Insights

HMA Insights: Your source for healthcare news, ideas and analysis.

HMA Insights – including our new podcast – puts the vast depth of HMA’s expertise at your fingertips, helping you stay informed about the latest healthcare trends and topics. Below, you can easily search based on your topic of interest to find useful information from our podcast, blogs, webinars, case studies, reports and more.

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Brief & Report

HMA Prepares Health and Human Services Assessment for the City of Watertown

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On Tuesday, February 25, 2025, the Watertown City Council unanimously endorsed the recommendations of a year-long health and human services assessment prepared by HMA for the City of Watertown, Massachusetts. The report, released in November 2024, included a qualitative and quantitative assessment of the community’s health and human service needs and recommended resources to fill those gaps. As part of the project, HMA facilitated extensive community outreach and data gathering efforts in 2024 to elicit a range of community perspectives including 20 interviews, 8 focus groups, and 2 community-wide meetings resulting in 9 recommendations for organizational and program efficiencies and enhancements.

Through engagement and analysis, key community priorities emerged with a focus on programs and services relating to housing security, food security, wellness promotion, disability supports, older adult supports, communications and language access, immigrant supports, veterans’ services, public health, physical and behavioral health, and diversity, equity, and inclusion. Health and human services were considered through an intersectional lens, recognizing their overlapping qualities and characteristics that reflect how real people experience their own unique needs and seek support from a multitude of public and private supports.

Podcasts

Can Stable Housing Unlock Better Health Outcomes?

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Maddy Shea is a public health leader and passionate advocate for housing as a critical component of community health. In this episode of Vital Viewpoints on Healthcare, she shares insights on how housing and healthcare sectors can break down silos to improve outcomes for vulnerable populations. Drawing from her experience at the CMS Office of Minority Health and her work with health plans, affordable housing organizations, and policymakers, Maddy explores the challenges and opportunities in aligning incentives, leveraging policy tools such as Medicaid waivers, and fostering public-private partnerships. Join us as we discuss innovative solutions to housing instability, aging in place, and how data connectivity can drive better care coordination.

Blog

Why housing insecurity is a critical public health issue

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More than ever, facing the challenges of housing insecurity is becoming a top priority for communities nationwide. Here’s why. 

  • Direct impact on health: The quality of housing directly affects physical and behavioral health. People experiencing homelessness are at higher risk for illness, mental health issues, and death. Substandard housing leads not only to higher incidence of illness, but also greater exposure to toxins like lead and asbestos that exacerbate health problems.
  • Cost burdens of housing issues: Overcrowding, substandard housing, eviction, and homelessness all lead to poor economic outcomes, lower infant birthweights, mental health challenges, chronic disease, and higher mortality.
  • Effects on healthcare access: Due to high housing costs,half of renters delay medical care because they can’t afford it. And people experiencing homelessness or housing insecurity have a much harder time accessing healthcare.
  • Rise in homelessness: After homelessness hit a record high in 2023, it increased another 18% from 2023 to 2024. More than 771,800 people in the U.S. lived without housing in 2024.    

To address these issues, we are announcing the launch of the HMA Housing and Health Solutions team. HMA has brought together a team of experts who understand the challenges that homelessness and housing insecurity present to community health. Bringing together partners across all sectors, we help craft effective solutions for populations that lack access to stable housing and healthcare. ​

Our team includes former directors of national, state, and municipal government housing departments, nonprofit affordable housing organizations, and housing financing and investment. 

We’re pleased to announce the addition of two well-renowned housing experts to the team. Andy McMahon joins HMA after spending over seven years at UnitedHealthcare and UnitedHealth Group. Andy has over two decades of executive experience spanning healthcare, housing, human services and community development, and worked with UHC Medicaid plans nationwide on various policy issues to improve care for the most complex populations. Doug Shoemaker joins HMA after leading Mercy Housing California for 13 years.  Prior to Mercy Housing, Doug directed the Mayor’s Office of Housing and Community Development in San Francisco.  Doug focuses on the intersection of housing, community development and healthcare to advance projects and policy that improve outcomes for lower-income individuals and communities. 

Come meet some of our team members at the NAEH conference Feb 26 and 27 in Los Angeles, CA and visit us at the HMA booth in the exhibit hall. HMA’s Dena Hasan will be presenting, “Does Secret Domestic Violence Housing Lead to Unsheltered Homelessness?” on 2/26 at 2:30 in San Gabriel ABC, and “Does Medicaid Hold the Key to Housing?” at 3:45pm in Santa Anita AB.

Housing and Health Solutions

Find out how we can help

Meet our housing and health experts:

Headshot of Boyd Brown

Boyd Brown

Associate Principal

Headshot of Kirsten Bryan

Kirsten Bryan

Senior Consultant

Headshot of Michael Butler

Michael Butler

Associate Principal

Headshot of Tia Cintron

Tia Cintron

Managing Director, Housing and Health Solutions

Headshot of Anthony Federico

Anthony Federico

Senior Consultant

Headshot of Paul Fleissner

Paul Fleissner

Managing Principal

Headshot of Dena Hasan

Dena Hasan

Associate Principal

Headshot of Muriel Kramer

Muriel Kramer

Senior Consultant

Headshot of Anissa Lambertino

Anissa Lambertino

Senior Consultant

Headshot of Trish Marsik

Trish Marsik

Principal

Headshot of Andy McMahon

Andy McMahon

Principal

Headshot of Deborah Rose

Deborah Rose

Associate Principal

Headshot of Nicholas Williams

Nicholas Williams

Associate Principal

Webinar

Webinar Replay: The Housing Imperative for Persons with Disabilities to Advance Independent Living and Recovery

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This webinar was held on October 31, 2024.

This webinar discussed the importance of expanding affordable and accessible housing for persons with disabilities. Persons with disabilities face enormous challenges in finding affordable and accessible housing for two main reasons. First, they struggle to afford housing. Second, it’s not easy to find accessible housing. Join us as experts share their key insights into the state of affordable and accessible housing for persons with disabilities and contributions to expanding the housing supply. 

Learning objectives:

  • Understand the impacts of affordable and accessible housing for persons with disabilities through an equity lens. 
  • Examine the state of affordable and accessible housing for persons with disabilities.
  • Broaden your understanding of the impacts of race, income, disability, and geography on access to affordable and accessible housing.
  • Learn from experts about ways to expand housing for persons with disabilities.

Featured speakers:

Allie Cannington, Director of Advocacy, The Kelsey
R. Feynman, Director of Advocacy, Disability Policy Consortium, Boston, MA
Olivia Richard, Disability Rights Advocate, Boston, MA
Barry A. Whaley, MS, Project Director of the Southeast ADA Center, Syracuse, MA

Solutions

Housing services and supports are critical to the mission of improving health for all Americans

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Homelessness in America has hit a record high and housing instability is widespread. Millions of Americans are vulnerable to inadequate housing and half of all U.S. renters are spending far more than the recommended 33% of their income on rent.

For many Americans, housing costs are out of reach, as 13 of the 20 largest occupations in the U.S. pay less than the housing wage. This housing crisis is impacting overall health and well-being and utilization of healthcare. Individuals and families struggling with homelessness often experience lower infant birthweights, mental health challenges, chronic disease, and higher mortality.

HMA works at the intersection of housing and healthcare in a variety of ways, including policy, programs, financing, and evaluation. A safe and secure place to live is fundamental to all of the healthcare and human services work we do at HMA. Our experts have developed and worked within programs in public housing authorities, hospital housing partnerships, shelters and transitional housing, post-incarceration transition and 1115 waiver supports, rural housing, and other housing supports.

HMA experts are former state and local public health leaders, directors of community-based organizations, and former senior officers from key federal agencies, setting us apart from other consulting companies.

We understand the complexity of designing and implementing change beyond the theoretical level – we have walked in the shoes of our clients and understand how to provide insight that is meaningful, actionable, and realistic.

Organizations we support

Federal, state and local government agencies

Managed Care Organizations

Public Housing Authorities

Community-based health/behavioral health and human service organizations

Provider organizations (FQHCs, CCBHCs)

Schools and universities

Departments of behavioral and public health

Healthcare systems and providers

Philanthropic organizations

Jails and correctional facilities

We Help Our Clients

Transform their community’s response to homelessness

Improve local housing delivery systems

Facilitate new or expanded community partnerships 

Address systemic barriers

Build capacity of local partners and resources

Help with targeted impact improvements

Scale interventions to match resources and need 

Increasing system capacity  

Provide management tools for improved decision making

Planning and implementation support for continuum of homeless services

Affordable housing needs assessment

Consultation on shelter and outreach team best practices

Project Spotlight

The problem:
With new funding available and a homelessness crisis growing more acute, the JOHS requested an evaluation of the department’s effectiveness and barriers, as well as the governance model over all homelessness response functions.

How we helped:
HMA conducted a discovery process consisting of 40 stakeholder interviews with local elected officials, County and department staff, and contracted service providers. We also reviewed key contracts, policies and procedures, and other foundational documents; and completed a summary of national best practices to inform future program development. This resulted in a summary of gaps, opportunities and recommendations that HMA presented to a joint meeting of County and City Commissioners, and HMA continues to assist in implementation

The outcome:
HMA presented leaders with findings and recommendations, including reforms to provider payment, system governance, inter-agency partnerships and more). Subsequent contracted initiatives to support implementation include the renegotiation of an Inter-Governmental Agreement and action plans to improve to the shelter system and street outreach systems.

The problem:
Tens of thousands of residents of HUD assisted senior housing in California are dually eligible for Medicaid and Medicare and have complex medical, behavioral health, and health-related social needs.  Affordable housing developers, owners and operators do not have financing to enhance resident supports to prevent homelessness, avoidable hospitalizations, or institutional care transitions. While evidence shows that Medicaid, Medicare and D-SNP plans and healthcare providers would reduce avoidable inpatient and urgent care costs from enhanced resident services, mechanisms to partner with housing organizations have been elusive due to different incentive structures, infrastructure, and cultures in each sector.

How we helped:
Through contracts with LeadingAge California, HMA supported California housing organizations to develop a compelling value proposition for strategic discussions with payers, providers, and foundations. HMA is developing a financing plan and gap analysis to braid and blend Medicaid, Medicare, D-SNP, workforce, behavioral health, and other funding streams to sustainably support enhanced services provided by trusted, culturally and linguistically responsive on-site service coordinators. 

The outcome:
California DHHS and Department of Aging leadership endorsed the goals of the CICH model and are guiding next steps to develop the infrastructure and braided/blended financing plans.  Two health plans in southern California are interested to partner in piloting the model.

The problem:
Housing and community development organizations are trusted resources in low-income rural and urban communities across the US; and they were instrumental during COVID in engaging high-risk communities in prevention activities.  While housing and community development organizations are a natural place for successful CHW programs, most CHW models and training programs have been developed for healthcare organization environments.

How we helped:
HMA co-led a cohort of NeighborWorks network organizations to co-design three housing and community-development organization-centered CHW program models and a toolkit covering every element of standing up and sustaining a CHW program within housing and community development structures, values, and resources.  We provided coaching and technical assistance to learning cohort participants to test toolkit components.

The outcome:
Web-based toolkit Community Health Workers: A Promising Program Model to Advance Health & Well-Being in Affordable Housing and Community Development – NeighborWorks America

The problem:
The organization has requested assistance with establishing healthcare partnerships, designing health care services to meet resident health needs in each affordable housing development, and identifying opportunities to expand health and wellness services.

How we are helping:
HMA is providing guidance in service planning, partnerships, resources, budgeting, and strategies. This may include identification of potential health care partners, design of the health care model, assistance with budgeting for health care service costs, and other consultation as requested.

The outcome:
HMA presented leadership with insight on how to expand embedded health services to optimize resident health across their housing portfolio, assisted with the design of health care services, and helped to build healthcare partnerships.

Our HMA experts are ready to help your organization support your communities.

Contact our experts:

Headshot of Boyd Brown

Boyd Brown

Associate Principal

Boyd Brown is a seasoned policy and operational leader in behavioral health, housing and homelessness, and human service operations including … Read more
Headshot of Kirsten Bryan

Kirsten Bryan

Senior Consultant

Kirsten Bryan is an experienced project manager, urban planner and consultant with expertise supporting diverse, complex projects spanning social determinants … Read more
Headshot of Michael Butler

Michael Butler

Associate Principal

Michael Butler is an experienced strategist and evaluator working across a wide array of health and human service sectors including … Read more
Headshot of Tia Cintron

Tia Cintron

Managing Director, Housing and Health Solutions

Tia Cintron is a seasoned executive with over 35 years of experience in housing and healthcare. She has led impactful programs … Read more
Headshot of Anthony Federico

Anthony Federico

Senior Consultant

For 15 years, Anthony Federico has worked in housing, homelessness, and healthcare across the government, community-based organization (CBO), and consulting … Read more
Headshot of Paul Fleissner

Paul Fleissner

Managing Principal

Working to integrate services across systems and communities, Paul Fleissner is a seasoned executive who has developed programs and policies … Read more
Headshot of Dena Hasan

Dena Hasan

Associate Principal

Dena Hasan is a forward-thinking executive with over 20 years of experience in public and private sector healthcare and social … Read more
Headshot of Trish Marsik

Trish Marsik

Principal

Trish Marsik has extensive experience supporting providers, healthcare organizations, and local and state governments to improve behavioral health services, including … Read more
Headshot of Charles Robbins

Charles Robbins

Principal

Charles Robbins has been transforming communities for the past three decades. His extensive community-based organization career spans healthcare, child welfare, … Read more
Headshot of Maddy Shea

Madeleine (Maddy) Shea

Principal

Maddy Shea has a passion for health equity and the federal, state and local cross-sectoral expertise to guide community health … Read more
Headshot of Nicholas Williams

Nicholas Williams

Associate Principal

Nicholas Williams is a social sector leader, analyst, writer, and consultant with extensive experience and proven results in academic, business, … Read more
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