicaid and Medicare utilization data:  1) housing without services, 2) housing with resident service coordination only, and 3) housing with significant service enrichment. 

Massachusetts Law Reform Institute’s (MLRI) health care work targets vulnerable populations who face unusual challenges in obtaining and maintaining health insurance coverage and care. MLRI will provide legal advocacy focused on policy and regulation issues in the Commonwealth in defense of low-income and vulnerable populations. One key issue is retaining coverage for those affected by redetermination through detailed critiques and analyses to identify standards and practices that are not in compliance with applicable law.

South Middlesex Opportunity Council (SMOC) provides housing and supportive services to disadvantaged, homeless, single adults in three regions of the state:  MetroWest/Framingham, Central Mass/Worcester, and the Merrimack Valley/Lowell.  SMOC will evaluate the impact of its Housing First program that recognizes an immediate and primary focus on helping clients access and sustain permanent housing, to test the hypothesis that stable housing leads to improved health outcomes, and ultimately, a reduction in health costs.  Three hundred clients will be placed into housing and evaluated as part of this project.  SMOC will identify those clients with the highest service needs at entry into shelter, and then follow them into and throughout their housing placement in order to measure their health outcomes at various points along the continuum of homelessness and housing.

Harbor Health Services will participate in off-site joint outreach sessions at social service agencies, supermarket chains, ethnic markets, Councils on Aging, Veterans Agencies, sites serving behavioral health and developmental delayed persons, subsidized housing, state employment and job training sites, schools, food pantries, WIC program sites, health fairs, and via social media. It will create a health insurance literacy community assessment, and develop user-friendly materials that educate clients on how to use health insurance benefits. Finally, it will dedicate a phone number and webpage for residents to reach staff for enrollment assistance, and execute a social media campaign.

Family Health Center of Worcester (FHCW) will partner with community organizations to receive referrals for individuals needing enrollment assistance. They will provide one-on-one sessions and events about minimizing the risk of losing coverage, review all eligibility determination letters, utilize its EMR to record pending expiration dates, and use automated call center software to reach uninsured patients in multiple languages. The organization will conduct quarterly “health insurance 101” trainings, provide regular patient orientation sessions, and make health insurance literacy information and resources available through patient computer kiosks.

The Massachusetts Senior Action Council (MSAC) will address key public policy and community issues affecting the health and well-being for the 65 and over population, empowering its members to use their own voices to address key public policy and community issues. Advocacy will focus on the growing disparity in out-of-pocket costs and affordability. MSAC will coordinate the “Bridge the Gap” campaign, which focuses on health care affordability for seniors.

Project Directors: Thomas Byrne, PhD, Principal Investigator and Daniel Miller, PhD, Co-Investigator“A Data-Based Redesign of Health Care and Housing for People who Experience Chronic Homelessness” is a two year project that will assess the potential return on investment associated with several different housing intervention models for persons age 55 and above experiencing chronic homelessness. The research team plans to: describe the health care utilization patterns among Massachusetts residents over the age of 55 who are enrolled in Medicaid and experience chronic homelessness and compare those patterns to two other comparison groups, including a similar cohort who experiences homelessness on a temporary basis and a cohort who have not experienced homelessness; project health care costs over the next ten years associated with Massachusetts residents over the age of 55 who are chronically homeless and enrolled in Medicaid in the absence of a housing intervention; and analyze if/to what extent implementation of several different housing models targeted to chronically homeless adults aged 55 and older would lead to reductions in health care costs. Where applicable, the researchers will also estimate the potential return on investment associated with large-scale implementation of the housing models considered. This project will focus on Massachusetts but is expected to be part of a multi-state project involving other independent studies in California, New York, and Washington (pending funding for projects in each of these states), which share similar research objectives.

Dukes County will participate in community outreach events, and use paid and unpaid advertising and social media to promote affordable insurance information. They will develop a folder with handouts for appointments, and adapt a checklist for account set-up, enrollment and payment information, primary care provider selection, and making appointments. It will also set up reminder systems for clients with pending action steps. 

Community Action of the Franklin, Hampshire, and North Quabbin Regions will conduct outreach through four community coalitions, food pantries, and career centers.  They will screen all callers for health insurance needs and send reminders about member responsibilities to submit documentation and update information.  At enrollment meetings, Community Action will provide materials to help members stay organized and follow-up to see if they have a PCP, can access their Connector account, and have responded to any mailings. 

Cambridge Economic Opportunity Committee (CEOC) will plan outreach and enrollment activities at community locations. It will use an extensive follow-up system to address churn, ensuring that individuals have obtained the benefit they applied for and that all documents have been submitted.  It will conduct financial education and coaching to help ensure individuals can maintain their payments and minimize the risk of churn, and conduct educational coaching on health insurance literacy.

Urban Edge provides housing supportive services including public benefit enrollment, family budgeting, leadership development, connections to community, and tax preparation services.  The Family Van carries out curbside testing, health coaching, and care referrals to individuals in underserved communities, travelling directly to areas in which the need is greatest, and providing a range of preventive services and an alternative to costly emergency department visits.  Both organizations will partner with Winn Companies to analyze the impact that housing support services have on the health of families most impacted by the social determinants of health, using an Evaluation Framework for Community Health Programs. 

Fishing Partnership Health Plan (FPHP) will conduct outreach mailings and maintain presence at harbors, marinas, and trade shows, reaching fishermen and their families. They will address churn through providing a Resource Sheet with relevant deadlines, follow-up via preferred communications methods, and provide individual education sessions on health insurance literacy.