Manatt Health April, 2019
I. Introduction
Medicaid programs are increasingly considering how best to address the social factors, such as housing,
healthy food, and economic security, that can affect health and medical expenditures. Often referred to as social
determinants of health (SDOH), these factors drive as much as 80 percent of population health outcomes. 1
With Medicaid programs looking to contain costs and to pay for health outcomes—not simply the volume of health
care services delivered—there is a growing focus on addressing these social factors in both Medicaid fee-forservice and managed care programs. While states historically have had some experience tackling such issues
for specialized, high-need populations (e.g., disabled enrollees with mental illness or HIV/AIDs), they are now
confronting whether, and how, Medicaid should address SDOH for a broader population...
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