Oregon’s Housing and Food Insecurity Crisis Among Medicaid and Medicare Recipients During COVID-19
Housing and food insecurity increased sharply in Oregon for Medicaid and Medicare recipients during the COVID-19 pandemic. This rise occurred despite an eviction moratorium and boosted government nutrition support.
A study by Oregon Health & Science University analyzed the situation from March 2020 to the end of 2021. It highlighted that over 1.4 million residents depend on the Oregon Health Plan, the state’s Medicaid program. Additionally, more than 930,000 Oregonians receive Medicare, which serves individuals aged 65 and older or those with disabilities.
The study is part of a national effort that surveyed 1.1 million people similarly affected. The results showed that individuals whose basic needs—like housing and food—were met during healthcare visits generally had better health outcomes. Anne King, a senior author of the study, emphasized the need for healthcare organizations to consider the social needs of their patients. Addressing these needs not only improves health but can also reduce costs for taxpayers.
Before the pandemic, OHSU researchers began connecting clinics across Oregon with local populations. However, as the pandemic began, the demand for housing and food assistance continued to grow, even with the availability of unemployment benefits and eviction protections.
What are the key factors contributing to housing and food insecurity among Medicaid and Medicare recipients in Oregon during the pandemic?
Interview with Anne King on Housing and Food Insecurity Among Medicaid and Medicare Recipients in Oregon
News Directory 3: Thank you for joining us, Anne. Your recent study highlights a troubling rise in housing and food insecurity among Medicaid and Medicare recipients in Oregon during the COVID-19 pandemic. Can you elaborate on the main findings of your research?
Anne King: Thank you for having me. Our study, conducted through Oregon Health & Science University, found that from March 2020 to the end of 2021, there was a significant increase in housing and food insecurity among over 1.4 million residents relying on the Oregon Health Plan and more than 930,000 Medicare recipients. Despite the eviction moratorium and increased government nutrition support, many individuals still faced profound challenges in meeting their basic needs.
News Directory 3: What do you think contributed to this increase, despite the protections in place?
Anne King: A combination of factors played a role. The pandemic triggered widespread job losses and economic instability, leading to heightened demand for housing and food assistance that far outstripped available resources. Even with unemployment benefits and eviction protections, many individuals did not have sufficient access to the support they needed. This underscores the complexities of social determinants of health that extend beyond healthcare access itself.
News Directory 3: Your study also mentions the importance of addressing social needs in healthcare settings. Can you explain how this impacts health outcomes?
Anne King: Absolutely. Our research indicates that individuals whose basic needs, like housing and food, are fulfilled often experience better health outcomes. For healthcare organizations, integrating social support into their practice is crucial—not only does this improve patients’ overall health, but it can also lead to cost savings for taxpayers. By identifying and addressing these needs during healthcare visits, we can create a more holistic healthcare system.
News Directory 3: You mentioned a new rental assistance initiative as part of Oregon’s Medicaid program. How does this fit into the broader context of your findings?
Anne King: The new rental assistance initiative, which is funded by a nearly $1 billion federal waiver, represents a significant step in recognizing the crucial link between stable housing and effective healthcare delivery. This program will help individuals manage rental and utility payments for up to six months, as well as provide support for home improvements. It’s designed to address the immediate needs that correlate with health and well-being.
News Directory 3: In light of your findings and the current situation, what do you believe is the path forward for Oregon and other states facing similar challenges?
Anne King: I believe that states must continue to innovate and implement comprehensive strategies that address both health and social needs. Oregon is currently a leader in integrating these services, and I hope that this can serve as a model for other states. Prioritizing stable housing and access to nutritious food alongside healthcare will not only improve the lives of vulnerable populations but will ultimately enhance public health outcomes. The question many researchers are grappling with now is how much worse the situation would have been without the support systems that were put in place during the pandemic.
News Directory 3: Thank you, Anne, for your insights and for shedding light on this important issue.
Anne King: Thank you for having me.
Oregon’s Medicaid program now includes a rental assistance initiative through a five-year waiver approved by the federal Centers for Medicare & Medicaid Services. The state is allocated nearly $1 billion for this, with most funding coming from federal sources.
King noted the study underscores the necessity of integrating social needs with healthcare. The existing Medicaid waiver supports programs that assist with rental and utility costs for six months, as well as home improvements for those in need.
Overall, Oregon’s new assistance program is a positive step. King remarked that Oregon leads the nation in recognizing the link between stable housing and effective healthcare delivery. Researchers question how much worse the situation would have been without the increased support during this period.
