Federal Study Links SASH to Medicaid Savings for Long-Term Care

A new federal evaluation of Vermont’s groundbreaking “Support and Services at Home” (SASH) program, released July 12, 2019, shows significantly slower growth in the cost of long-term institutional care for very low-income SASH participants compared to non-participants. The finding holds true for SASH participants age 65 and older who receive Medicaid to cover the cost of long-term care in nursing homes. Medicaid costs were about $400 less per beneficiary per year among participants living at affordable-housing sites where SASH is based, researchers found.  Learn More.

SASH Featured in U.S. News & World Report

Jeanne Daley, a SASH participant of Vermont, is featured in a new article in U.S. News in regards to her overall improvement in health and emotional moral since moving into a SASH residence. The article dives into the “what” and “how” of the SASH model, speaking to Daley’s successes since relocating to Vermont after an emotional loss and a physical fall, resulting in two broken bones. The article also touches on the possibility of SASH growth into other states for the future Read the full article here.

SASH Shown to Reduce Growth in Costs for Emergency Department and Specialist Visits

A study published in the national HUD research journal Cityscape identifies the traits of SASH groups (“panels”) that have the biggest bang when it comes to reducing Medicare expenditures. Among the findings: Visits to emergency rooms and specialty physicians by SASH participants in nearly all Vermont SASH panels cost less compared to the control group, with statistically significant savings among participants in the early and urban panels who are eligible for both Medicare and Medicaid. The study, conducted by RTI, was a deeper analysis of data RTI gathered during its most recent evaluation of SASH. Read the study here.

SASH Innovation Featured by National Organization

St. Johnsbury SASH participant Regina Fournier’s story is featured in an issue brief published by the Center for Consumer Engagement in Health Innovation as part of its series on highly effective programs serving older adults and people with disabilities. The brief itself discusses the huge success of SASH since its start in 2009. The overview walks through how the SASH program operates, showcasing why SASH was chosen as one of the most innovative programs supporting older adults and differently abled persons. Read the full brief here