Kaiser Permanente just invested in a housing complex. Here’s what it’s doing with it

https://www.fiercehealthcare.com/hospitals-health-systems/kaiser-permanente-aims-to-address-homelessness-by-investing-affordable?mkt_tok=eyJpIjoiTlRnM1lUZGhNV1kzWXpjeSIsInQiOiI5UFUwa2VZSFwvMU0rSjZjcys5ZDdlWXB2dll2SlBPNTFXcVVvd3Y3ODA3S0hSMFZxZFVtbUd6TDV4bU9qSVpmTEljSUZOc3JsbWRmT3g1dGplaVhuSXJtYWhXUUtiSUlHNTRnTk1sU2VuSVdCYUF2SnZlbU03M1wvVks4N0U3TVJJIn0%3D&mrkid=959610&utm_medium=nl&utm_source=internal

Kaiser Permanente

Kaiser Permanente has gotten into the business of housing.

The health system announced in May that it would put $200 million toward initiatives targeting housing insecurity and homelessness in the communities it serves. On Tuesday night, it announced the first investment is the $5.2 million purchase of an affordable housing complex in Oakland, California, through a fund in partnership with Enterprise Community Partners and the East Bay Asian Local Development Corporation.

The 41-unit building is in an Oakland neighborhood “on the brink of gentrification” which puts the existing residents at risk for displacement. By purchasing the building, it will be blocked from redevelopment that prices out the existing residents, preventing displacement, Kaiser Permanente CEO Bernard Tyson said at a press event on Tuesday.

Preserving buildings like this is a “key component to addressing the national homelessness crisis,” he said. “We know that preserving affordable housing is more effective than building new units.”

It’s part of a comprehensive strategy, officials said, to invest in addressing the economic, social and environmental conditions that ultimately affect the health of their patients.

Kaiser also announced it is “adopting” 500 homeless individuals in the city, Tyson said. He said that several of the system’s employees focused for 12 weeks to expedite a strategy to partner with community groups to house older homeless patients with chronic conditions.

All 500 people identified by the system have at least one chronic condition. The system is working with local groups to secure housing and other needed services for this group.

The plans unveiled by the system on Tuesday also expand beyond Oakland and the Bay Area, where Kaiser is headquartered. On top of the two initiatives focused in that region, Kaiser and Enterprise are teaming up to launch a $100 million loan fund to create or maintain affordable housing units in all of the communities Kaiser Permanente serves. 

Tyson said the health system will make future announcements about specific plans under that fund. Tackling this issue, he said, “ties into who we are and what we’re about as Kaiser Permanente.”

“This is the beginning of us being in traffic and backing our talk that we want to help to make a difference in Oakland, in the Bay Area, in this great country,” Tyson said.

 

 

 

Editor’s Corner: Lack of preventive care in the US may hurt hospitals

http://www.fiercehealthcare.com/finance/lack-preventative-care-u-s-could-wind-up-deeply-damaging-hospitals?utm_medium=nl&utm_source=internal&mrkid=959610&mkt_tok=eyJpIjoiTlRSaU16TTJNREEwTUdZeSIsInQiOiJDTzgyZXFNZW1rc0hNb28wOE41R0hkcUVLSE9nb3pHemVGTFY0ZEJ0OFNkXC9UODNLaDNUYXRxR281Z2NMbWJET01wZGRlQ3FvNlFsSWJ1RHpVMjZKbmxoVHNMa1Y0b3ArNFRmbktOSUtvWm89In0%3D

Editor's corner

Bold statements are fairly rare from the heads of large hospital systems, but Robert Ostrowsky, the head of RWJBarnabas Health, made a pretty strong assertion in a recent interview with the Asbury Park Press: Hospitals should keep their communities healthy. But they don’t.

“It’s not easy because no one is willing to pay for that right now, meaning I don’t get reimbursed by insurance companies to keep somebody healthy and the government doesn’t seem to want to pay us to keep someone healthy,” Ostrowsky told the publication. “They all prefer to pay us when someone gets sick and they want us to spend less when that person is sick. That’s where the concentration has been. But an ounce of prevention. If they would take X number of dollars and say, ‘Here, use it to keep people healthy,’ actuarially, that will show you eventually spend less on sickness care.”

That needs to change for a variety of reasons that have begun to cascade into something profound. Princeton economist Alan Krueger has recently published a study (.pdf) showing a strong correlation between poor health and lack of workforce participation.

Rich hospital, poor hospital divided by politics and a river

http://www.chicagotribune.com/news/sns-wp-blm-health-states-972aeae8-7a71-11e6-8064-c1ddc8a724bb-20160914-story.html

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When hospital executive Jeanette Wojtalewicz visits CHI Health’s Mercy Council Bluffs facility across the Missouri River in Iowa, she sees the new clinics and doctors’ offices partly paid for by the state’s decision to expand Medicaid to thousands of residents.

Back on her side of the river is CHI Health’s Creighton University Medical Center in Omaha, Nebraska, a state that opposed making more low-income people eligible for the government health-insurance program. While Mercy thrives about seven miles away, Creighton is cutting 250 beds to raise efficiency amid slumping financial results.

“There’s not a big geographical difference, but because of the regulations, there are big differences in the numbers,” said Wojtalewicz, chief financial officer at CHI Health, a 15-facility, nonprofit hospital system.

President Barack Obama’s Patient Protection and Affordable Care Act is as divisive as ever six years after its passage, with Republicans including presidential candidate Donald Trump vowing to repeal it. Yet as critics focus on the legislation’s insurance mandates and penalties, the biggest impact has come from Medicaid expansion, a decision made at state level.

The rural hospital closure crisis: 15 key findings and trends

http://www.beckershospitalreview.com/finance/the-rural-hospital-closure-crisis-15-key-findings-and-trends.html

http://www.ivantageindex.com/vulnerability-index/

Click to access Rural-Vulneravbility-2016_FINAL.pdf

Making The Business Case For Investing In Community Health

http://healthaffairs.org/blog/2016/06/02/making-the-business-case-for-investing-in-community-health/

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In recent years, many businesses have put a premium on improving employee health—often through investments in workplace wellness programs, onsite clinics, or the availability of fruit and vegetables on the premises.

Ostensibly, these programs are intended to generate a return on investment (ROI), with the thought that healthier employees are more productive employees, less likely to miss work, and more prepared to fulfill their potential. To date, though, research from the field has been mixed on whether workplace wellness programs and clinics deliver the ROI they promise.

HOW HEALTHY IS YOUR COMMUNITY?

http://www.countyhealthrankings.org/

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10 NYC Sites Transforming From Hospitals to Housing, Mapped

http://ny.curbed.com/archives/2015/07/07/10_nyc_sites_transforming_from_hospitals_to_housing_mapped.php

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