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This article and any supplementary material should be cited as follows: Tsai J, Rosenheck RA. Homeless and nonhomeless VA service users likely eligible.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Tsai J, Rosenheck RA. Homeless and nonhomeless VA service users likely eligible."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Tsai J, Rosenheck RA. Homeless and nonhomeless VA service users likely eligible for Medicaid expansion. J Rehabil Res Dev. 2014;51(5):675–84. http://dx.doi.org/10.1682/JRRD.2013.10.0225 Slideshow Project DOI:10.1682/JRRD.2013.10.0225JSP Homeless and nonhomeless VA service users likely eligible for Medicaid expansion Jack Tsai, PhD; Robert A. Rosenheck, MD

2 This article and any supplementary material should be cited as follows: Tsai J, Rosenheck RA. Homeless and nonhomeless VA service users likely eligible for Medicaid expansion. J Rehabil Res Dev. 2014;51(5):675–84. http://dx.doi.org/10.1682/JRRD.2013.10.0225 Slideshow Project DOI:10.1682/JRRD.2013.10.0225JSP Aim – Use administrative data on 2010 VA service users to: Estimate how many homeless and nonhomeless VA service users may be eligible for 2014 Medicaid expansion (LEME). Compare LEME and not LEME by homeless status on sociodemographic characteristics and medical and psychiatric diagnoses. Relevance – Results will estimate VA service users to be affected by Affordable Care Act’s (ACA’s) Medicaid expansion and explore their characteristics and health needs.

3 This article and any supplementary material should be cited as follows: Tsai J, Rosenheck RA. Homeless and nonhomeless VA service users likely eligible for Medicaid expansion. J Rehabil Res Dev. 2014;51(5):675–84. http://dx.doi.org/10.1682/JRRD.2013.10.0225 Slideshow Project DOI:10.1682/JRRD.2013.10.0225JSP Method Analyzed administrative data on 3.8 million VA service users under age 65 in 2010 to identify number and characteristics of those who are homeless vs nonhomeless and LEME.

4 This article and any supplementary material should be cited as follows: Tsai J, Rosenheck RA. Homeless and nonhomeless VA service users likely eligible for Medicaid expansion. J Rehabil Res Dev. 2014;51(5):675–84. http://dx.doi.org/10.1682/JRRD.2013.10.0225 Slideshow Project DOI:10.1682/JRRD.2013.10.0225JSP Results 1.2 million (21%) VA services users are LEME if all states implement expansion. Homeless service users twice as likely to be LEME than nonhomeless users (64% vs 30%). Both homeless and nonhomeless LEME VA service users were physically healthier but more likely to have substance use disorders and posttraumatic stress disorder than those not LEME.

5 This article and any supplementary material should be cited as follows: Tsai J, Rosenheck RA. Homeless and nonhomeless VA service users likely eligible for Medicaid expansion. J Rehabil Res Dev. 2014;51(5):675–84. http://dx.doi.org/10.1682/JRRD.2013.10.0225 Slideshow Project DOI:10.1682/JRRD.2013.10.0225JSP Conclusion Many VA service users are LEME, particularly those who are homeless and/or have mental health needs. Cross-system use of VA and Medicaid-funded services may be advantageous for veterans with extensive medical and psychiatric needs but also risks fragmented care. Information and education for VA clinicians and patients about possible implications of ACA are important.

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