Original Investigation

Housing Cost Burden and Outcomes Among Medicaid Beneficiaries With Heart Failure

JAMA Health Forum 10.1001/jamahealthforum.2025.5903

January 02, 2026 at 11:00 AM EST

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Is housing cost burden associated with health care utilization and outcomes among Medicaid beneficiaries with heart failure?In this cross-sectional study of 233 195 Medicaid beneficiaries aged 19 to 64 years with heart failure, zip code–level housing cost burden was associated with higher odds of cardiovascular-related hospitalizations and emergency department visits.With the increasing housing cost burden in the US, the findings of this study highlight the need to investigate whether strategies to improve affordability may play a role in improving health outcomes for individuals with lower income and heart failure.

Corresponding Author: Sameed Ahmed M. Khatana, MD, MPH, Division of Cardiovascular Medicine, Perelman School of Medicine, University of Pennsylvania, 1212 Blockley Hall, 423 Guardian Dr, Philadelphia, PA 19104 (sameed.khatana@pennmedicine.upenn.edu).

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