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NEW: The country's largest health insurer is giving apartments to homeless people, not as an act of charity, but to deal with the extraordinary costs of caring for them.

My story in this week's @BW

bloomberg.com/news/features/…
UnitedHealthcare is offering housing and support services to some of its most expensive homeless Medicaid patients, people with a complex blend of physical, social, and mental health challenges.

bloomberg.com/news/features/…
I visited the Phoenix apartment complex that serves as the company's R&D lab for addressing the social needs of its most expensive homeless patients -- people whose medical expenditures exceed $50,000 a year.

bloomberg.com/news/features/…
After decades of trying to improve care for poor, medically complex patients in Camden, NJ, Dr. Jeffrey Brenner joined UnitedHealth in 2017 to help the country's largest health insurer address patients' social needs.

bloomberg.com/news/features/…
The company's betting that it can improve care and reduce costs for chronically homeless people who rely on emergency rooms and hospitals for medical care.

bloomberg.com/news/features/…
One patient cost $12,945/month while he was living on the streets.

After he got into housing, monthly expenses dropped to $2,073.

“This is just sad. This is just stupid,” Brenner says. “Why do we let this go on?”

bloomberg.com/news/features/…
The story is illuminating about how the U.S. allocates economic resources.

As a society, we’ve effectively decided that people shouldn’t die on the street, but it’s acceptable for them to live there.

bloomberg.com/news/features/…
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John Tozzi
@jtozz
More than 4,000 people have been cut from Medicaid in Arkansas for not complying with the state's new work requirement, the first time that's been allowed since Congress created Medicaid in 1965 bloomberg.com/news/articles/…
The work requirement is the first to go into effect since the Trump administration opened the door for it in January

bloomberg.com/news/articles/…
People have to report 80 hours a month of work or other activity (like volunteering). They have to use a website that...closes at 9 p.m. That's right. The website is closed for 10 hours for maintenance every night (70 hours a week).
Read 11 tweets
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John Tozzi
@jtozz
America has almost a thousand medical helicopters that transport patients in urgent situations. The services can be lifesaving, but expensive. 1/
The bills can typically be $30,000 or more, and the charges have gone up quickly -- more than doubled between 2010 and 2014, according to GAO. 2/ bloomberg.com/news/features/…
If patients are uninsured, or if insurers don't cover the full costs that ambulance providers charge, they often balance bill patients. 3/ bloomberg.com/news/features/…
Read 13 tweets

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Well - it's my birthday today. It's also 3 weeks since we provided @RedbridgeLive with a clear list of emergency needs as disanled, homeless people, that they need to help us meet as per the Care Act. NONE have been met.
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Victoria Brownworth
@VABVOX
Here's the full study from @seattletimes article.

I have done several series on #homeless people and women and teens are at high risk for sexual assault due to their vulnerability and being "invisible" in society. There are few access points to report. scribd.com/document/38694…
There are some disturbing remarks in the threads on @seattletimes article. These imply that because the study was small, it's irrelevant. But that is quite obviously false. Every raped woman is relevant. And the coercion of Native women by non-Native men has historical context.
Native women are the least addressed in the context of the #MeToo movement. Homeless women are not mentioned at all. This @seattletimes article highlights that fact. For that reason and more it should be read and shared and discussed--but in no way dismissed.
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