Funder: Kaiser Permanente Community Benefit

Author: Peter Bodurtha and Renee Van Siclen, Hennepin Co. Center of Innovation and Excellence; Erik Erickson, PhD, Mark Legler, and Lisa Thornquist, PhD, Hennepin Co. Human Services and Public Health Dept.; Kate Diaz Vickery, MD, and Tyler Winkelman, MD, Hennepin Co. Medical Center; Courtney Hougham, PhD, Hennepin Co. Dept. of Community Corrections and Rehabilitation; and Ross Owen, Hennepin Co. Health Administration

October 2017 | Brief


Low-income, non-elderly adults are often served by an array of public sector services. Yet, little is known about patterns of use across multiple public systems. This cross-sector study, conducted by the Hennepin County Center of Innovation and Excellence, integrates data on health care, human services, criminal justice, and housing among Medicaid expansion enrollees in Hennepin County, Minnesota to gain a deeper understanding of total public sector involvement and costs associated with this population.

The analysis, made possible through the Complex Care Innovation Lab — a national effort supported by Kaiser Permanente Community Benefit and led by the Center for Health Care Strategies — suggests numerous policy opportunities to improve care for this subset of individuals. The unique cross-sector lens that this analysis provides offers an important opportunity to better understand how a subset of high-need Medicaid beneficiaries experience and receive care, and what can be done to improve outcomes and reduce costs at a county and state-wide level.