When everyone has a safe, stable place to call home, people are healthier and communities can thrive. To intervene effectively, we must meet immediate needs, while also addressing underlying causes of housing insecurity and homelessness.
In this forum, participants learned about how health system leaders are joining with others to:
- leverage Medicaid to provide housing supports and services for people who are currently homeless;
- link people to services that can prevent homelessness, through legal assistance and other supports; and
- reduce housing insecurity by expanding access to affordable housing.
|10:00 a.m.||Welcome & opening remarks|
|10:10 a.m.||Understanding Why Housing Matters for Health|
|10:20 a.m.||Using Medicaid to Link Patients to Housing Services|
|10:30 a.m.||Stable Housing, Healthy People: Connecting Patients to Legal Aid|
|10:40 a.m.||Addressing Root Causes: Expanding Access to Affordable Housing|
|10:50||Discussion and Audience Q&A|
Margot Kushel, MD, Director of the UCSF Benioff Homelessness and Housing Initiative
Margot Kushel, MD is a Professor of Medicine at University of California San Francisco, Director of the UCSF Benioff Homelessness and Housing Initiative, and Division Chief and Director of the UCSF Center for Vulnerable Populations. She is a practicing general internist at Zuckerberg San Francisco General Hospital. Margot’s research focuses on the causes and consequences of homelessness and housing instability, with the goal of preventing and ending homelessness and ameliorating the effects of homelessness on health. She works closely with government bodies, non-profits and communities impacted by homelessness to bring forward solutions that center racial and housing justice. She serves as a Board member of Housing California. She speaks at a local, state and national level about issues of homelessness.
Rishi Manchanda, MD, President & CEO, HealthBegins
Dr. Rishi Manchanda is President & CEO of HealthBegins, a mission-driven consulting and technology firm that helps healthcare and community partners improve care and the social factors that make people sick in the first place. Client-partners include the American Hospital Association, the CMS Accountable Health Communities model, and health plans and health systems across the country. Dr. Manchanda serves on the board of the Beyond Flexner Alliance, on the California Future Health Workforce Commission, and was a member of the HHS Health Care Payment Learning & Action
Network’s Primary Care Payment Model Work Group. Dr. Manchanda’s career is marked by a commitment to improving care and social determinants of health for vulnerable populations. He served as director of social medicine for a network of community health centers in south central Los Angeles, was the lead physician for homeless Veterans at the Greater Los Angeles VA, and was the first chief medical officer for a self-insured employer with a large rural immigrant workforce. In his 2013 TEDbook, The Upstream Doctors, he introduced a new model of healthcare workers – the Upstreamists – who improve care and equity by addressing patients’ social needs, like food, financial and housing insecurity. The book has become recommended reading in medical schools and universities across the world.
Barbara DiPietro, Ph.D., Senior Director of Policy, National Health Care for the Homeless Council
Barbara DiPietro has been working in public policy for 20 years, many of them specifically focused on health care and homelessness. She holds a Master’s Degree in Policy Sciences and a Doctorate in Public Policy, both from the University of Maryland, Baltimore County. Her dissertation research focused on the impact of homelessness on emergency departments in Baltimore City, and she continues to work to ensure that health care systems can better serve vulnerable populations. For 10 years, she worked for the State of Maryland in the Governor’s Office as well as the Department of Health, helping coordinate health and human services policy and legislation, inter-agency children and family services, and the state’s 10-Year Plan to End Homelessness. For the last 12 years, she has been Senior Director of Policy for the National Health Care for the Homeless Council. In this role, she focuses on national policies that advance the human right to housing and health care, and end homelessness.
Jacqueline Waggoner, President, Solutions Division, Enterprise Community Partners, Inc.
Jacqueline Waggoner is president, Solutions Division, for Enterprise Community Partners, Inc. She leads a team of over 300 talented Enterprisers across the country, driving Enterprise’s programmatic, policy and advisory work in alignment with our strategic priorities: Increase Housing Supply, Advance Racial Equity, and Build Upward Mobility and Resilience. Prior to her promotion to president in October 2020, Jacqueline was vice president and Southern California market leader. She led Enterprise’s affordable housing, community development, investment and strategic programs serving the state’s Central Coast to San Diego, with particular focus to the Los Angeles region. Jacqueline started with Enterprise in 2005. During her tenure, she has deployed capital, intellectual resources and capacity building tools to achieve Enterprise’s strategic and production goals, leading to more than $1.3 billion in Enterprise investments locally. With her experience in commercial real estate lending spanning more than 24 years, she has worked with the city of Los Angeles, banks and nonprofit developer partners to create local funds for affordable housing, advocate for low-income families and advance Enterprise’s vision of providing affordable homes in vibrant communities. Jacqueline serves on a number of public, nonprofit and coalition boards, including the Los Angeles Homeless Services Authority Commission (vice chair) and its Ad Hoc Committee on Black People Experiencing Homelessness (chair), the UCLA Luskin School of Public Affairs, the Los Angeles Business Council and the Committee for a Greater LA. A Los Angeles native, she holds a bachelor’s degree in sociology and a master’s degree in urban planning from UCLA.
Cecilia Oregón, Executive Director, Kaiser Permanente Institute for Health Policy
Cecilia Oregón (formerly Cecilia Oregón Echeverría) is the executive director for Kaiser Permanente’s Institute for Health Policy. In her role, Cecilia leads strategy and operations for the Institute. Her specific areas of expertise include access to health care for underserved populations as well as behavioral health, school-based health, and early childhood issues. Cecilia joined Kaiser Permanente in 2013 as the director of safety net partnerships for the National Community Benefit program. In her role, Cecilia helped accelerate safety net grant strategy and initiatives. She also fostered the development and spread of national and regional safety net partnerships. Prior to Kaiser Permanente, Cecilia served in program officer roles for Blue Shield of California Foundation and The California Endowment where she managed portfolios of grants focused on strengthening California’s healthcare safety net and improving access to health care. She also served as an analyst of social legislation for the Congressional Research Service in Washington, D.C., and a special projects associate for the Alameda County Public Health Department. Cecilia has a bachelor’s degree in social welfare, a master’s in public policy, and a master’s in public health from University of California, Berkeley. She currently serves as the vice chair of the Alameda County First 5 Commission and sits on the boards of directors for the Insure the Uninsured Project and Northern California Grantmakers.
Resources shared during the event included:
- Speakers’ organizations
- Medicaid and Housing
- Medicaid’s Role in Housing by MACPAC
- Overview of Opportunities Under Medicaid and CHIP to Address Social Determinants of Health, Letter from CMS
- Policy Brief: Summary of State Actions on Medicaid and Housing Services by the Corporation of Supportive Housing
- From Homelessness to Housing: Challenges and Opportunities of Housing Transitions by the National Health Care for the Homeless Council
- Incorporating Lived Experience
- Engaging People with Lived Experience Toolkit, Community Commons
- Integrating Lived Experience into the Framework for and Equitable COVID-19 Homelessness Response, The Equitable COVID-19 Response Project (multiple partners)
- Measuring Value
- Other Resources
- Housing for Health, overview by Kaiser Permanente
- Addressing Housing Affordability, Kaiser Permanente Institute for Health Policy
- The Way Home, documentary series by KTF and Bread and Butter Films
- Denver Leads the Nation in Breaking the Homelessness-Jail Cycle by Enterprise Community Partners
- Permanent Supportive Housing for Homeless People – Reframing the Debate, published in NEJM
- Housing Affordability and Quality: A Community Driver of Health, a paper by APHA, Academy Health and Kaiser Permanente