Grant Partners

Project Director: Tricia McGinnis, MPP, MPH

“Best Practices and Lessons Learned from Partnerships between Health Care Providers and Community-based Organizations” is a one year grant that will support the development of an event featuring two health care provider and community-based organization (CBO) partnerships identified through a companion project funded by the Robert Wood Johnson Foundation project. The partnerships highlighted will help inform how developing accountable care organizations in Massachusetts could establish similar partnerships to support the integration and coordination of social determinants of health with health care services. The featured health care provider/CBO partnerships will highlight lessons learned and explore the different types of activities and approaches to establish viable partnerships and drive improved patient outcomes. In addition, the grantee team will develop an issue brief that synthesizes best practices and lessons learned, highlighting actionable takeaways and operational activities for health care providers. The brief will also incorporate insights gleaned from engaging Massachusetts stakeholders during the event.

Project Director: Liora Beer“2017 Survey of Massachusetts Artists, Makers, and Entrepreneurs in Creative Industries” is a one year project that will examine the economic status and needs of artists and creative entrepreneurs, with a focus on health insurance coverage, access to health care services, and key social determinants of health such as housing. Artmorpheus represents artists and creative sector entrepreneurs, who – as demonstrated from a similar 1791 survey and report – are generally low and middle income individuals who disproportionately lack health insurance. The results from this survey will help identify if/what health coverage and access changes have occurred since 1791 and what opportunities and improvements remain. The results will be summarized in a report that will be broadly distributed to survey participants, local and regional arts service organizations, policymakers and government agency officials, and nonprofit agencies.

Project Directors: Laura Skopec, MS, Principal Investigator and Sharon Long, PhD, Co-Investigator“Community Matters: Understanding the Link Between Community Characteristics and High Uninsurance” is a one year project that will analyze the relationship between community socioeconomic, health system, and environmental conditions and the uninsured rate at the county and sub-county level. In addition, the researchers will assess how the characteristics of high uninsurance communities vary for particular subgroups (such as by age, gender, race and/or ethnicity). Through their work, which will rely on uninsured rates in Massachusetts based on the American Community Survey (ACS) files for 2010-2014 and Census Bureau data that will serve as proxies for community level socioeconomic, health system, and environmental conditions, the team will provide insight into the community characteristics associated with high uninsurance rates. The research team proposes to look at “outlier” communities – those that would be expected to have high levels of uninsurance based on their socioeconomic, health system and environmental conditions but do not, as well as those communities that would be expected to have low levels of uninsurance but do not.

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.

Project Directors: James Maxwell, PhD, Director of Research and Policy (Principal Investigator) and Pat Fairchild, MA, Vice President of JSI US Division“An Assessment of CHCs’ Implementation of Alternative Payment and Delivery System Reforms” will assess the current status and readiness of Community Health Centers (CHCs) to implement payment and delivery system reforms as well as to identify the primary barriers and facilitators to implementing these reforms. Relying on qualitative data collected through key informant interviews among staff at 18-20 CHCs and quantitative data available through the Uniform Data Set (UDS) from the Health Resources and Service Administration (HRSA), the research team plans to: identify the financial incentives and structural requirements being placed on CHCs based on the key components of their contracts for Medicaid’s Primary Care Payment Reform Initiative (PCPRI) and with Medicaid Managed Care Organization (MCO) plans; document the current status of CHCs in implementing components of payment and delivery system reforms; highlight and elucidate the primary barriers and facilitators to implementing reforms; and analyze the extent to which risk-based contracting and alternative payment reforms are associated with changes in CHCs’ costs and revenues.